1. Personal details
Last name: / First Name: / Lattice ID:Teaching Section: / College:
Employment status:
PTCT Permanent Part-time Permanent Full–time Temporary
WSI, College and Section Induction Completed: year
2. Teaching Qualifications
Masters in Adult Education / yearGraduate Diploma in Vocational Education & Training / year
Graduate Diploma in Adult Education / year
Graduate Diploma in Vocational & Workplace Learning / year
Graduate Certificate in Higher Education, Learning & Teaching / year
Graduate Certificate in Vocational Education & Training / year
Graduate Certificate in Adult Education / year
Graduate Certificate in Tertiary Education / year
Bachelor of Education in Adult Education / year
Bachelor of Vocational Education & Training / year
Associate Degree in Vocational Education & Training / year
Diploma of Training & Assessment (TAA04) / year
Diploma of Training & Assessment Systems (BSZ98) / year
Certificate IV in Training & Assessment (TAA04) / year
Certificate IV in Assessment & Workplace Training (BSZ98) / year
Certificate IV in Training & Assessment (TAE10) year
3. List Additional Teaching Currency Activities or Units from Relevant Training Packages (within the last 4 years)
yearyear
year
year
year
year
year
year
year
year
year
year
4. Technical / Vocational Qualifications
Qualification / Institution / Year Completed1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
5. Industry Experience
Resume Attached: / Industrial Experience Interview Conducted:Yes No / Yes No
6. Vocational Currency activities in the last 2 - 5 years
7. Mapping of Teaching Qualifications/Industry Experience and Currency in Relation to the Qualifications / Units Delivered.
Names and numbers of Qualifications and Cluster of Units / Qualifications/ Industry Experience relevant to delivery of the units/Qualification/
Cluster of Units Delivered / Care Cluster:
CHCECE002 - Ensure the health and safety of children
CHCECE003 - Provide care for children
CHCECE004 - Promote and provide healthy food and drink
CHCECE005 - Provide care for babies and toddlers
CHCECE007 - Develop positive and respectful relationships with children
Qualification/
Cluster of Units Delivered / Legal Cluster:
CHCPRT001 - Identify and respond to children and young people at risk
CHCCS400C - Work within a relevant legal and ethical framework
HLTWHS001 - Participate in workplace health and safety
CHCECE009 - Use an approved learning framework to guide practice
CHCORG303C - Participate effectively in the work environment
HLTWHS003 - Maintain work health and safety
Qualification/
Cluster of Units Delivered / Support Cluster:
CHCECE010 - Support the holistic development of children in early childhood
CHCECE011 - Provide experiences to support children’s play and learning
CHCECE012 - Support children to connect with their world
CHCECE013 - Use information about children to inform practise
CHCECE026 - Work in partnership with families to provide appropriate education and care for children
Qualification/
Cluster of Units Delivered / Development Cluster:
CHCECE017 - Foster the holistic development and wellbeing of the child in early childhood
CHCECE018 - Nurture creativity in children
CHCECE022 - Promote children’s agency
CHCECE023 - Analyse information to inform learning
Qualification/
Cluster of Units Delivered / Culture Cluster:
HLTHIR404D - Work effectively with Aboriginal and/or Torres Strait Islander people
CHCECE001 - Develop cultural competence
Head Teacher Sign Off
I have verified the Teaching Qualifications, and the industry and other experience and have determined that the teacher is:
Eligible to Teach and AssessThe abovementioned Qualifications/ Units / Holds the appropriate technical, academic, and /or vocational qualifications and has completed Certificate IV in Assessment and Workplace Training or equivalent.
Eligible to Teach only / Has not completed Certificate IV in Assessment and Workplace Training or equivalent therefore cannot be appointed as an offsite teacher. Has a supervisor monitoring delivery until appropriate qualifications are obtained.
Name / Signature
Teaching Section / Date
Process Owner: Workforce Capability Development
Created: 08/06/2006
Version: 3.3 / Procedure Resource ID: PSKS411
Modified: 17/09/2012
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