Diploma of Management 2012
APPLICATION FORM
Please email your completed application form to:
Jasmin Barker
Advisor, Organisational Development
Human Resources
Email:
Telephone: 03 9925 0740
Include ‘Diploma of Management 2012’ in subject line of email / APPLICATIONS CLOSE
11 November2011
You will be advised of the outcome of your application by Monday 28November
Personal information
Title: / Given name(s): / Surname:
Contact phone number(s):
Email:
Professional information
Current position:
HEW / TAFE / academic level:
School/Unit:
College/Portfolio:
Campus:
Employment type: (circle) / Continuing / Fixed Term(end date: )
No. of people supervised: (if applicable) / Directly: / Indirectly:
Time in current role:
Summary of current duties:
WORK HISTORY –list your recent work history, starting with the most current
DATES / ORGANISATION / TITLE / ROLE
EDUCATION – details of previous educational qualifications (please note, it is not a requirement that applicants have existing qualifications to participate in the program)
DATE / QUALIFICATION
What are your expectations of this program? What are you hoping to get out of participating?
Please outline 2-3 key challenges you and/or your work area are currently facing, and that you would like to focus on during the program
Briefly outline your future career plans and objectives
How will you manage yourself, and your workload to enable your full participation in the program?
Privacy statement
RMIT is committed to supporting the privacy principles that form part of the Information Privacy Act 2000 (Vic). We will only collect information about you that is necessary for the selection of program participants. The information you provide may also be used to inform future decision making.
We will not, without your consent, use or disclose the information you provide for any other purpose, unless that purpose would reasonably be expected, or where such purpose is permitted or required by law. We will take all reasonable steps to ensure that the personal information is protected from misuse, loss, unauthorised access or disclosure.
For more information please see RMIT’s privacy website and RMIT’s privacy statement related to students.
By signing this application form, I agree that:
The information provided in this application is correct
I have read and understood the privacy statement above
I give permission for RMIT to provide VECCI Apprenticeships Services my completed Eligibility Assessment for purposes of establishing my suitability for a traineeship
If selected, I undertake to participate in all components of this program
Applicant’s signature: / Date:
/ Diploma of Management 2012 (BSB51107)
MANAGER’S ENDORSEMENT AND
STATEMENT OF SUPPORT
Manager’s details:
Name:
Position:
The level of support demonstrated here will be an important factor in the selection decision. Practical support from every participant’s manager is critical in ensuring the success of both the program and the individual. This should include time release to attend scheduled workshops, flexibility in workload allocation and regular discussion about the program and application of learning.
Managers of successful applicants will be invited to participate in workshops designed to provide greater understanding of the program and skills in coaching / supporting staff.
How will participation benefit this staff member? Why are they a strong candidate?How will this staff member’s participation in the program benefit your school/department?
If successful, what practical support will be provided to this staff member to enable their full participation?
By signing this application form, I agree that:
I undertake to support this staff member to enable them to participate fully in all components of the program – including appropriate time release for attendance at workshops, their workplace project and for preparation of assessment tasks.
Manager’s signature: / Date:
Eligibility Assessment
Thank you for your participation, please return this formwith your application.
First Name: ______Last Name: ______Date of Birth: ______
Company: ______Worksite Supervisor: ______
Worksite Address: ______ Worksite Supervisor Ph: ______
Proposed qualification: ____________
Highest completed school level: Yr _____Year completed that level:______
Are you currently employed? Yes
No
If yes, please provide job typeFull Timehours per week ___
Part Time average weekly hrs ______
Casualaverage weekly hrs _____
How long have you been employed by your employer?_____ Years______Months
Are you either:Australian Citizen
Permanent Resident
New Zealand passport holder
Temporary Visa holder – Visa Number ______
Have you previously completed any formal qualifications (including traineeships or apprenticeships) in your current or a previous name? Yes
No
Previous name ______
If yes, what is the name and level of the completed Qualification? ______
Year Commenced ______
Year Completed ______
Have you ever commenced a Traineeship or an Apprenticeship before? Yes No
If yes, what was the name and level of the qualification?
If yes, what was the name and level of the qualification?
If yes, what was the name and level of the qualification?
In which State of Australia was it undertaken? ______
Are you currently undertaking any other study? Yes No
If yes, what is the name of the qualification you are studying? ______
Are you an Owner, Partner or Director of the business? Yes
No
Note: The preliminary advice of eligibility to access Australian Government incentives provided herein is subject to VECCI Apprenticeshis Services (VAS) undertaking a full assessment of eligibility criteria. A full assessment can only be made upon receipt by VAS of fully completed and correct assessment documentation, and when requested by VAS, additional information may be required. VAS makes no representation about the accuracy or suitability of the information provided. All information is provided ’as is’ without express or implied warranty.
Australian Apprenticeship Incentive Program Guidelines are subject to change at any time without notice.