Recognition of Prior Learning (RPL) Application Form

Application Details This form enables you to provide information about yourself and your request for Recognition of Prior Learning and experience in order to gain credit for that experience against a particular subject / learning segment. Application Procedure 1. You should meet with your Head of Studies (HoS) to discuss your application so that you have a clear understanding of the procedure and evidence / documents that you will need to provide to support your application. 2. After you have discussed your application with your HoS, complete all sections and return the form to your HoS. 3. Your HoS will then meet with the RPL Assessor and the relevant trainers in the areas of the RPL application to determine if you will be required to pay the standard fee of $250 or a non-standard fee for your RPL application 4. Your HoS will then inform you of the fee you will be reuired to pay for your RPL application. 5. You should then pay this fee at Reception and show the receipt to your HoS in order for the RPL application to be further considered. To proceed with your application you should then note the following very carefullyl. Supporting Evidence Please attach to this application supporting evidence which you believe will assist your application; for example copies of any statements, references or articles aout your employment, evidence of education and training that you feel is relevant, a detailed Curriculum Vitae, letters references from previous employers / clients. Also Include: ! Relevant work samples such as contracts, completed work projects, a folio of examples of previous work which indicates your level of competence ! Outlines of any formal or short courses which you have undertaken which demonstrate competence ! Any other information that you feel might aid your assessment (work experience life experience, ongoing training) After submitting this application to your HoS you will be invited to attend an interview with the RPL assessor. Bring along any further information that you feel will assist your application for RPL together with your receipt of payment for your RPL Application fee.

Ver2.14 Created April 2014 Review Date April 2015

SECTION A: Personal Detail

First Name:

Last Name:

Student No:

Address:

Mobile No:

Date of Birth

SECTION B: Course Detail

Course Name:

Subject(s) / Module(s) / Learning Segment(s) for which RPL is sought (code and name):

SECTION C: Documentary Evidence Supplied

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

List the documents here and attach them to the application in the order in which it is mentioned.

Ver2.14 Created April 2014 Review Date: April 2015

SECTION D: Applicant Profile

1. Describe the skills that you have that relate to this course / subject and how these skills wee obtained in a workplace setting or other setting.

2. Identify the evidence that you have which supports your Application for RPL, indicating clearly: 1. Your skills, knowledge and competencies 2. How these skills specificlly relate to the module/s you are claiming RPL for 3. Documentary evidence to support these skills, knowledge and competencies

Ver2.14 Created April 2014 Review Date: April 2015

3. Identify any relevant broader experience that you believe you have that may have been gained while working in other than an employment situation E.g. clubs, organisations and committees

RPL Assessor feedback (include details of units granted RPL):

Ver2.14 Created April 2014 Review Date: April 2015

Section E: Referees (At least two people who can suppot your claims)

Last Name:

First Name/s:

Title:

Place of Work:

Relationship to Applicant

Address:

Contact Number

Email address:

Referee1:

Referee 2:

Last Name:

First Name/s:

Title:

Place of Work:

Relationship to Applicant

Address:

Contact Number

Email address:

Referee 3:

Last Name:

First Name/s:

Title:

Place of Work:

Relationship to Applicant

Address:

Contact Number

Email address:

Ver2.14 Created April 2014 Review Date: April 2015

SECTION F: Notification to student and Administration of outcome of the RPL

Date:

Student Name: Student Number:

Outcome:

Approved Not Approved

Explenation:

Student Signature: Date:

Administration notified of any changes to course duration: Detail

RPL Assessor sign: Head of Study sign:

Office Use Only

PRISMS updaged / new CoE TEAMS updated

Admissions Officer Sign: Date:

Ver2.14 Created April 2014 Review Date: April 2015