Application Form For RE-Accreditation February 2013

APPLICATION FORM FOR RE-ACCREDITATION
VERSION 1.0
FEBRUARY 2013
TO BE COMPLETED BY THE TRAINING PROVIDER
Provider Name
FOR HWSETA OFFICE USE ONLY
Date of Application
submitted
Received by Date Received Evaluated by
Acknowledged by
Application form Screened
by
Outcome of screening
Comments for the screening process
Date
acknowledged
Date of Screening
Date referred for
evaluation
Date evaluated
Outcome of
evaluation
Comments for the evaluation
Application for re-accreditation – Version 1
12 February 2013
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IMPORTANT INFORMATION TO TAKE NOTE OF
This application form must be completed and submitted by training provider accredited by the HWSETA six (6) months before the
date of the expiry of accreditation.
No re-accreditations will be considered without the submission of this application form
Should this application form be compliant the HWSETA will conduct a site visit to evaluate institutional viability for accreditation to be
granted for another 5 years.
Re-accreditation will be granted not only based on institutional viability but also on the basis of availability of a learning programme that
is approved by the HWSETA with a SAQA registration date that is still current.
Providers who were accredited to offer unit standards will have to apply for programme approval for either a skills programme or a full
qualification.
Providers whose qualifications have expired will also have to apply for programme approval for either a skills programme or a full
qualification that is currently registered with SAQA
The HWSETA has two cycles for accreditation and re-accreditation. The first is in March and the second is in September.
Please indicate the cycle at which you would prefer the HWSETA to conduct an evaluation of your training institution. It is advisable
that you choose the most recent cycle from the date of your application so that your accreditation does not expire before a
site visit has been conducted.
March – April 2013
September – October 2013
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SECTION 1 – Provider Information
Name of Training Provider
Registered Company Name
Trading as
Accreditation status Date of accreditation Date of expiry
Scope of delivery Primary Focus Secondary Focus
Accreditation number
As annexure A, please provide a certified copy of the accreditation letter as well as learning programme approval letter/s
Physical Address of Main
Campus
Geographic Positioning
Systems (GPS) Coordinates
Postal Address of Main
Campus
Geographic distribution of
Satellite training campuses
Eastern
Cape
Approved
by HWSETA
Kwazulu-
Natal
Province
Approved by
HWSETA
Yes No Yes No
North West
Approved
by HWSETA
Yes No
Free State
Approved
by HWSETA
Limpopo
Approved by
HWSETA
Yes No Yes No
Northern Cape
Approved
by HWSETA
Yes No
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Gauteng
Approved
by HWSETA
Yes No
Mpumalanga
Approved by
HWSETA
Western Cape
Approved
by HWSETA
Yes No Yes No
If you have answered no on the options above please provide explanation:
Date/s of establishment of the
Satellite Campuses
Contact person(s) Name(s)
Training Provider
Representative
(if different from above)
Telephone No.
Faxsimile no.
Cellular No.
E-mail address
Website address
Code
Code
Indicate if any training has been
conducted
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SECTION 2: Scope of Delivery – Primary Focus
No:
List the Qualification(s) /Unit Standard(s) for which the Provider has programme approval from the HWSETA ETQA.
Qualification ID and Title NQF
Level
Credits Status of Qual
Current Expired
Unit Standard ID NQF
Level
Credits
1.
2.
3.
4.
Is a letter of the Learning Programme Approval report available If yes, a copy of each Yes No
must be submitted as annexure B.
Have you submitted application(s) for learning programme approval Yes No
If yes, please provide the name of the learning programme(s) you have
submitted
SECTION 3: Extension of Scope to Other ETQAs
Status of US
Current Expired
Has the provider
extended their scope to
another ETQA
Yes No If yes, please indicate
with which SETA
ETQA.
List the Qualification(s)/Unit Standard(s) for which the Provider has been approved by the ETQA
No: List the Qualification(s) /Unit Standard(s) for which the Provider has programme approval from the secondary ETQA.
Qualification ID and Title NQF
Level
Credits Status of Qual
Current Expired
Unit Standard ID NQF
Level
1.
2.
3.
4.
Is a letter of the Learning Programme Approval report available If yes, a copy of each must Yes
be submitted as annexure C.
Credits
No
Status of US
Current Expired
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SECTION 4 (a): Provider Enrolment History
Date of
Enrolment
Qualification ID
and Title
Unit Standard
ID
Number of
Learners
Number of
Learners
Number of
Learners
Names of
Facilitators
Names of
Assessors
Names of
Moderators
and of
Enrolled
Dropped Out
Endorsed
Completion
As annexure D, please attach copies of endorsement letters for all the training that was endorsed by the HWSETA.
As annexure E, please attach samples of copies of certificates issued for training on unit standards.
Name of person completing this application form: Signature: Date:
___________________________________________ ________________ ___________
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