Assessor Registration To be completed and forwarded, either electronically or by fax, to the ETQA each time an Assessor is to be registered to perform...
Assessor Registration To be completed and forwarded, either electronically or by fax, to the ETQA each time an Assessor is to be registered to perform assessment of qualification(s) and/or unit standards falling within the W&RSETA ETQA primary focus. The W&RSETA Call Centre can be contacted at 0860 270 027 for assistance on assessor registration issues.
Criteria
Section
Details of Applicant
Section A
Scope of Registration
Section B
Motivation of Technical Competence
Section C
Motivation of Assessment Competence
Section D
Prior Learning Overview (Provisional only)
Section E
Applicant Signature
Section F
ETQA Declaration of Competence
Section G
A. Details Of Applicant - Personal Details Title Name
Nationality
Surname
Citizen residential status
Maiden Name
Home Language
Initials
Disability Status
ID Number
Geographical Area
Alternative ID
Socio - Economic Status (employed/previously employed)
Date of Birth
Business Tel No.
Gender
Email
Equity
Mobile Number
Current Employment Details Name of current employer organization
Contact number of superior in organization
Current position in organization
Month & year of appointment to current position in organization
MM
Person reporting to in organization
page 1 of 6
YY
Contact number of superior in organization
Assessor Registration
B. Scope Of Assessor Registration List scope of qualifications the Assessor wishes to assess once registered as an Assessor.
Number
Qualification / Unit Standard National Certificate in Retails & Wholesale Processes
Number
Qualification / Unit Standard National Certificate in Retail Sales
Number
Qualification / Unit Standard National Diploma in Retail Product Service Management
NQF Level
Please 4
2
NQF Level
Please 4
4
NQF Level
Please 4
5
NB: Please use the above application form should you wish to extend your scope of assessment to further unit standards / qualifications.
page 2 of 6
Assessor Registration
C. Motivation Of Technical Competence Formal Qualifications List qualification(s) & courses relevant to each qualification and/or unit standards listed in Section B. Qualification
Course
Provider Name
Year Certified
Qualifications Unit Standards
Workplace Experience Please provide details of work experience in terms of unit standards and qualifications that the applicant Assessor would like to assess. Organization
Department
Job Title
Years
ETQA Use Only Confirm that the applicant Assessor’s employment details are as listed above. Date
Name
page 3 of 6
Reference
Assessor Registration
D. Motivation Of Assessment Competence Assessor Unit Standard Title: “Plan And Conduct Assessment” Have you received training in the above unit standard?
If yes, provide details of: Provider name
Month & Year of training
MM
YY
If no, please complete Section E “Prior Learning Overview” for provisional registration.
E. Prior Learning Overview (To be completed by candidates who are applying for provisional assessor registration only)
Prior Assessor Training Details Have you undergone any form of ETD / Assessor training?
Provide details of assessor training course(s) you attended:
Name of Provider
Duration
Unit Standard Name
Unit Standard Code
Prior Assessment Experience Relevant work / Assessor experience in relation to qualification / unit standards you are seeking registration as an assessor for: Work Experience / Assessor experience
Name of qualification / unit standards
Please add additional sheet for further experience if required.
page 4 of 6
Assessor Registration
I,
certify that the information given in this application is true and correct. (Name of applicant)
Applicant Signature
Date
Name of Nominator (Who nominated candidate for Assessor registration)
Position in Organization
Nominator Signature
Date
F. Declaration Of Competence ETQA Use Only The applicant has been declared competent in the following qualifications / unit standards. Please insert a 4 next to the relevant qualifications or unit standards.
Number
Qualification / Unit Standard National Certificate in Retails & Wholesale Processes
2
Confirm that the applicant Assessor’s employment details are as listed above. Date
Name
page 5 of 6
NQF Level
Please 4
Assessor Registration
F. Declaration Of Competence ETQA Use Only Number
Qualification / Unit Standard National Certificate in Retail Sales
I,
NQF Level
Please 4
4
, have found the above named Assessor competent against the listed qualification(s) and unit standard(s).
Date
Assessor Registrar
F. Declaration Of Competence ETQA Use Only Number
Qualification / Unit Standard National Certificate in Retail Product service Management
I,
NQF Level
Please 4
5
, have found the above named Assessor competent against the listed qualification(s) and unit standard(s).
