National Recognition – RPL Application Form
CRICOS Number: 02880B RTO Number: 1036
Document: NovaCore CMS\SNR\FormNational Recognition-RPL Application Form Approved By: RTOADM Next Review Date: 02-04-2016
Version: 1.0 Approved Date: 02-04-2015 Page 1 of 5
The Quality Training Company Pty Ltd as Trustee for Finlayson Trust trading as Quality Training and Hospitality College ABN 35 183 512 394
Application Process
Prior to completing and submitting this application you should meet with your trainer / assessor to familiarise yourself with the process moving forward and to also get a better understanding of your chances of your application being successful.
You should discuss in detail with your trainer / assessor all of the relevant documentation and instructions contained within the Recognition / RPL Kit.
The trainer / assessor will provide valuable guidance and examples of the documentation you will require to submit as evidence.
Student Details Name:
Residential Address:
State: Post Code:
Mobile Phone No: Home Phone No:
Email Address:
Course Details: Qualification Code: Qualification Title: I am applying for: (tick one option)
National Recognition
(no fees applicable)
Recognition of Prior Learning (RPL)
(fees are applicable)
List the Qualification or Units of Competency for which you are seeking recognition
Please Note: QTHC charges a fee to assess students for RPL and this is dependent on the selected units of competency. The RPL fee will be advised upon receipt of your application and must be paid before your application will be processed.
National Recognition – RPL Application Form
CRICOS Number: 02880B RTO Number: 1036
Document: NovaCore CMS\SNR\FormNational Recognition-RPL Application Form Approved By: RTOADM Next Review Date: 02-04-2016
Version: 1.0 Approved Date: 02-04-2015 Page 2 of 5
List the Qualification or Units of Competency for which you are seeking recognition
Please Note: QTHC charges a fee to assess students for RPL and this is dependent on the selected units of competency. The RPL fee will be advised upon receipt of your application and must be paid before your application will be processed.
Qualification / Unit Code Qualification / Unit Title
Important Information
National Recognition – the trainer / assessor will review your application and the notated copies of certificates, statement of attainments & academic transcripts submitted. The evidence will be validated and authenticated by the trainer / assessor in order for National Recognition to be granted.
RPL - the trainer / assessor will review your application and evidence submitted. A judgement will be made as to your competency. The evidence you supply must match the course learner outcomes and fully satisfy the assessor that you genuinely have the skills and knowledge you are presenting for recognition.
If your application for recognition is assessed as unfavourable, you will have the opportunity to appeal the decision as per QTHC’s Complaints and Appeals Policy.
Employment Details Employer:
Address:
State: Post Code:
Contact Name: Position:
Business Phone No: Mobile Phone No:
National Recognition – RPL Application Form
CRICOS Number: 02880B RTO Number: 1036
Document: NovaCore CMS\SNR\FormNational Recognition-RPL Application Form Approved By: RTOADM Next Review Date: 02-04-2016
Version: 1.0 Approved Date: 02-04-2015 Page 3 of 5
The Quality Training Company Pty Ltd as Trustee for Finlayson Trust trading as Quality Training and Hospitality College ABN 3 5 183 512 394
List the relevant Certificates, Statement of Attainments & Academic Transcripts you are submitting as evidence Qualification / Course
Code Qualification / Course Title
Organisation
(TAFE / University / Company / Private Provider)
Qualification / Course Duration
(hours / weeks / years) Date Issued
List the relevant Units of Competency / Subjects you are submitting as evidence
National Recognition – RPL Application Form
CRICOS Number: 02880B RTO Number: 1036
Document: NovaCore CMS\SNR\FormNational Recognition-RPL Application Form Approved By: RTOADM Next Review Date: 02-04-2016
Version: 1.0 Approved Date: 02-04-2015 Page 4 of 5
List the relevant Units of Competency / Subjects you are submitting as evidence
Unit / Subject Code Unit / Subject Title Unit / Subject Description & Key Areas Covered
List details of your Employment History
Name of Company Position and Duties Performed Employment Duration
National Recognition – RPL Application Form
CRICOS Number: 02880B RTO Number: 1036
Document: NovaCore CMS\SNR\FormNational Recognition-RPL Application Form Approved By: RTOADM Next Review Date: 02-04-2016
Version: 1.0 Approved Date: 02-04-2015 Page 5 of 5
The Quality Training Company Pty Ltd as Trustee for Finlayson Trust trading as Quality Training and Hospitality College ABN 35 183 512 394
List the Supporting and Additional Evidence you are submitting
Evidence / Supporting Documents Attached Please Tick
Detailed Resume / Curriculum Vitae
Third Party Report
Work Experience Examples
Personal / Life Experiences
Volunteer Work
Verbal Assessment (carried out with the trainer / assessor)
Observation / Demonstration Documentation (carried out with the trainer / assessor)
Other
Applicant’s Declaration
I have read and understood all details regarding the National Recognition Policy – RPL Application.
I hereby declare that all details and documents that I am submitting are true and accurate and are notated copies of my own original documents / work.
Name of Participant:
Participant Signature: Date:
Application Processing Details (office use only)
Application Received by: Date:
Fees Calculated: (if applicable): Amount Applicant Notified
Date:Allocated to:(Trainer / Assessor) Date:
Application Outcome
Application Approved
Application Not ApprovedName of Trainer / Assessor:
Trainer / Assessor Signature: Date:
Documentation in Student File: Yes
Date:File Submitted for Data Entry: Yes
Date:Applicant Notified of Outcome: Yes
Date:Application Payment Received: Yes