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Workplace Oral Fluid Drug Testing Micro-Credential course (Unit Standards 3237 & 3238) Enrolment Form (SC)

Your Full Name

Date of Birth:

Your Email Address

Your Phone Number

NZQA Registration/NSN number:

You will need an NSN number to complete this course. Follow this link to get one if you don't currently have a number: https://www2.nzqa.govt.nz/login/national-student-number-nsn/

I am a New Zealand Citizen/Resident

Yes

No (if no, please contact Sober Check's Administration Manager)

Delivery Address

What address should we send the course material to? Physical addresses only, no PO boxes.

Who will be paying for this course?

My company/business/employer will be paying for this course

I will be paying for this course personally

If your company/business/employer is paying for the course, please fill in the below details:

Company Name

Email Address for Invoices

Purchase Order Number

Costs

Training & Tuition Fees - $500.00 + GST

Training pack - $95.00 + GST

AS/NZS 4760:2019 standard - $107.22 incl. GST (It can be purchased here: https://www.standards.govt.nz/shop/asnzs-47602019. If you or your business already has a copy, you do not need to purchase this.)

Please confirm you accept the training pack & tuition costs, and you will source the AS/NZS 460:2019 standard as described above:

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I accept the costs involved & will source the Standard

Training Material

Sober Check will provide a training pack with all equipment and papers that you need, please confirm you accept the cost below:

Untitled checkboxes field

I accept the training pack cost of $95.00 + GST per attendee

Comments

Learner Information

Entry Requirements

This course has a theoretical element: a level of reading, writing and the ability to speak and comprehend English is required. If you have any concerns regarding this, require a reader/writer, or have a specific learning requirement, please contact Sober Check prior to the course to discuss options.

Your assessment must be submitted in English. You will need internet access and a computer with a microphone & a working camera.

Special Needs

If you have any disabilities that may impair your ability to complete the course, please contact Sober Check on 0800 700 777 or [email protected], and we will work with you to find a solution.

Community Support and Guidance available:

Lifeline | Free text 43457 (HELP) | Ph: 0800 LIFELINE

Citizens Advice Bureau | 305 Queen Street, Auckland | Ph: (09) 377 3314

NZ Income Support Services | 450 Queen Street, Auckland | Ph: (09) 367 6310

Phone counselling | 11am - 11pm | Ph: (09) 376 6633

NZ Employment Service | 326 Karangahape Rd, Auckland | Ph: (09) 309 3318

NZQA (certificates, participant disputes etc) | PO Box 160, Wellington | Ph: 0800 QA HELP

Assessment Appeals

If you choose to appeal your assessment result, you must submit a written appeal to your Trainer within 5 days of receiving your academic decision. In the case a resolution isn’t met, you will be directed to the appropriate support.

Disciplinary Action

If you are caught or accused of misconduct, bullying, harassment, discrimination and/or serious misconduct, disciplinary action will be taken. If behaviour continues, your enrolment will be terminated.

Complaints

If you would like to make a formal complaint, you must submit it to to the Administration Manager within 5 working days of the incident, and the situation will be investigated and a resolution determined. If the complaint is not able to be resolved, you can contact Study Complaints at 0800 00 66 75, or contact NZQA at 0800 697 296.

Information Storage

Any information about you and your learning achievements is held in accordance with the Privacy Act. All records are stored in a secure filing system. If you have any questions or concerns, please contact us on 0800 700 777.

Refunds and Withdrawals

Payment is due in full when signing up for this micro-credential when a business is paying for the training.

Within three days after signing up for the course, you may apply for a full refund if you are dissatisfied with the course or wish to withdraw for any reason.

Between three days and one week after signing up for the course, and before completing any practical skills assessments, you may apply for a full refund if you are dissatisfied with the course or wish to withdraw for any reason.

Between one week and one month after signing up for the course, and before completing any practical skills assessments, you may apply for a 50% refund if you wish to withdraw for any reason.

Late Substitution, Late Cancellation, or No Show: Full Fee

By signing and/or submitting this form, I hereby declare that I have engaged Sober Check Training for work specified and agree with the Terms and Conditions.

You can contact Sober Check Training's administration manager about this course or enrolment by emailing [email protected] or calling 0800 700 777.