Application for Credit Transfer

Queensland Certificate of Education
Application for credit transfer and/or relaxation of completed Core

I am a student transferring from

one Queensland school to another, including Queensland International Baccalaureate (IB) students (intrastate transfer)

interstate into Queensland (interstate transfer)

overseas into Queensland (overseas transfer)

Title / Family name
Given name / Preferred name
QSA learner unique identifier (LUI)* /

*See the enrolling Queensland learning provider for the LUI, if it is unknown

Postal address / Street/unit/lot no.
Street name
City/town/suburb
State/territory
Postcode
Contact details / Phone
Mobile
Email
Previous school attended
Town or city
State or country
Enrolment ceased / / / Year

What you must do:

Intrastate transfer
(from within Queensland) /

Complete Section 1
Ensure your current school completes Section 2 and attaches the Form S1 (available from student data capture system [SDCS])
Follow instructions on page 3 to submit your complete application.

Interstate transfer
(from within Australia) /

Complete Section 1
Ensure your current school completes Section 2
Ensure your previous interstate school completes Section 3
Send a print-out of Section 3 with your details to the principal of your previous learning provider, to complete and return to you
Provide confirmation of previous enrolment and result information by attaching authenticated copies of :

a school report or official certification of results for any senior secondary school studies (Year 11 or Year 12) completed or partially completed
statements of attainment and/or certificates for vocational education and training (VET) and/or any other senior studies or further education which your previous school may not know about. (Conditions apply)

Follow instructions on page 3 to submit your complete application.

Overseas transfer
(from outside Australia) /

Complete Section 1
Ensure your current school completes Section 2
Provide confirmation of previous enrolment and result information by attaching authenticated copies of:

a letter from your previous learning provider confirming the dates of enrolment for all subjects studied, contact time for these subjects and exit results
a school report or official certification of results for any senior secondary school studies (Year 11 or Year 12) completed or partially completed

Follow instructions on page 3 to submit your complete application.

Note: Documents originating in non–English-speaking countries must be translated into English by a recognised translation authority.
Information on accredited translators can be found at the National Accreditation Authority for Translators and Interpreters (NAATI) <

Authentication requirements

Copies of original documents should be authenticated:

You (or your carer, if you are under 16) must provide authenticated copies of required documentation.

Authentication can be provided by the PRINCIPAL of the receiving Queensland learning provider or by either a Commissioner for Declarations or Justice of the Peace (JP).
For assistance in finding a JP, visit the Department of Justice and Attorney General’s website < and select > Justices of the Peace > Finding a JP.
The person witnessing the declaration must write on the back of the copy: I certify that this is an accurate copy of the original document, and provide their signature and the date.

Submitting your application

It is your responsibility to ensure that the information on this form is complete and correct.
Incomplete applications cannot be processed. Applications submitted by email or fax will not be processed.

Post your completed application form to the Queensland Studies Authority (QSA) at PO Box 307 Spring Hill, Qld 4004 or deliver it by hand to Level 7,154 Melbourne Street, South Brisbane.

Applicant’s declaration

I declare that the information in this application is complete and correct and I have attached all authenticated documentation required for this application.

Applicant’s signature / Date / /

Section 2 — Queensland learning

(Must be completed by the receiving Queensland learning provider)

Provider details

Name of learning provider
Address of learning provider
Type of provider / School
TAFE
Other (please give details) / Registered training organisation (RTO)
Contact name / Contact phone
Contact position / Contact fax
Contact email

Proposed enrolment information

Date of enrolment at Queensland learning provider / / 20
(day)(month)(year)
Year level at enrolment / 10 11 12 Other
List proposed studies that student will undertake.

Reason for relaxation of the completed Core rule

(For intrastate transfer students only)

Explain why the student is unable to meet the completed Core requirement and why a relaxation may be justified.

Note: Relaxation of the completed Core requirement may only be granted when final levels of achievement demonstrate depth and continuity in studies that have subject similarity.

Principal’s declaration

I declare that, to my knowledge, this applicant has a learning account with the QSA.

I further declare that:

I have sighted the original documents and authenticated the back of any copies with the words, “I certify that this is an accurate copy of the original document”, signed and dated each copy

/ Yes
No

I have attached a copy of the SDCS student assessment record (S1) (intrastate transfer students only)

/ Yes

A relaxation of the Overall Position (OP) requirements is also requested (intrastate transfer students only; not required for students transferring from an IB school).

/ Yes
No
Date: / /
Principal’s signature / (day)(month)(year)
Name (please print for identification)

The information you provide on this form will be used in considering the student’s application as part of the legislative functions described in Education (Queensland Studies Authority) Regulation 2002 (s.3AA). Personal information will be accessed by authorised QSA staff, and handled in accordance with the Information Privacy Act 2009. A copy of our decision, including the student’s name and contact details, will be provided to the student’s current learning provider.

Section 3 — Interstate learning

(To be completed by the previous learning provider and returned to the student)

Student details (Student to provide these before sending)

Title / Family name
Given name / Preferred name
Current address / Street/unit/lot no.
Street name
City/town/suburb
State/territory / Queensland
Postcode
Contact details / Phone
Mobile
Email

To the previous learning provider

All education authorities (including the non-government sector) have agreed to implement a national system for the transfer of student information between schools when children move from one state to another. This joint initiative — between the Australian government, state and territory education departments, and the independent and Catholic education sectors — is based on using a common "Interstate student data transfer note" (ISDTN) and set of protocols. (Ministerial Council on Education, Employment, Training and Youth Affairs [MCEETYA] 2006)

As the previous learning provider you are asked to provide details of this transfer student’s previous learning for the purpose of recognition of previous learning towards the awarding of the Queensland Certificate of Education.

This completed form may be accepted in lieu of the national ISDTN.

School details (Previous learning provider to complete)

School name
School address
State or territory / ACT NSW NT SA TAS VIC WA
State or territory student ID number /
Date senior enrolment commenced / / 20
(day)(month)(year)
Date enrolment ceased / / 20
(day)(month)(year) / Year level

Completed school studies

School subjects are defined as a course of study developed from a syllabus owned by an Australasian curriculum assessment certification authority (ACACA) affiliate, similar to the Queensland Studies Authority (QSA). This achievement contributes to the award of the Australian Senior Secondary Certificate of Education.

A minimum “C” result is interpreted as a passing grade in the subject for that semester. Circle the option that best matches your information.

Senior school subjects

Name of the subject / State or territory subject ID / Year 11 semesters completed / Year 12 semesters completed / Result of last semester completed (A to E)
1 2 / 1 2 / A B C D E
1 2 / 1 2 / A B C D E
1 2 / 1 2 / A B C D E
1 2 / 1 2 / A B C D E
1 2 / 1 2 / A B C D E
1 2 / 1 2 / A B C D E
1 2 / 1 2 / A B C D E
1 2 / 1 2 / A B C D E
1 2 / 1 2 / A B C D E

Other training or education studies (if any)

Vocational education and training qualifications (complete or incomplete)

Qualification code / Qualification name / Authenticated copy of Statement of Attainment or certificate attached ()

Other studies, if known (e.g. Duke of Edinburgh Award or Australian Music Examination Board [AMEB] qualification)

Name of the study / Provider name / Authenticated copy of qualification attached ()

Interstate learning provider declaration

I declare that the enrolment and result information provided is an accurate interpretation of the records maintained at my institution.

Date: / /
Principal’s signature / (day)(month)(year)
Name (please print for identification)
Contact telephone number
Contact fax number
Contact email

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