(RPL) Assessment Tool Kit - WestOne

© Department of Education and Training Page 145 of 206
Version 1, May 2009
MEM50205 Diploma of Engineering – Technical (Mechanical)
Section 5 – Candidate’s Information and Self-Evaluation Forms
Professional referees (relevant to work situation if not already listed on your résumé)
Name
Position
Organisation
Address of organisation
Phone number
Mobile number
Email address
1.
2.
3.
4.
5.
Name, address
and phone number
of employers
Candidate’s Employment History Form
(You may attach a current résumé in place of completing this section.)
Attach additional sheet if required.
Declaration
Period of employment
(DD/MM/YYYY)
From To
Position/s
held
Full-time
Part-time
Casual
Description
of major duties
I declare that the information contained in this application is true and correct and that all
documents are genuine.
Candidate’s signature Date