Course Information – Visit our website for full details () Course Name: RII30115 Certificate III Surface Extraction Units included: RIIENV201D Identify and assess environmental and heritage concerns RIIRIS301D Apply risk management processes RIIWHS201D Work safely and follow WHS policies and procedures RIICOM302D Communicate workplace information RIIGOV201D Comply with site work processes/procedures RIISRM304D Maintain stockpiles RIIMPO304D Conduct wheel loader operation RIISAM202D Isolate and access plant RIIMPO337D Conduct articulated truck operations RIIMEX302D Assess ground conditions RIIERR302D Respond to local emergencies and incidents RIIMP0205D Operate roller /compactor RIIWHS202D Enter and work in confined spaces About the Qualification: This qualification reflects the role of employees such as production operators in an open cut mine or quarry, who perform tasks involving a broad range of skilled applications in a varied work context, using some discretion and judgement in selecting equipment, services or contingency measures. Licensing, legislative, regulatory and certification requirements that apply to this qualification can vary between states, territories, and industry sectors. Relevant information must be sourced prior to application of the qualification. Fees Under the Certificate 3 Guarantee Program, the Queensland Government will subsidise the majority of the training costs. Students should expect to contribute through a student fee. These fees will subsidise the services required to provide the training and may be paid by the student, an employer or a Job Services Australia (JSA) provider. Non Concessional $10 Concession $5 Concessions to be eligible for a concession, you must hold a health care, pensioner or concession card and/or be of Aboriginal or Torres Strait Islander origin. Candidate Information Surname: Email: Given name/s: Telephone: DOB: Mobile: Gender: Work: Age at time of enrolment: Postal address: Address: City/ Suburb: Postcode: Emergency Contact: Name: Telephone: Relationship: Cultural Background: Where you born in Australia? YES NO If no, state country of birth: City of birth: Are you of: Aboriginal origin? YES NO Torres Strait Islander Origin? YES NO
Student eligibility and declaration Student Name: Phone Number: _ Student age at time of application: Date: Eligibility (Please tick the boxes that apply to you) Yes No ☐ I do not hold a Certificate III or higher- level qualification, as completed outside of my secondary schooling ☐ I am not currently undertaking, a Certificate III or higher- level qualification, as completed outside of my secondary schooling ☐ I am 16 years of age or older ☐ I have finished secondary school and I am no longer at school ☐ I am a Queensland resident, i.e. Australian citizen or Australian permanent resident residing in Queensland or a New Zealand citizen currently residing permanently in Queensland Concession Are you eligible for a concession? If so, please provide ID. Please tick the box below for the ID you have provided: Health care, pensioner or concession card I am of Aboriginal or Torres Strait Islander origin In your lifetime, how many government funded courses have you commenced and not completed? Provide the total number of courses, regardless of what qualification level they are at. 0 1 2 3 4+ (Circle Number) Declaration I (Participant Name) understand that I will no longer be eligible for a subsidised training place under the Certificate 3 Guarantee Program once I have completed a Certificate III Level qualification, and it is a requirement of the program that I fill out and return a Training and Employment Survey within three (3) months of completing my qualification. Signature Print name Do you have a Unique Student Identifier (USI)? Yes ☐ No If no, I authorise Training & Personnel Australia to obtain my Unique Student Identifier (USI) on my behalf I hold an official form under Commonwealth Law confirming that I am entitled to concessions under a health care concession card or pensioner concession card I understand that I am only entitled to student concession rates when a Commonwealth Government agency or Employment Service is not funding my student contribution Have you enrolled in a Certificate III with another RTO and completed any units of competency? Yes ☐ No (If yes, please provide details including but not limited to an attached signed, certified copy of Academic Transcript or Statement of Attainment) Identification (RTO Office use only) Have copies of the following been collected from the student: Proof of QLD residency (drivers Licence, proof of age) Proof of Australian Citizenship or PermanentResidency Name Signature
No. Unit Code Unit Title Training Delivery Details Assessment Details Mode of delivery Proposed Start Date Proposed End Date Delivery Methods Responsibility of the Training Proposed Assessment Dates Assessment methods 1 2 3 4 5 6 7 8 9 10 11 12 13 Key: Modes of delivery Methods of Assessment: Fact to face FF Institution Based IB Flexible Work Based FWB Recognition of Prior learning RPL Recognition of Current Competency RCC Credit Transfer CT 1 = Observation 2 = Third Party 3 = Oral Questioning 4 = Portfolio 5 = Workbook / Logbook 6 = Written Assignment 7 = Written Test I undersigned, have discussed, understand and are satisfied with the attached Training Plan arrangements to support and deliver the required training. Client Name: Client Signature: Date: / /