Course accreditation application - Australian Community Workers Association - ACWA leads the development, identity, registration and recognition of the community work profession in Australia

Applicant details

Name of contact person*

Prefix First Last

Phone*

Email*

Position/Job title

Education provider*

Name

Course 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 Country

Staff details

Head of department/CEO*

Prefix First Last

Position*

Department

Phone*

Email*

Course coordinator*

Prefix First Last

Department

Phone*

Email*

Fieldwork placement coordinator 1*

Prefix First Last

Email*

Fieldwork Placement Coordinator 2

Prefix First Last

Email

Course details

Date of course commencement at campus*

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*

Estimated

Number of students on campus/face to face: next semester*

Estimated

Number of students on campus/face to face: next year*

Estimated

Number of students off campus/distance education: now*

Estimated

Number of students off campus/distance education: next semester*

Estimated

Number of students off campus/distance education: next year*

Estimated

Planned class sizes

Number of planned full time teaching staff*

Number of planned part time teaching staff

Number of planned casual/sessional teaching staff*

Course duration

Full time

Number 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 documentation

File

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, Max. file size: 128 MB, Max. files: 6.

Payment

Course 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 Card

Card Details

Cardholder Name

Declaration

On 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