ETP Registration Form

Section 1: Training Provider Details

ABN *

Phone Number *

Trading Name *

Website *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Primary Contact Details

Full Name *

Position / Title *

Email *

Phone Number / Direct Line *

Secondary Contact Details

Full Name

Position / Title

Email

Phone Number / Direct Line

Section 2: Training Provider Validation

Are you a Registered Training Organisation (RTO)? *

Yes
No

RTO National Code *

RTO Provider Registration and Scope *

Click or drag files to this area to upload. You can upload up to 5 files.

Word, PDF and image files are accepted (.doc, .docx, .pdf, .jpg, .jpeg, .png). Max file size 4MB

Does the RTO scope provide confirmation to deliver units of competency within SA

Yes
No

Attach a completed Third-Party Arrangement form (Form B) *

Click or drag files to this area to upload. You can upload up to 5 files.

Word, PDF and image files are accepted (.doc, .docx, .pdf, .jpg, .jpeg, .png). Max file size 4MB

Attach a completed Third-Party Agreement *

Click or drag files to this area to upload. You can upload up to 5 files.

Word, PDF and image files are accepted (.doc, .docx, .pdf, .jpg, .jpeg, .png). Max file size 4MB

Does your organisation have a Funded Activities Agreement with Skills SA? *

Yes
No

Upload your FAA *

Click or drag files to this area to upload. You can upload up to 5 files.

Word, PDF and image files are accepted (.doc, .docx, .pdf, .jpg, .jpeg, .png). Max file size 4MB

Does your organisation have a Head Agreement with DfE? *

Yes
No

Upload your Head Agreement *

Click or drag files to this area to upload. You can upload up to 5 files.

Word, PDF and image files are accepted (.doc, .docx, .pdf, .jpg, .jpeg, .png). Max file size 4MB

Section 3: Funding Conditions and Audit Requirements (FC 6.2.1)

How many CITB endorsed courses are you delivering this year? *

Over 10
Under 10

Upload a minimum sample of 10 course brochures/ webpage printouts and/or screenshots, outlining the full course price, CITB subsidy, CITB authorised funding description and CITB logo.

Upload a minimum of 10 course brochures/screenshots *

Click or drag files to this area to upload. You can upload up to 20 files.

Word, PDF and image files are accepted (.doc, .docx, .pdf, .jpg, .jpeg, .png). Max file size 5MB

Upload all course brochures/ webpage printouts and/or screenshots, outlining the full course price, CITB subsidy, CITB authorised funding description and CITB logo.

Upload all course brochures/screenshots *

Click or drag files to this area to upload. You can upload up to 10 files.

Word, PDF and image files are accepted (.doc, .docx, .pdf, .jpg, .jpeg, .png). Max file size 5MB

Confirmation *

I confirm that all brochures/webpages attached comply with funding conditions 6.2.1 where at least 90% of the CITB subsidy is being passed on as a course price benefit reduction

Declaration *

I declare the above information is true and correct.

Name of person filling out this form *

Email of person filling out this form *