Application Form (OSAP / 457)

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1 Application Form (OSAP / 457) Please complete the following application in accordance with the relevant guidelines. APPLICANT FULL NAME: Section 1: Select your trade and relevant skills assessment program. Permanent Migration Visas (OSAP) (GSM/ENS) 457 Visa Temporary (not avail UK & Ireland) N/A Bricklayer [331111] Cabinetmaker [394111] Carpenter [331212] Trade Area Carpenter and Joiner [331211] Fitter (General) [323211] Joiner [331213] Metal Fabricator [322311] Metal Machinist (First Class) [323214] Sheetmetal Trades Worker [322211] Toolmaker [323412] Welder (First Class) [322313] Section 2: Select your Pathway and Download your SAQ (Pathway 1) Please select the Pathway that is applicable to your circumstances Pathway 1 DO NOT hold an Australian AQFIII Qualification in the trade area PLEASE DOWNLOAD THE SAQ FOR YOUR TRADE The Self-Assessment Questionnaire (SAQ) identifies the Units of Competency that make up the Qualification being sought and will be verified at a Technical Interview via competency discussions with your Trade Assessor. It is a requirement that you are competent in all Mandatory Units and those Elective Units you nominate. Pathway 2 Currently holds an Australian AQF III or higher, in the selected qualification or trade area Page 1

2 Section 3: Complete your Information If in Australia when does your current Visa expiry? Which visa are you applying for in conjunction with this skills assessment? Personal Details: Given name(s): Surname: Date of Birth: / / Gender: Male Female Indeterminate Address: Suburb: State: Postcode: Country: Postal Address (if different from above): Telephone (Including Country Code if applicable): Mobile: Work/Home: address: Passport Details Passport Number: Country and/or Place of Issue: Date of Issue: / / Country of Citizenship: Attach a colour copy of your Passport Biographical Data Page (s) (Black and white will not be accepted) Note: This document must be certified Passport Size Photographs x 2 MANDATORY Supply 2 x colour Passport Sized Photographs of yourself that meet the requirements of Attach to this application using a paperclip or provide clear colour scans (pls scan straight, not on angle). Page 2

3 Section 4: Appointment of an Agent /Employer (optional) It is not necessary for you to appoint an Agent or Employer, however should you wish to have an authorised representative act on your behalf, please complete the following: Are you wishing to appoint an Agent or Employer for the purposes of this application? Yes No Agent or Employer Details: Agent/Employer Name: Company Details: Agent or Employer Address: Address: Suburb: State: Postcode: Country: Postal Address (if different from above): Telephone (Including Country Code if applicable) Mobile: Office: Authorisation I wish to have all correspondence directed to my Agent or Employer, including Outcome Letter and/or Qualifications. Further I approve ACTS to make direct contact with my Agent or Employer to discuss my application, should the need arise. I wish for all correspondence to be sent directly to me by . Signed: Date: / / Agent/Employer name: Agent/Employer Signature: Date: / / Page 3

4 Section 5: Education and Qualifications & USI Form: OSAP/457 If you have formal Qualifications from any country, please detail below: Name and Address of Educational Institution/Country Full or Part- Time Dates From To Qualifications Obtained From To From To From To Attach Copies of Your Qualifications, including Transcripts (Units of Competency completed). Ensure any outcomes are detailed in the transcript or reports. Note: Certified copies of your Trade Qualification and Passport are required. Unique Student Identifier? As per the new requirements put forward by the Department of Industry you will need a USI in order to receive your Qualification or Statement of Attainment. Get your own USI It s free and easy to create your USI and will only take a few minutes of your time. My 10 Digit USI # is: Page 4

5 Section 6: Additional Training If you have undertaken any training or additional courses for your employment, indicate these below. These may include business courses, safety construction card (white card), OH&S, Elevated Work Platforms (EWP), working at heights, scaffolding, etc. (Use additional A4 sheets if required) Course/Programme Date Details Include any outcomes or attendance certificates for the short courses listed Note: Please provide colour scans of original documents. Section 7: Referees Provide details of at least 2 (two) trade qualified Referees whom you have worked for or alongside, within the past 2 (two) years. Please note ACTS may contact these Referees to establish competency conclusions. Name Relationship (e.g. Manager, Supervisor) Company Name and Location Contact Work Number Contact Mobile Number Page 5

6 Section 8: Employment History - Employees Only Must be completed Please give details of past and present work, this may not be Trade related. Start with the most recent. Use additional A4 paper if required. In the date columns, please detail date, month and year. Please refer to Section 9 for Self Employed Persons Employer 1 Company Name Company Name Employer 2 Company Details Address: Company Details Address: State Post/Zip code: Country: Company State Post/Zip code: Country: Company Company Phone: (include country code) Company Phone: (include country code) Contact Person and Position Name: Contact Person and Position Name: Position: Position: Period of Employment From To Period of Employment From To / / / / Position Held / / / / Position Held What service does this company provide? What service does this company provide? How many Hours per Week of work undertaken? How many Hours per Week of work undertaken? Page 6

7 Company Name Employer 3 Company Name Employer 4 Company Details Address: Company Details Address: State State Post/Zip code: Post/Zip code: Country: Company Country: Company Company Phone: (include country code) Company Phone: (include country code) Contact Person and Position Name: Contact Person and Position Name: Position: Position: Period of Employment From To Period of Employment From To / / / / Position Held / / / / Position Held What service does this company provide? What service does this company provide? How many Hours per Week of work undertaken? How many Hours per Week of work undertaken? Attach evidence of employment for each Employer, Employer Statement and/or Letter of Offer and/or Reference. Note: Please provide colour scans of original documents Page 7

8 Section 9: Self Employed Applicants ONLY - Must be completed Provide details of each year of self-employment as follows: Provide a personal statement on a statutory declaration which includes Start and end date of each period of self-employment Details of employment duties, equipment, hours of work, job title Number of staff employed Description of workshop and tools and equipment used Provide annual taxation statements Provide a detailed letter from your qualified accountant or legal practitioner on company letterhead (including contact details) on their knowledge of you and your employment scope. Provide two (2) written references from Tradesmen, Supervisors and/or Employers with knowledge of experience in your trade. Provide written letter from at least three (3) suppliers, detailing the types of supply provided and the period of supply Provide three (3) quotations/invoices provided to clients for work undertaken, including the detailed description of the works and location Provide any other material in support of self-employment application, which may include the following: Website Address(es) Business vehicle signage enquiries Marketing Material/Business Cards Advertising - paper/internet Bank Statements Attach all details of Self Employment, along with your application. Note: Please provide colour scans of original documents Page 8

9 Section 10: Employment Experience and Scope of Employment In your own words, describe the work undertaken by yourself, over the past three years, including tasks undertaken, scope of any projects worked on, skills applied by you and any site addresses where your work may have been undertaken. If you require more space for this section, please attach any additional pages in A4 Format. PLEASE PROVIDE - Photographs are required to support your employment, scope of work and jobs completed. We require photographs (or short videos) that show you conducting work tasks, using appropriate tools and/or machinery utilising your personal protective equipment (PPE). Video evidence is suggested to provide a more comprehensive overview of these requirements for our assessment process. If you are unable to submit photographic or video evidence due to work restrictions or other reasons please advise in this section in writing. Page 9

10 Section 11: Licence/Memberships/Registrations Form: OSAP/457 Please give details of any trade licences, Memberships or registrations held with recognised authorities. Licence/Membership/Registration 1 Please select: Licence: Registration: Membership: Number: Licence/Membership/Registration 3 Please select: Licence: Registration: Membership: Number: Issuing Body Issuing Body Issue Date Expiry Date Issue Date Expiry Date / / / / / / / / Licence/Membership/Registration 2 Please select: Licence: Registration: Membership: Number: Licence/Membership/Registration 4 Please select: Licence: Registration: Membership: Number: Issuing Body Issuing Body Issue Date Expiry Date Issue Date Expiry Date / / / / / / / / Attach evidence of any Licence/Membership/Registration Note: Please provide colour scans of original documents Page 10

11 Section 12: Applicant s Declaration (Mandatory) Form: OSAP/457 Declaration I (Print Name), agree to the following statements: The evidence provided with my application is solely my own work and is directly attributable to my work/employment experience The information supplied within this application is true and correct, including all attachments I understand that the application is to be fully completed for submission I authorise ACTS and its Consortia members, to contact my referees for the purpose of this assessment I authorise ACTS and its Consortia members to contact any previous employers listed in this application (Self Employed Only) I authorise that should the need arise, ACTS and its Consortia members may contact my accountant/tax agent or other representative in the conduct of self-employment, listed in this application I understand that the information supplied to ACTS within this application, may be shared, or provided to third parties, including Australian Government Departments as and when required, without ACTS seeking any further permissions from the applicant. This may include electronic or manual means. I understand that any conversations may be recorded for the purposes of data and evidence collection I understand that any activity towards the fulfilment of competency outcomes may be recorded either through video or audio or both I understand that I will be required to undertake both a technical and/or practical assessment of my skills, to prove competency to the Australian standards of the relevant training package. The decision for this process is relevant to the evidence gathered through each stage of the application and assessment I understand that I may further need to provide evidence towards this application, including evidence of Functional English as required by the Migration Acts and Regulations I understand that all documentation, must be supplied in English or translated to English I understand that I will be required to prove safe work practices throughout the assessment process, without failure I understand that I will provide my own Personal Protective Equipment (PPE) for all assessment methods requiring a practical demonstration for skills I understand that there is an appeals process that is available to myself, should the need arise I understand that the application fee is non refundable I have not provided any false or misleading information in this application form and I understand that by doing so, may be an offence. Signed: Date: / / (Must be the Applicant s signature) not to be completed by agents or representatives Witnessed by: Date: / / Page 11

12 Annex A Evidence Checklist for Application (Mandatory) As part of the application process you are required to prove at least four (4) years full time experience or equivalent part time, and have been employed for 12 out of the past 36 months in your nominated trade. The evidence supported in your application should be directed towards this statement The following checklist MUST BE COMPLETED, prior to submission of application. Section 1 Select your Trade Qualification/Trade/ANZSCO selected Section 2 Select your Pathway Pathway 1 or 2 is selected Self-Assessment Questionnaire SAQ completed Section 3 Complete your Information Certified colour copy of the passport biographical identification page 2 x colour passport sized photographs that meet the requirements of Section 4 Appointment of an Agent/Employer (optional) If applicable ensure you and your Agent/Representative sign the form Section 5 Education and Qualifications Certified copy of relevant trade qualification/s or apprenticeship award Certified copy of full academic transcript of results (Units of Competency completed) including the dates you started and completed training Pathway 2 candidates must include Certified copy of AQF III Australian Qualification(s) including full academic transcript of results (units of competency) Contact details for the organisation who issued the qualification or award Colour scans of any other relevant qualification/s or award/s USI number obtained and included Section 6 Additional Training Evidence of the nature and content of the training, including details of the subjects covered. Please provide colour scans of original documents Attendance Certificates of any short courses undertaken. Please provide colour scans of original documents Section 8 Employment History Scanned colour copies of employment statement and/or letter of offer and/or reference for each employer on company letterhead containing: Name, address and contact details of business Start and end date of employment Details of employment duties, equipment, hours of work, job title Name, title and contact details of signatory Page 12

13 Choose minimum 2 of the additional sources of evidence of paid employment listed below; Please provide colour scans of original documents Pay slips from each employer Taxation documents Annual payment summaries Superannuation or National Insurance statements/details Section 9 Self Employment Applicants ONLY Personal statement on a statutory declaration which includes; Start and end date of each period of self-employment Details of employment duties, equipment, hours of work, job title Number of staff employed Description of workshop and tools and equipment used Three (3) clients, with contact details for each year of self-employment claimed Colour scans of original documents of the following evidence: Annual Taxation statements for self-employment Trade licences or registration Business registration certificate Detailed statement from Accountant or Legal Representative on letterhead. Two (2) written references from Tradesmen who have knowledge of your trade. Three (3) supplier statements detailing materials and equipment relevant to the work performed. Three (3) quotations, invoices or contracts for clients, detailing the nature, location and duration of the work performed. Three (3) detailed client reference testimonials. Other supporting evidence e.g. advertising or promotional material, including internet advertising. Section 10 Employment Experience and Scope of Employment Description of Applicant s work history. Provide photographs to support your employment, scope of work, jobs completed, We require photographs (or short videos) that show you conducting work tasks, using appropriate tools and/or machinery in your PPE equipment etc. If possible provide video evidence e.g. a video walk through of a recent job. Section 11 Licence/Memberships/Registrations Details of any licence/membership or Registration. Section 12 Applicant s Declaration (Mandatory) Declaration is signed and dated by Candidate and witnessed. Form: OSAP/457 Page 13

14 AVETMISS DETAILS MANDATORY Must be completed 1. REASON FOR SKILLS ASSESSMENT Of the following categories, which best describes your reason for undertaking this assessment? (Tick one only) To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self-development Other reasons 2. EMPLOYMENT STATUS Of the following categories, which best describes your current employment status? (Tick one only) Full-time employee Part-time employee Self-employed, not employing others Employer Employed in the family business Unemployed seeking full-time work Unemployed seeking part-time work Not employed not seeking work 3. SCHOOLING Are you still attending secondary school? Yes No What is the highest level of secondary schooling you have completed? Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent Year 8 or below Never attended school Which year did you complete that schooling level? 4. COUNTRY OF BIRTH Were you born in Australia? Yes No If no, please specify? 5. ATSI STATUS Are you of Aboriginal or Torres Strait Islander origin? Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander Neither Aboriginal and Torres Strait Islander 6. PRIOR EDUCATION (POST-SECONDARY) Have you successfully completed any of the following qualifications? If yes please tick below Bachelor Degree or Higher Advanced Diploma or Associate Degree Diploma or Associate Diploma Certificate IV or Advanced Certificate Certificate III or Trade Certificate Certificate II Certificate I Other 7. LANGUAGE Do you speak a language other than English at home? No English Only Yes please specify How well do you speak English? Very well Well Not well Not at all 8. DISABILITY Do you consider yourself to have a disability, impairment or long-term condition? No Yes If yes, please indicate below you can select more than one option Hearing Physical Intellectual Learning Mental Illness Acquired Brain Vision Impairment Medical Condition Other, please specify: AVETMISS Privacy Statement Personal information collected as a result of your AVETMISS form will be used for general administration. Your personal information may be disclosed to Australian and State Government authorities and agencies. If you are an apprentice / trainee, your personal information, training details, progress and results may be disclosed to your employer or host employer. If you are under the age of 18 years, your personal information, training details, progress and results may be disclosed to your parent / guardian. Page 14

15 No further access to your personal information will be provided without your consent, unless authorised or required under a law. Please contact the administration department if you wish to access or amend any of the personal information on this form or if you have a concern or complaint about the way your personal information has been collected, used, stored or disclosed. Page 15

16 Payment Details: PLEASE CHOOSE Candidate Payment or Agent Payment or Employer Payment Company Name: Given name(s): Surname: Address: Suburb: State: Postcode: Country: Billing Address (if different from above): Select your country of application please refer to fees and charges guide for additional fees Documentary Assessment Technical Interview Govt. Admin Fee Documentary Assessment Technical Interview Australia -AUD $880 $1320 $300 Ireland - EUR China - CNY UK - GBP Hong Kong - HKD HK$6000 HK$9000 HK1 800 Philippines - PHP P P P12,100 South Africa - ZAR R8600 R R3 200 Payment Method Please indicate your preferred payment method below ACTS Visa Skills will contact you upon receipt of your application form to organise this payment. Govt. Admin Fee PayPal UK and Ireland Candidates only - Please indicate if you wish for us to forward a PayPal invoice for payment by Credit Card Electronic Funds Transfer (EFT) Australia, Asia and South Africa Candidates only BSB: Account No Account Name: Australian Construction Training Services NSW Bank Details: NAB Reference: We will provide an Invoice number for payment Credit Card Australian Candidates or Australian based Agents only Card type: VISA MASTERCARD Card number: / / / / / / / / / / / /. Expiry Date: / CVV (3 digit on back of card) Cardholder s name: I Authorise Australian Construction Training Services Pty Ltd to charge the credit card indicated in this authorisation form according to the terms outlined above. This payment authorisation is for the goods/services described above, for the amount indicated above only, in the currency of the country where the payment is being made, and is valid for one time use only. I certify that I am an authorised user of this credit card and that I have read and understood the Terms and Conditions as provided by visaskills.com, as well as the Refunds and Appeals policy. Page 16

17 Submitting your application Upon completion, please send your application to our office: Australian Office: 12a 171 Power Street Glendenning NSW 2761 PO Box 598 Plumpton NSW 2761 Australia Contact Us Internet Telephone: Sydney +61 (0) UK & Ireland +61 (0) Asia & South Africa +61 (0) Refunds The ACTS Refund Policy is available from the ACTS Visa Skills website Migration agents paying on behalf of an applicant are strongly advised to review this Policy before making a payment. Page 17

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