ENROLMENT FORM TAA to TAE Upgrade (with optional LLN)

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ENROLMENT FORM Worklinks is offering the opportunity to upgrade your TAA Certificate IV in Training and Assessmentto the new TAE40110 Vertificate IV in Training and Assessment.Please note: Documentary evidence and payment of the course fee is required before the RPL process will proceed. Please see documentary requirements within this document. Please choose between one of the following options: 1. TAA to TAE Upgrade only (no workshops - paperwork submission only): $220, or 2. TAA to TAE Upgrade plus the TAELLN411 unit (undertaken online - self-paced): $370 Participants will need to either belong, or have access, to an organisation that delivers VET programs

ENROLMENT FORM A separate enrolment form is required for each participant. Please complete all fields. Please invoice: Me The organisation listed below Organisation/School: FOR BILLING PURPOSES Please complete this section if you are not paying for this course personally Contact Name: Contact Phone: Contact Email: Mailing Address: PARTICIPANT DETAILS - PAGE 1 Surname: Date Of Birth*: Given Names: Gender: Male Female Residential Address: (Please indicate address for certification) City: Postcode: Home Phone: Mobile Phone: Work Phone: Email: * Information required for AVETMISS (National VET Statistics only)

ENROLMENT FORM PARTICIPANT DETAILS - PAGE 2 I am a: Teacher Current Trainer ( TAA qualifications) Country of Birth*: Language Spoken at Home*: Proficiency in English: Very Well Well Not Well Not at All Indigenous Status* (select one): Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander Neither Do you consider yourself to have a disability, impairment or long-term condition? Yes No If yes, please indicate (select all relevant fields): Hearing/Deaf Physical Intellectual Learning Mental Illness Vision Medical Condition Acquired Brain Impairment Other (Please State): Highest School Level*: Never attended school Year 8 or below Year 9 or equivalent Year 10 or equivalent Year 11 or equivalent Year 12 or equivalent Year of Highest School Level*: Currently Attending School: Yes No

ENROLMENT FORM PARTICIPANT DETAILS - PAGE 3 Qualifications Completed* (please indicate below): Bachelor Degree or Higher Advanced Diploma or Associate Degree Diploma or Associate Dip Certificate IV Certificate III Certificate II Certificate I Employment Status (please indicate below): Please select the main reason that you are undertaking this study: Are you computer literate and have a basic knowledge of computer software? Yes No Do you require any literacy/numeracy assistance? Yes No

Questionnaire - Upgrading from TAA to TAE For those upgrading from TAA40104, Worklinks need to be in receipt of the certified copy of the TAA40101 (including transcript of units) prior to commencement of the course. Worklinks will be contacting RTO s to verify the authenticity of any certified copies of documents forwarded. By completing this enrolment you are providing permission for this to happen. Question 1 Please provide details of accredited vocational training taught in the last 2 years (min). Applicants must be in a current teaching/training position to be considered for upgrade. Independent documentary evidence of VET training for the past 2 years minimum must be provided. This should be from your manager/principal on letterhead and original, and must outline what VET is being delivered and assessed, and must attest to the fact that it is being delivered and assessed to a high quality.

Questionnaire - Upgrading from TAA Question 2 Please provide details of non-vet subjects taught within the last 2 years (min). Question 3 Please list Professional development courses / meetings attended related to training and VET.

Questionnaire - Upgrading from TAA Question 4 List Vocational Qualifications held. YOU MUST PROVIDE: Original Certified Copy of the TAA40104 with a transcript of units. Certified teacher registration OR certified copy of teaching qualification. Certified relevant document/s if your name has changed in any way from previous qualifications. Certified copies must be signed by a JP or a Commissioner of Declaration (not school Principal). Original letter from Principal/CEO attesting to current VET training (min 2 years), outlining VET actually delivered and assessed by yourself. Applications without this documentation will be returned to the applicant. Please note that certified copies need to be posted to PO Box 98 Caboolture, QLD, 4510.

ENROLMENT FORM PARTICIPANT DECLARATION Applicant s certification: I hereby certify that the information provided and attached is true, correct and authentic and all original certified evidence required has been provided. (Please print this completed form, sign and date it, and post the original to the PO Box listed at tthe top of the page) Signature: Date: Please Note: Worklinks will be contacting RTOs to verify the authenticity of any certified copies of documents forwarded. By completing this enrolment form you are providing permission for this to happen. Please indicate where you heard about this course: From 1 January, 2015, all training participants require a Unique Student Identifier (USI) when enrolling or re-enrolling in nationally recognised training. If you do not already have a USI, you are required to create one at www.usi.gov.au/create-your-usi/pages/default.aspx - this does not cost anything. Please insert your USI below:

11 MAIL TO: PARTICIPANT ACKNOWLEDGMENT Participant Acknowledgment - Part 1 I hereby acknowledge that I have been given a copy of the Worklinks Participant Information Handbook (available on the website). In signing this statement, I also give Worklinks permission to show copies of any of my assessment work to the Australian Skills Quality Authority, if Worklinks is audited as a Registered Training Organisation. I also understand that I can access the full Worklinks AQTF Policies and Procedures Manual, on request from the Worklinks office. If on completion of this course/training program, I am deemed competent against any unit/s of competency, I acknowledge that competency has been determined at that particular time and that it is my own responsibility to maintain this level of competency on an ongoing basis eg through workplace experience, professional development activities, further training, etc. Training course enrolled in: Full Name of participant: Candidate Signature: (please handwrite) Date:

12 MAIL TO: PARTICIPANT ACKNOWLEDGMENT (Part 2) For Online LLN Participants only I hereby acknowledge that: Participant Acknowledgment - Part 2 a) All course work that I submit towards this qualification must be my own b) I understand that I have 12 months from the date that I receive my unique username and password for online study, to submit all necessary assessment items c) I understand that participation in this course requires access to the following IT resources, and acknowledge my capacity to gain adequate access to these resources: A personal computer using either: Internet Explorer 8 or 9; Firefox 3.X or later; or Safari 4 or later Adobe Reader 9 or later (this can be downloaded for free from http://get.adobe.com/reader/) Flash Player 9 or later for Windows and Mac (this can be downloaded for free from http:// get.adobe.com/flashplayer/) Full name of participant: Candidate Signature: (please handwrite) Date: