Certificate IV in Adult Tertiary Preparation  Application Form

The Certificate IV in Adult Tertiary Preparation (10765NAT) provides a pathway to university undergraduate courses. It is specifically designed to develop skills, knowledge and attitudes sufficient for adult learners to access tertiary education and to prepare learners for the rigours of tertiary study. 

Successful completion of this program will allow students to apply to QTAC for a tertiary ranking. 

Students must be at least 18 years of age or must turn 18 years of age within the enrolment period of this program.

Confirm your program

Please select one (1) intake of the Certificate IV in Adult Tertiary Preparation that you would like to apply for below:
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Unique Student Identifier (USI)

The USI is a reference number allocated to each person undertaking recognised training courses. It is now a requirement to have a USI number to receive your qualification or Statement of Attainment. 


Unique Student Identifier (USI)
Entity Data - AVETMISS - Unique Student Identifier (USI)

Personal Details

Please complete your personal details below. Please ensure you write your full name (exactly as it appears on your passport, if applicable).
Title
Entity Data - Profile - Title
Surname
Entity Data - Profile - Surname
First Name
Entity Data - Profile - First Name
Middle Name
Entity Data - Profile - Middle Name
Preferred First Name
Entity Data - Profile - Known By
Gender
Entity Data - Profile - Gender
Date of Birth
Entity Data - Profile - Birth Date
Nationality
Entity Data - Profile - Nationality
E-mail Address
Entity Data - Contact - Home - E-mail Address
Mobile Number
Entity Data - Contact - Home - Mobile Number
Home Number
Entity Data - Contact - Home - Phone Number
Are you of Aboriginal or/and Torres Strait Islander origin?
Entity Data - AVETMISS - Indigenous Status
What language do you speak at home?
Entity Data - AVETMISS - Main Language
[Australian] Address -
Entity Data - Address
[Australian] Address - Type/Location
Entity Data - Address - Type/Location
[Australian] Address - Lookup
Entity Data - Address - Lookup
[Australian] Address - Overseas State/Province
Entity Data - Address - Overseas State/Province
State
Entity Data - Address - State
Post Code
Entity Data - Address - Post Code
Country
Entity Data - Address - Country
[Australian] Address - Street Address 1
Entity Data - Address - Street Address 1
[Australian] Address - Street Address 2
Entity Data - Address - Street Address 2
Unit/Flat Number
Entity Data - Address - Unit/Flat Number
Street/Lot number
Entity Data - Address - Street/Lot number
Street Name
Entity Data - Address - Street Name
Suburb
Entity Data - Address - Suburb

Emergency Contact Details

Emergency Contact
Entity Data - Contacts - Type
Contact - First Name
Entity Data - Contacts - First Name
Contact - Surname
Entity Data - Contacts - Surname
Contact - Relationship
Entity Data - Contacts - Relationship
Phone Number - Mobile
Entity Data - Phone - Home - Phone Number
E-mail Address
Entity Data - Phone - Home - E-mail Address

 Identity and Citizen Status Confirmation

Please select one of the following documentation options to confirm your identity
Basic - Dropdown
Please upload one file only
Basic - File
What is your current Citizenship Status?
Entity Data - Profile - Citizenship Status
Upload your citizenship/residency status document
Australian and New Zealand citizens: Valid copy of passport/Citizenship certificate/Birth certificate

Holder of Permanent Visa: Copy of passport or IMMI card and Visa grant letter from Department of Home Affairs
Basic - File

Education

What is your highest COMPLETED education level?
Entity Data - AVETMISS - Highest School Level
In which YEAR did you complete that school level?
Entity Data - AVETMISS - Year Completed (Highest School)
Do you have an ATAR or OP score?
Basic - Radio buttons
What is your ATAR or OP score?
Basic - Text
Upload your Year 12 Statement of Results
Basic - File
Are you still attending secondary school?
Entity Data - AVETMISS - At School

Qualifications

Have you completed any qualifications since leaving school?
Entity Data - AVETMISS - Prior Education Flag
Please indicate which best describes your qualification(s):
Entity Data - AVETMISS - Prior Education Type
Upload your post-secondary studies documentation
e.g. enrolment confirmation, studies report
Basic - File
Have you studied at university for any period of time?
Basic - Radio buttons
Have you ever been enrolled at The University of Queensland?
Basic - Radio buttons
Please advise of the year you enrolled:
Basic - Text
Please advise of your UQ student number (if known):
Basic - Text

Study Reasons and Employment Details

Study Reason
Entity Data - AVETMISS - Study Reason
To which university do you intend to apply for entry?
Basic - Text
Which undergraduate program do you want to study at University?
eg. Bachelor of Engineering
Basic - Text
Of the following categories, which BEST describes your current employment status?
Entity Data - AVETMISS - Labour Force Status
Your preferred stream of study
(DO NOT answer this question if you are applying for a Specialisation)
Entity Data - Profile - Properties

Self-Assessment: Digital Literacy Questions

How often do you access email?

Basic - Dropdown

How often do you use Microsoft Word, Excel, and PowerPoint?

Basic - Dropdown

How often do you need help using technology (Computer, Smartphone)?

Basic - Dropdown

Have you used video calling on a computer or mobile device?

Basic - Radio buttons

Have you downloaded and uploaded files to a website?

Basic - Radio buttons

Welfare and Support

Do you have any specific needs which may impact on your full participation in this program:
e.g. medical condition?
Entity Data - AVETMISS - Disability Flag
Please select any relevant conditions:
Entity Data - AVETMISS - Disability Type
In order to best support you in your application to study, please provide more information on your specific needs:
Basic - Textarea

Privacy Statement and Declaration

Privacy Statement

UQ College has a Privacy Policy to provide individuals with information about how we hold and use personal information, please refer to the Privacy Policy for more information.

I have read and agree to the declaration and privacy statement. I provide UQC with permission to use and disclose the application information with The University of Queensland for the purpose of enrolment into their Student Management System. I also provide UQC with permission to use and disclose the application information with all Australian Government entities in accordance with the relevant legislation:
Basic - Radio buttons
Should I be granted enrolment into the Certificate IV in Adult Tertiary Preparation, I give consent to UQ College to use any photograph or image of me for purposes of advertising, media publicity, publication, web display, general display or any other UQ College purposes in whole or in part. I understand that I do not have any interest in the copyright to the photograph(s) now or at any future time and state that I do not expect to receive any payment or consideration in respect of them. I release UQ College, its employees and agents from any liability (including consequential loss) connected with the publication, reproduction, release or other use of these materials:
Basic - Radio buttons
Where did you hear about the Certificate IV in Adult Tertiary Preparation?
Basic - Checkboxes
Are you under the age of 18?
Basic - Radio buttons
I declare the information I have provided on this form is true and correct:
Basic - Radio buttons
Student's signature
Basic - Digital Signature
Parent / Guardian's signature (if student is under 18)
Basic - Digital Signature

Funding Eligibility

The Certificate IV in Adult Tertiary Preparation Program provides eligible individuals with access to a subsidised training place, with a preapproved registered training organisation such as UQ College.

The principal aim of subsidised training is to help student gain the higher-level skills required to secure employment or career advancement in a priority industry or transition to university to continue their studies.

If you are considering enrolling in subsidised training please contact the College on 3346 6770 to ensure you are eligible.

To be eligible for subsidised training a student must be:

  • be aged 15 years or over;
  • be no longer at school;
  • permanently reside in Queensland;
  • be an Australian citizen, Australian permanent resident (includes humanitarian entrant), temporary resident with the necessary visa and work permits on the pathway to permanent residency, or a New Zealand citizen; and
  • not hold, and not be enrolled in, a Certificate IV or higher-level qualification, not including qualifications completed at school and foundation skills training

Concessional student status applies when:

  1. the student holds a Health Care or Pensioner Concession Card issued under Commonwealth law, or is the partner or a dependant of a person who holds a Health Care or Pensioner Concession Card and is named on the card;
  2. the student provides the College with an official form under Commonwealth law confirming that the student, his or her partner, or the person of whom the student is a dependant, is entitled to concessions under a Health Care or Pensioner Concession Card;
  3. the student is an Aboriginal or Torres Strait Islander;
  4. the student has a disability; or
  5. the student is an adult prisoner.

Do you wish to apply for a subsidy?
Basic - Radio buttons
What level of funding would you like to apply for?
Basic - Dropdown
Please upload your documentation for subsidy
eg. QLD Driver's Licence (back and front)
Basic - File
Please upload your documentation concessional student subsidy eg. Health Care Card
Basic - File
You are not eligible for funding because you have selected a Single Unit Course
Basic - Checkboxes