Course accreditation application "*" indicates required fields Step 1 of 4 25% Applicant detailsName of contact person* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Phone*Email* Position/Job title Education provider* NameCourse code* ASQA/TESQA registration status (Active/Pending)* Qualification title* (as it will appear on certificate)Campus location* Address Street Address Address Line 2 City/Suburb State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Staff detailsHead of department/CEO* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Position* Department Phone*Email* Course coordinator* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Department Phone*Email* Fieldwork placement coordinator 1* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Email* Fieldwork Placement Coordinator 2 Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Email Course detailsDate of course commencement at campus* DD slash MM slash YYYY Has ACWA previously accredited the core content and mode of delivery?* Yes No Please provide date of intitial accreditation Is there an online/distance education option? Please note if this changes in the future you will need to notify ACWA.* Yes No Distance/online component (maximum percentage) Compulsory face to face component (maximum percentage) Number of fieldwork placements*Please enter a number from 0 to 5.Total number of placement hours* Number of hours in placement 1* Number of hours in placement 2 Number of hours in placement 3 Do you have the capacity to source fieldwork placements for all enrolled students?* Yes No Number of students on campus/face to face: now* EstimatedNumber of students on campus/face to face: next semester* EstimatedNumber of students on campus/face to face: next year* EstimatedNumber of students off campus/distance education: now* EstimatedNumber of students off campus/distance education: next semester* EstimatedNumber of students off campus/distance education: next year* EstimatedPlanned class sizes Number of planned full time teaching staff* Number of planned part time teaching staff Number of planned casual/sessional teaching staff* Course durationFull timeNumber of months* Number of terms/semesters* Number of face to face delivery hours per week Total course contact hours (not including placement)* Packaging details (Certificate III/IV, Diploma) Uploads - supporting documentationFile Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, Max. file size: 128 MB, Max. files: 6. PaymentCourse accreditation application fee (GST inclusive)* Degree/post graduate – $13,200 Diploma (Private providers) – $13,200 Diploma (TAFEs and NFP providers) – $6,600 Additional campus or major – discounted rate (select pay later) Payment options* Pay now - credit card Pay later - invoice will be sent to you Credit CardCard Details Cardholder Name DeclarationOn behalf of the education provider, I declare that all requirements and guidelines published by ACWA in relation to the requirements of this application have been fulfilled.* Yes On behalf of the education provider, I accept the ACWA course accreditation terms and conditions as published on www.acwa.org.au. Yes No
