Training Needs Identification

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1 Smart and Skilled Training Needs Identification Smart and Skilled Targeted Priorities Prevocational and Part Qualifications Program Please use one form for each identified training need Only Smart and Skilled training providers approved for this program may submit this form after consultation with a nominated employer. OFFICE USE ONLY Reference Number Reference number A: Contact details Training Provider Details (Legal entity name) Trading name: RTO ID (National): NSW RTO ID: Provider representative (name): Host/Employer Details Employer representative (name): Other Partner Organisation Details e.g., jobactive, employment service provider (where applicable) Representative (name): Department of Industry 1 Training Needs Indentification Form Aug 2015

2 B: Training details Training delivery mode (select all applicable) Classroom Workplace Online Training Location (If training is to be delivered online, give training provider s address) Address: Town/Suburb: Postcode: Proposed start date: (> 3 weeks after submission) Click here to enter a date. Proposed end date: (before 30 June 2016) Click here to enter a date. No. of Students: Region: Choose an item. C: Source and target Training need identified by: (select all applicable) Local employer Training provider (Registered Training Organisation) Industry Training Advisory Board, Industry Skills Council, industry association Community organisation, local/regional association NSW Department of Industry or State Training Services staff Other government agency (for example, local government) Individuals (for example, prospective students) Target group: (select all applicable) Aboriginal & Torres Strait Islander people People with disability Long-term unemployed Disadvantaged youth or youth at risk People living in remote areas School leavers Job seekers (including people on Centrelink benefits) Underemployed workers (who need further training to work more hours) Mature-age workers returning to the workforce Retrenched workers and those at risk of retrenchment Inmates of NSW correctional centres, including Juvenile Justice Unemployed volunteers to support pathways to employment and/or community service Existing workers (emerging industries, needs and technologies) General public Department of Industry 2

3 D: Eligibility criteria Training framework: The training modules (Units of Competency) are included as part of a qualification (or qualifications) on the current NSW Skills List. The proposed training is customised/contextualised to meet the students needs. Justification for subsidised training: 1. Which industry will this training be targeting and why? Choose an item. 2. Who was involved in the consultation to identify the training need? How have the students been identified? 3. How will this training and work experience element enable the learner to transition to a higher qualification or employment? In the case of existing workers, how will this training benefit the employer/industry? 4. Does this group have special needs or requirements? If so, how will their needs be met? 5. At the end of the training, students should be ready to start (select all applicable) Apprenticeship Traineeship Employment Upskilled work Further training Department of Industry 3

4 E: Training needs UoC Code Nominate an approved Smart and Skilled parent qualification that contains at least one of the proposed Units of Competency. Qualification Code UoC Name Qualification Name F: Declaration The person completing this application is authorised to make this application on behalf of the Registered Training Organisation (RTO) cited in Section A of this form. All information provided in this form is true, complete, accurate and not misleading (including by way of omission). Included with this form is written documentation of the employer s participation. The employer representative and any other person referred to on this form may be contacted by the Department. The Provider does not currently have any suspension, sanction, direction and/or condition on its registration under the National Vocational Education and Training Regulator Act The provider is not accessing any other funding source for this identified training need. The Provider authorises the Department to obtain relevant information about the RTO or its personnel from other Australian government agencies, as appropriate. The Provider acknowledges that the Department may use any information it obtains for the purposes of the Department s operations including disclosing such information to other Australian government agencies. The Provider understands that this application does not constitute a guarantee of Smart and Skilled subsidised training. The Department, in its absolute discretion, may reject this application. If the application is approved, the Provider is only entitled to subsidies if subsidised training is delivered in accordance with the Smart and Skilled Contract. Provider representative (name): Department of Industry 4

5 Queries If you have any questions, contact your local State Training Services Regional Office. the completed form and supporting attachments to the State Training Services Regional Office closest to where the training is to be delivered. State Training Services Regional Offices Region Telephone Sydney Region Chatswood Bankstown Parramatta (02) (02) (02) Hunter & Central Coast (02) North Coast & Mid North Coast (02) New England (02) Western NSW (02) Riverina (02) Illawarra & South East NSW (02) Department of Industry 5

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