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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.

(2)

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:

(3)

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

(4)

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

(5)

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 Approved

Name 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

Date:

References

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