APPLICATION FOR RECOGNITION OF PRIOR, INFORMAL OR NON-FORMAL LEARNING

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1 P a g e 1 APPLICATION FOR RECOGNITION OF PRIOR, INFORMAL OR NON-FORMAL LEARNING Application Details This form enables you to apply for Recognition of Prior Learning (RPL) for a particular unit or units. You will need to provide information about yourself and evidence in the form of supporting documentation to support your request for RPL. This will then be assessed by a RPL assessor to determine if you meet all the requirements in order to be granted RPL for the unit/s for which you are applying. Application Procedure 1. You should meet with your Director of Studies (DoS) 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 DoS, complete all sections and return the form to your DoS. 3. You will be required to pay the standard fee of $250 per application (please note there is a maximum of units per application) 4. You should pay this fee at Reception and show the receipt to your DoS in order for the RPL application to be further considered (Please note that the application fee applies regardless of the RPL decision outcome). 5. The application will be assessed and you will be contacted within 14 days to discuss the progress of your application. Supporting Evidence Please attach to this application supporting evidence which you believe will assist your application for example; a detailed Curriculum Vitae / Resume your position description or descriptions if more than one job applies to your application photos of you at work work examples, projects or portfolios workplace documents you have written or added to records of any workplace training or professional development that you have completed, such as qualifications, statements of attainment, or training attendance records membership of associations, networks or clubs references, letters or s from workplace or clients workplace, industry or other awards records of hobbies, interests or skills outside of work letter of references from previous employers or clients articles about your employment After submitting this application to your DoS you will be invited to attend an interview with a 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.

2 P a g e 2 SECTION A: Personal Details Student Number First Name Last Name Date of Birth Residential Address Telephone Number SECTION B: Course Detail at Cambridge International College Course Name Units (s) / Module(s) / Learning Segment(s) for which RPL is sought (code and name): Unit Code Unit Name To be completed by CIC Staff Term Nom Hrs Date Signature

3 P a g e 3 SECTION C: Prior Informal Learning Previous Workplace Training Life and work experience Non-Formal Courses Company Hobbies and Interests, Volunteer Short Courses, Training etc. Work, community work etc... Referee [contact person] Name Position of Contact Person Contact Number Your Dates of Employment Your Position, Title and Work Duties Any additional information

4 P a g e 4 Previous Workplace Training Life Experience Non-Formal Courses Company Hobbies and Interests, Volunteer Short Courses, Training etc. Work, community work etc. Referee contact person Name Position of Contact Person Contact Number Your Dates of Employment Your Position, Title and Work Duties Any additional information

5 P a g e 5 Previous Workplace Training Life Experience Non-Formal Courses Company Hobbies and Interests, Volunteer Short Courses, Training etc. Work, community work etc. Referee contact person Name Position of Contact Person Contact Number Your Dates of Employment Your Position, Title and Work Duties Any additional information DECLARATION I certify that the information provided by me is true and accurate and that I have been advised of the fee and policy applicable to this application. Signed (Candidate) Date Signed (DoS) Date

6 P a g e 6 OFFICE USE ONLY SECTION D: Notification to student and Administration of outcome of RPL Decision Outcome with Explanation Equivalence assessed by Assessor Unit Code Unit Name Approved - provide explanation Not Approved provide reason/s Assessor Signature Date Tick off once completed TASK Signature Date Student has been advised in writing of the outcome of the RPL assessment DoS Student has signed acceptance of the assessment and/or been advised that they have 20 working days to lodge an appeal if requested - DoS New course plan scheduled DoS TEAMS updated DoS CoE/PRISMS updated Admissions Application with copies of Academic evidence scanned onto student file