Application for approval of new and/or for changes to existing Consent and Moderation Requirements (CMR)

NZQA Use Only Application Id

Name of standard setting body (SSB)

Contact for this CMR / Position
Postal address / Street address
Post code / Post code
Email address / Telephone
Landline / 0
Mobile / 0

Name of CMR developer (or compiler of application)

Draft CMR or draft version / Number / Version
Will this CMR replace one or more registered CMRs? / SelectYesNo
Replaced CMR(s) / Number / Version

CMR(s) submitted for evaluation

New / Review (Register) / Review (Expire)
Revision / Total / 0

Notefor Total cell to update automatically, please use the tab key to navigate between cells

Are any unit standards in active applications dependent on the CMR in this application being approved? / SelectYesNo
List application(s) for standards that cannot be listed until this CMR has been approved
Supporting documentation for new, reviewed, and revised CMR(s) / Attached
Completed ‘Checklist for the Evaluation of a CMR’ (one for each CMR submitted for approval)
Electronic copy of the CMR(s)
Copies of the registered version of the CMR(s) annotated (by hand or electronically) to indicate the changes. If tracked changes have been used, please submit 'original showing markup'
Additional supporting documentation for changes to registered CMR(s) / Attached
Electronic copy of change report (Review or Revision reportfor publication on NZQA website)
Additional supporting documentation for New CMR(s) submitted by NZQA / Attached
Agreement from Tertiary Assessment and Moderation, and/or Secondary Moderation, that NZQA will run the moderation system

I confirm that

1this CMR, including proposed changes, has been endorsed by the SSB as fit for purpose
2appropriate consultation has taken place of which evidence is available on request
3the CMR has been quality assured by the SSB against the quality assurance criteria and has undergone an edit

Preferred correspondence mode

I would prefer to receive the outcome of the evaluation electronically (email only); OR
I would prefer to receive hard and electronic copies of the evaluation

SignedDate

Please print, sign and scan this form if submitting the whole application by email

Name

Please return this form and all required documentation to

Service Support
Quality Assurance Division
New Zealand Qualifications Authority
PO Box 160
Wellington 6140 / or via email

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