2025 Deadly Start Program 

Course

Please read before commencing your application:

- Please select the Health Hub you are wishing to study at and press "next"

- You are unable to save your application. Please press "next" after completing each page.

- Please have your ID ready and you will need a parent/guardian to provide signature on final pages.

×

× ×

Eligibility

Please answer the following questions to confirm eligibiity into the program

Are you (student applying for program) of Aboriginal and/or Torres Strait Islander origin?

Yes, Aboriginal

Yes, Torres Strait Islander

Yes, Aboriginal and Torres Strait Islander

No (please note that you will not be eligible for the Deadly Start Program.)

In a few Sentences, please tell us why you wish to participate in the Deadly Start Program?

What are your goals after graduating from school? (e.g starting a career, further education, travel etc)

What draws you to a career in healthcare, and which field within health are you most interested in?

I will be in Year 11 in 2025

Yes

No

Have you completed or are you currently completing a HLT23221 Certificate II in Health Support Services Qualification?

Yes

No

Do you have access to your own wireless device, to bring to your health hub training each week? (Laptop, Ipad, Chromebook)

Yes

No

Cultural Connections - Who is your mob and who is your country?

Student Information

Please use your name which is registered against your Unique Student Identifier.

First Name

Known By

Middle Name

Surname

Date of Birth

Unique Student Identifier (USI)

Gender

Female

Male

X

All Deadly start participants are provided with a Deadly start shirt for your health hub days.

Can you please provide your size below:

Mens TOPS	XS	S	M	L	XL	XXL	XXXL	4XL	5XL	6XL	7XL
1/2 CHEST (CM)	48	52	56	60	64	69	74	78	82	86	90
LENGTH (CM)	74	75	77	79	81	83	85	87	89	91	93

LADIES TOPS	XXS(4)	XS(6)	S(8)	M(10)	L(12)	XL(14)	XXL(16)	XXXL(18)	4XL(20)	5XL(22)
1/2 CHEST (CM)	40.5	43.5	46.5	49.5	52.5	55.5	58.5	62	65	68
LENGTH (CM)	63	65	66.5	68.5	70.5	72.5	74	76.5	78.5	80.5

Shirt Size I wish to order:

Contact Details

Please use your school email address.

Email (Please use your School Email Address)

Personal E-mail Address

Home Phone

Mobile

Work Phone

School Name:

School Contact Person

School phone number and email :

Address Details

If you cannot find your address please select manual entry.

[Home] Address -

Lookup

Manual Entry

Australian Home Address

[Home] Address - Overseas State/Province

[Home] Address - State

[Home] Address - Post Code

[Home] Address - Country

[Home] Address - Street Address 1

[Home] Address - Street Address 2

[Home] Address - Unit/Flat Number

[Home] Address - Street/Lot number

[Home] Address - Street Name

[Home] Address - Suburb

Parent or Guardian Contact Information

Contact First Name

Contact Surname

Relationship

Contact Mobile Number

Email Address

Nationality

Country of Birth

Citizenship Status

Country of Citizenship

Language

Language spoken most often

English Proficiency

Education

Secondary Education

Highest School Level Completed

Year that you have completed your Highest School Level

(State answer in YYYY format)

Learner Identifier (LUI)

Have you completed any post-secondary education?

Prior Education

Additional Details

Disabilities

Do you have any disabilities?

Not Stated

No

Yes

Disabilities

Do you have any medical conditions or require medication

Yes (add details below)

No

Additional Details

Indigenous Status

Employment Status

Reason for Study

How did you hear about us?

Friends/Family

Newsletters

Social Media

Identification and Immunisation History

It is important that Connect n Grow obtains a copy of your Identification for enrolment into the course. Please upload a copy of your ID. This could be either a Driver's License/Learners, Birth Certificate or Medicare Card)

Vocational Education & Training in Schools Subsidy
HLT21221 Certificate II in Health Support Services

Connect 'n' Grow® is approved as a Skills Assure Supplier (SAS) to deliver this qualification as a Vocational Education and Training in Schools (VETiS) funded qualification.

This is funded by the Queensland Government.
Vocational Education and Training in Schools funded by the VET investment budget is fee-free for Queensland secondary school students*; and the VET investment budget will only fund one employment stream qualification (per student). The HLT23221 Certificate II in Health Support Services and CHC22015 Certificate II in Community Services are currently listed on the Department's list of employment stream qualifications funded by the Vocational Education Training in Schools initiative.

My Options:

Select this program as my one Vocational Education and Training in Schools funded qualification; or
Advise Connect 'n' Grow® that I choose not to use this program as my one Vocational Education and Training in Schools funded qualification; and therefore undertake this qualification as fee-for-service (e.g. non-funded, where Connect 'n' Grow® invoices my school a per participant fee).

I understand that by choosing this qualification as my one Vocational Education and Training in Schools funded qualification that I forgo the opportunity to access another Vocational Education and Training in Schools funded qualification while at school.

Connect 'n' Grow® will notify my school's nominated VET Coordinator/Head of Department, if it is identified, post-enrolment that I do not meet eligibility requirements.

For further information, please refer to the Connect 'n' Grow® Student Handbook and the Queensland Government's student information page developed specifically for the Vocational Education and Training in Schools program (see link below) or contact Connect ‘n’ Grow® (admin@connectngrow.edu.au).

NOTE: International students attending a Queensland high school on a temporary basis are ineligible for this Vocational Education and Training in Schools Subsidy. For further information, please contact Connect ‘n’ Grow® (admin@connectngrow.edu.au) or follow this link to the Department's VETiS Information.

I intend to use this Connect 'n' Grow® qualification - HLT23221 Certificate II in Health Support Services - as my one Vocational Education and Training in Schools funded qualification.

Yes

No

I confirm I have not already claimed VETis Funding for a Certificate II Qualification?

I have not claimed my funding

I have claimed my Funding previously (please note you are no longer eligible to receive funding). This course will be Fee for Service

I understand that the Queensland Government's VET investment budget will only fund one Vocational Education and Training in Schools funded qualification (per student).

Yes

No

I have accessed the Department's website and viewed the VET in Schools Fact Sheet here

Yes

No

USER CHOICE / School Based Traineeship

Connect 'n' Grow® is a Skills Assure Supplier for the User Choice Program from the Queensland Government.

The User Choice program provides a public funding contribution towards the cost of training and assessment for eligible Queensland apprentices and trainees. The HLT33115 Certificate III in Health Services Assistance and HLT33021 Certificate III in Allied Health Assistance are currently listed on the Department's list of employment stream qualifications funded by this initiative.

If you are successful for a school-based Traineeship you will need to complete 375 hours in the workplace and attend Connect n Grow Health Hubs as required to ensure you meet the timeframe and requirements. Further information on School-based Traineeships will be provided in the coming months.

I understand that by choosing this qualification and traineeship as my User choice funded qualification that I forgo the opportunity to access another User choice Funded Qualification.

NOTE: International students attending a Queensland high school on a temporary basis are ineligible for this Subsidy. For further information, please contact Connect ‘n’ Grow® (admin@connectngrow.edu.au) or follow this link to the Department's VETiS Information.

I confirm that I understand the requirements school-based Traineeships

Yes

No

I have accessed the Department's website and viewed the information on User Choice Funding here

Yes

No

Parent Consent (please ensure completed by parent or Guardians)

Connect 'n' Grow® is approved as a Skills Assure Supplier (SAS) to deliver this qualification as a Vocational Education and Training in Schools (VETiS) funded qualification.

This is funded by the Queensland Government.
Vocational Education and Training in Schools funded by the VET investment budget is fee-free for Queensland secondary school students*; and the VET investment budget will only fund one employment stream qualification (per student). The HLT23221 Certificate II in Health Support Services and CHC22015 Certificate II in Community Services are currently listed on the Department's list of employment stream qualifications funded by the Vocational Education Training in Schools initiative.

For further information, please refer to the Connect 'n' Grow® Student Handbook and the Queensland Government's student information page developed specifically for the Vocational Education and Training in Schools program (see link below) or contact Connect ‘n’ Grow® (admin@connectngrow.edu.au).

NOTE: International students attending a Queensland high school on a temporary basis are ineligible for this Vocational Education and Training in Schools Subsidy. For further information, please contact Connect ‘n’ Grow® (admin@connectngrow.edu.au) or follow this link to the Department's VETiS Information.

Prior to the student’s enrolment into a Connect ‘n’ Grow® Program:

Parents consent to their child's personal details being used for the purpose of enrolling into a VET qualification with Connect ‘n’ Grow®.

Photography by Connect’n’Grow®: Upon enrolling in our programs, implied consent is granted for course (class) related photography & publicity (e.g. posting on our social media platforms) unless otherwise notified by the student or parent by email: admin@connectngrow.edu.au. Students are given further opportunities to opt out of photographs during their program induction and with each occurrence of a Connect ‘n’ Grow® school visit.

As a parent / Guardian i give permission for my student to complete the Connect n Grow Qualification

Yes

No

Do you wish for your student to access VET in Schools funding or Fee for Service Prices for the HLT23221 Certificate II in Health Support Services?

VETiS

Fee For Service

I understand the requirements of a School-based Traineeship and if my student is successful I give permission to enrol them using User Choice Funding.

Yes

No

As a Parent / Guardian do you give Media consent for your student with Connect N Grow.

Yes

No

Parent / Guardian Digital Signature

Draw It
Clear

Parent or Guardian Phone & Email

Seed Foundation Australia Consent

Seed Foundation provides ongoing, holistic, wraparound support for Aboriginal and Torres Strait Islander students participating in all Connect ‘n’ Grow® Programs.

Seed's model is designed to support students through their participation in the program and onto further pathways to reach their career ambition including School-based Traineeships, Adult Traineeships, Employment, TAFE and University.

To find out more on Seed Foundation Australia please visit their website here (Links to an external site..

seed foundation.png

Do you identify with one of the following cultural backgrounds?

Aboriginal

Torres Strait Islander

Both

Neither

Do you consent to Connect ’n’ Grow® providing Seed Foundation Australia with your personal details provided for the purpose of employment participation and program evaluations.

Yes

No

Do you consent for Seed Foundation Australia to use your name, pictures and video recordings to promote the Health Services Program?

Yes

No

Privacy Statement & Student Declaration

Why we collect your personal information

As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. Without this information, we are unable to enrol you as a student.

How we use your personal information

We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO. This data is stored within our Student Management System.

How we disclose your personal information

We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth)(Links to an external site.) (NVETR Act) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector.

We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.

How the NCVER and other bodies handle your personal information

The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the National VET Data Policy(Links to an external site.), the Privacy Act 1988 (Cth) (Links to an external site.)(Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.

The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:

administration of VET, including program administration, regulation, monitoring and evaluation
facilitation of statistics and research relating to education, including surveys and data linkage
understanding how the VET market operates, for policy, workforce planning and consumer information.

The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.

The NCVER does not intend to disclose your personal information to any overseas recipients.

For more information about how the NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver.edu.au/privacy(Links to an external site.).

If you would like to seek access to or correct your information, in the first instance, please contact your RTO using the contact details listed below.

DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice(Links to an external site.).

Surveys

You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.

Contact information

At any time, you may contact Connect ’n’ Grow® to:

request access to your personal information
correct your personal information
make a complaint about how your personal information has been handled
ask a question about this Privacy Notice

Email: admin@connectngrow.edu.au

Phone: 1300 283 662

Website: https://connectngrow.edu.au

Guarantee of Service

If Connect'n'Grow, or any party delivering training and assessment on its behalf, closes or ceases, resulting in default to deliver any part of the training product the learner is enrolled in, Connect'n'Grow will

provide a Statement of Attainment for the units of competency successfully completed, and
identify an alternative provider for the learner, and
provide a refund for any fees collected relating to units not yet completed

Student Handbook

To ensure all students are properly informed and protected, it is a requirement that you access our Student Handbook located on our website here

1. I have read the Privacy Notice and a copy has been provided to my parent/guardian

Yes

No

2. I agree to comply with the requirements contained within the student handbook as they apply to students

Yes

No

Student Declaration

I declare the information I have provided is true and correct. I am aware of the consequences that may arise from providing false misleading or incomplete information, including the cancellation of my enrolment or the withdrawal of any offer made by Connect’n’Grow.

I understand that my chosen option for funding (if applicable) is subject to a verification of eligibility, including requested identification, a USI check and an AISS Search (which identifies any previously attained certificate III or higher qualifications).

I declare that I have read and understand the Privacy Statement, particularly:

I understand that as an RTO, Connect’n’Grow is required to submit my personal information from this enrolment form to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER, who is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector; and may also disclose this information to the relevant state or territory training authority;
I understand that NCVER will collect, hold, use and disclose my personal information in accordance with the law and as outlined in the Privacy Statement.

I understand that I may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency; and that I may opt out of the survey at the time of being contacted.

I understand that I may contact Connect’n’Grow at any time to:

request access to my personal information;
correct my personal information;
make a complaint about how my personal information has been handled;
ask a question about this Privacy Notice.

Student Digital Signature

Draw It
Clear

This course is currently not open for enrolments