Accreditation and Training Services I Compass Academy of Learningecd Registration Form

Accreditation and Training Services I Compass Academy of LearningECD Registration Form

EARLY CHILDHOOD DEVELOPMENT

Learner Registration Documentation

LEARNER REGISTRATION FORM

PROVIDER DETAIL:

Name: Accreditation & Training Services I Compass Academy of Learning

Provider Accreditation Number: ETDP9952 I ETDP10232

Contact Person: Elaine Jansen Van Rensburg

Contact Number:

EMPLOYER DETAIL:

Name:

SDL Number:

Contact Person:

Contact Number:

List of Learning Programmes

Mark the Learning Program for which the Learner is enrolling

LEARNER DETAILS:

1. Registered Learners

Name:

ID Number:

Mobile Number:

Other Contact Number:

1. New Registration

This part of the form must only be completed when this particular learner has not previously been registered on any learning programme.

Title:

Name:

Surname:

Maiden Name:

ID Number:

Alternative ID:

Type of Alternative ID:

Date of Birth:

Gender: MaleFemale

Equity:

Nationality:

Citizen residential status:

Home language:

Other languages:

Disability Status:

Geographical Area:

Socio-Economic Status:

Business Telephone Number:

Home Telephone Number:

Mobile Number:

Fax Number:

E-mail:

Physical Address:

Postal Address:

Date of Registration:

Signature of Learner:

INDICATE YOUR PAYMENT METHOD:

One-off Installments 

YOUR REGISTRATION MUST BE ACCOMPANIED BY THE FOLLOWING:

ECD Level 5 Registrations:

• Matric Certificate
• Letter of employment and number of years of related working experience

PRACTICAL WORK EXPERIENCE:

Part-time – ECD Level 4 & 5

Minimum of 6 weeks -3 weeks in the middle

-3 weeks at the end

CONTRACT: LEARNER / COMPASS ACADEMY/ATS

1.The Learner chooses the following training program:

______

2.Training and assessment fee is:

R______

To be paid by the learner as follows:

TOTAL AMOUNT:______

DEPOSIT:______

3.The fee includes:Training, Assessment, Training manual, Registration documentation, Learner support, electronic devise (where applicable).

4.The fee excludes:Transport to and from training, Accommodation, Paper, Pens, Other stationary items and Assignment materials

5.As a learner I have the right to:

Training

Appeal

6.As a learner I have the following responsibilities:

The attendance of contact sessions on time (where applicable)

Completion of assignments

Self-study

Group study

Compilation of a portfolio containing the necessary evidence

Contacting the office regularly to inquire about dates, times and schedules of training and assessing

7.I understand and approve of the following:

That assessment takes place continuously during the whole process of training.

That it is required to give feedback during and at the end of the training.

The trainer / assessor will explain the Compass Academy of Learning policy document to me.

8.I declare that:

I will pay the fees as indicated by me on this contract. The fees are not refundable.

I understand the content of this document.

I accept this document as a contract.

I am aware that no assessments can be done before ALL outstanding payments are received.

All the work that I will submit during this training will be authentic and only my own work.

Name of learner (print please):

______

ID no: ______

Signature of learner: ______Date: ______

Witness 1: ______Date: ______

Witness 2: ______Date: ______

For Compass Academy of Learning/Accreditation and Training Services

Name (print please): ______

Signature: ______Date: ______

1