Central Regional TAFE

USIQ Delivery Request Form

Ref: CF003F6

Complete this form when requesting USIQ delivery. Forward to the USIQ Co-ordinator in General Education. This document must be available for audits and quality assurance monitoring.
VET course name
National Identifier
TAFE ID / Location / DURACK Institute of Technology
Geraldton campus
Course hours / Number of students
Identify which indicators determine students’ eligibility for enrolment in USIQ.
☐ / Educational and learning profile of the candidate
☐ / Linguistic, cultural, intellectual or social resources available to the candidate such as:
☐ / Second language or second dialect speaker
☐ / Identification as Indigenous
☐ / Refugee or recent migrant from a non-English speaking background
☐ / Low educational achievement
☐ / No recent history of engagement in education or participation in the labour market
☐ / TAFE Entry Requirement Benchmark Level 1 or below
☐ / Acquired brain injury
☐ / Intellectual disability
☐ / Sensory impairment
☐ / History of mental illness.
☐ / Delivery mode used for the qualification in which the candidate is enrolled
☐ / The opportunity afforded the candidate to develop educational skills in lower level qualifications
Describe the Units of Competence and/or industry concepts which are the most demanding of the students’ underpinning skills.
Describe teaching/learning/assessment strategies and/or materials which create additional demands on students’ underpinning skills.
Considering the specific student group, what underpinning skills will need to be revised, retaught or acquired?
Preferred time
Number of hours
Proposed team
USIQ Lecturer
VET Lecturer
Names of other staff consulted
Name of person completing this form
Position
Signature
Date

REMINDER

The USIQ Business Rules require
  • Students must be enrolled in a vocational course
  • Students must have additional educational support needs
  • The selection of modules is based on an analysis of the gap that exists between the demands of the vocational course and the existing skills of course participants.
  • Teaching hours generated by enrolments in USIQ may only be used for face to face teaching.
  • USIQ students must not be required to undertake end of course assessments although there is an option to deliver an initial or diagnostic assessment which may provide information for the purposes of designing a learning program with USIQ modules.
  • The USIQ teacher is required to keep a record of each lesson.
  • USIQ lecturers must keep their own record of students’ attendance
  • USIQ teachers must be selected according to the requirements of the Course Accreditation Document. The LAS will be updated to show the USIQ lecturer has the appropriate qualifications, skills and knowledge.
  • Enrolments for USIQ class groups must be identified as either Local Class or Self-Paced Scheduled as all USIQ delivery is to be face-to-face.
  • A separate attendance roll must be created for each student group receiving USIQ support, identifying them by their vocational course and location.
  • Course, program or contract managers will arrange for a report documenting the outcomes of course delivery.

APPROVAL BY MANAGER (OR DELEGATE) RESPONSIBLE FOR 19E FUNDS
Number of USIQ modules approved for this group (Up to 250 hours)
Signature:______Name: ______Date: / /
FOR OFFICE USE
USIQ Roll Numbers

First Created: 1/03/2016Issue: 2Page 1 of 3

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