Registration Agreement Form with the VQ Assessment Centre
VQ Assessment Centre Registration Agreement
CDI Level 6 Certificate in Career Leadership Pathway
Instructions for completion
This form contains questions relating to your suitability for this qualification and essential information needed for Awarding Organisation registration.
If you need any help completing this form please contact the VQAC Learner Support Team on
01908 653774 or email us on
SECTION 1Your personal details
Title (Mrs /Mr /Miss / Other)
All given/first names
Family or surname
Date of birth
Gender
Home Address
Post Code
Home telephone number (with area code)
Home e-mail
Your work details
Your job title
Name of your organisation
Type of service provided
Work address
Post Code
Work telephone number (with area code)
Work e-mail
Where do you prefer to be contacted? / Home / Work
SECTION 2
Are you ready for distance learning?
This vocational qualification enables you to develop and demonstrate your knowledge and competence.
It is completed by:
• Distance learning
• Minimal face-to-face contact
• Self-directed study
It is not offered as a face-to-face taught programme or training course.
Are you confident that you will be able to complete your vocational qualification in this way, committing a regular time slot to studying/producing evidence?
0 Yes
0 No – you will not be able to register for the qualification
Do you have regular access and permission to use an internet connection which will allow you to access an e-portfolio?
0 Yes
0 No – you will not be able to register for the qualification
SECTION 3a
Is this the right qualification for you?
The CDI Level 6 Certificate in Career Leadership Pathway requires you to:
• Develop your critical understanding of the leadership and management of career development work
• Develop your understanding of the processes of reviewing, developing and evaluating career development work and applying these in your workplace
• Develop your critical understanding of how to plan and design a career related learning programme
Are you confident that your current job role and level of responsibility will enable you to meet the requirements of all mandatory units and a range of the optional units that make up the qualification?
You may wish to review the requirements of these mandatory and optional units on our website at www.open.ac.uk/vq
0 Yes
0 No – you will not be able to register for the qualification
Do you already hold any vocational qualifications in advice & guidance?
If so, you may be able to apply for Recognition of Prior Learning (RPL). Further information can be found on our website at www.open.ac.uk/vq
0 Yes – I have contacted the VQAC about RPL
0 No – I do not hold any previous vocational qualifications
SECTION 3b
Do you need any extra help?
Do you have any disability, health condition, mental health disability or specific learning difficulty (e.g. dyslexia) that might affect you assessment or for which you might need additional support?
0 Yes
0 No
Are your literacy/numeracy skills at a level which will enable you to achieve your vocational qualification?
0 Yes
0 No – you may find useful support at www.move-on.org.uk
Are you confident about your study skills?
0 Yes
0 No – have a look at Open Learn which provides free resources that may help you
SECTION 3c
Further qualification requirements
CDI LEVEL 6 CERTIFICATE IN CAREER LEADERSHIP PATHWAY
Start date / End date / Price
I understand that the price of this qualification is based on the minimum credit value requirements.
0 Yes
I am aware that my qualification has a set Start and End date.
0 Yes
I am aware that if I do not complete my qualification by the End date I may be able to apply for an extension which will incur additional fees.
Further information about End Date extensions and fees can be found on our website at www.open.ac.uk/vq
0 Yes
SECTION 4a
Workplace support
It is essential that your manager/employer agrees that you can undertake your vocational qualification.
Have you discussed registering for this vocational qualification with your manager and obtained their support to allow you time in the work place to work on it?
0 Yes
0 No – you will not be able to register for the qualification
An assessor visit is an essential part of your qualification.
Has your employer agreed to allow our assessor to visit you in the work place?
0 Yes
0 No – you will not be able to register for the qualification
Please note you will need to provide information about Health and Safety in your work place as part of the preparation for the assessor visit.
SECTION 4b
Line Manager agreement
To be completed by your Line Manager
I confirm that I have read the registration agreement and support the learner in achieving this qualification.
I am willing to be contacted from time to time for progress updates.
I agree to the learner being observed by an assessor in the workplace if that is a requirement of their qualification.
Further information about supporting a learner undertaking a Vocational Qualification in the workplace can be found at www.open.ac.uk/vq
Name / Signature
Job title / Tel number
Email / Date
Address
SECTION 5a
Payment – fee payment is a condition of registration
Please tick how you would like to pay:
0 CHEQUE
Cheques should be included with your registration agreement and made payable to “The
Open University VQ Assessment Centre” and crossed “payee only”.
0 CREDIT/DEBIT CARD
Please provide your card details on Section 9 of this agreement. Payment will be debited on receipt of your registration agreement.
0 OUSBA (Open University Student Budget Account)
This is for use by individuals only and cannot be used if you are being sponsored (further information can be found on the OUSBA website
If you are paying for your qualification using an OUSBA, please sign the statement below:
I authorise you to charge fees to my OUSBA account if my application is approved:
…………………………………………………………………………………..
0 SPONSORSHIP
Please go to Section 5b of this agreement and ask your sponsor to complete and sign this section.
SECTION 5bSponsorship – only complete if you are being fully or partially sponsored
To be completed by your sponsor
I confirm that I have authority to bind the sponsor by signing this form.
I hereby undertake that the sponsor will pay the agreed fee for this booking within 30 days of the invoice date.
I accept that, if an employee withdraws from the qualification or leaves the sponsor’s employment, liability for the sponsor’s contribution towards the fees will remain with the sponsor.
Information for sponsors which forms part of your agreement with the VQAC is available at www.open.ac.uk/vq
Name / Signature
Job title / Tel number
Email / Date
Invoice address
Purchase order/Ref. no
Part sponsorship only
Please confirm your sponsor contribution
SECTION 6
Ethnic origin
0 / Asian or Asian British / 0 / Black or Black British0 / Mixed ethnicity / 0 / White British/Irish/Scottish/Welsh/English
0 / White other / 0 / Other ethnic group
SECTION 7
Learner Records Service (see Part 4 of the VQAC Conditions of Registration)
0 Please tick only if you do not wish your data to be shared within the education sector.
At no time will learner personal information be passed to any organization for marketing or sales purposes. For further details please see the Learning Records Service website at www.learningrecordsservice.org.uk
SECTION 8Your signature
The VQAC conditions of registration and this VQAC Registration Agreement form part of your Registration Agreement. It is important that you are aware of these conditions and understand them. If you have not got the conditions of registration, please contact us and we will send you another copy.
0 I confirm that I wish to register for the qualification specified in Section 3c of this Registration Agreement. I have read and understood the conditions which form part of this Registration Agreement and I agree to be bound by them.
0 I confirm that I am normally and lawfully resided in the UK from choice and without any immigration restriction on the length of my stay in the UK.
0 I understand that other conditions affecting my continued registration with the University may be issued by the University from time to time. I also understand that my failure to abide by such conditions may lead to the University terminating this Registration Agreement.
0 I confirm that I am in a job role, secondment or a voluntary work placement that will allow me to gather the required work based evidence of competence and that I am supported by my Line Manager.
Signature / Date
VQAC use only
Name / Signature
Date / Fee / £
Notes
SECTION 9
Credit/Debit card details
If you are paying by credit/debit card (individual or sponsor) please provide the card details below.
Please note – we do not accept American Express, Diners or Solo cards.
Name as it appears on the card
Type of card
0 Visa debit
0 MasterCard
0 Visa credit
Card number
Expiry date
Security code
Next steps
Once you have completed all the sections on the form please send it to us using one of the following methods:
If you are being sponsored or are paying by OUSBA you can submit a scanned copy (so original signatures can be seen) of your completed registration agreement by e-mail to vq- or you can send them by post to the address below.
If you are paying by credit/debit card we are not able to accept an e-mail copy of registration agreement forms that contain card details therefore you should send your completed registration agreement to the following address:
The Vocational Qualification Assessment Centre
1st Floor South Joe Clinch Building
Hammerwood Gate
Kents Hill
Milton Keynes MK7 6BY
We will check the details you have provided on the form to make sure you are registering for a suitable qualification. We will confirm receipt of your registration by email.