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LGSETA Accreditation/Programme Approval Application Form 06.08.08 v.2
ACCREDITATION/PROGRAMME APPROVAL APPLICATION FORM
FOR PROVIDERS FALLING WITHIN AND OUTSIDE THE PRIMARY FOCUS OF THE
LGSETA
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ACCREDITATION/PROGRAMME APPROVAL APPLICATION FORM
** = Minimum requirements for Provisional Accreditation
1. PROVIDER DETAILS
Please mark with an X where appropriate
NAME OF PROVIDER
TYPE OF PROVIDER Private Public Workplace Other
TYPE OF APPLICATION
Accreditation Programme Approval
PRIMARY FOCUS ETQA (e.g. LGSETA, ETDPSETA)
PROVIDER ACCREDITATION STATUS (if applicable)
Full
Provisional
PROVIDER ACCREDITATION NUMBER (if applicable)
PROVIDER ACCREDITATION PERIOD (if applicable)
Start Date End Date
PROVINCE GP KZN FS L WC EC NC MP NW
CITY
TOWN
SUBURB
CODE
BUSINESS PREMISES (Proof to be attached)
Owned Leased Other
Location of Business Premises
Residential Area Industrial Other
Physical Address
Postal Address
Telephone
Fax Number
Cell Phone Number
E-mail Address
Contact Person
Position in
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Organisation
TRAINING PREMISES (Proof to be attached)
Owned Leased Other
Physical Address
Postal Address
Location of Training Premises
Residential Area Industrial Other
Telephone
Fax Number
Cell Phone Number
E-mail Address
Contact Person
2. LEGAL AND FINANCIAL STATUS
Please mark with an X where appropriate
LEGAL REGISTRATION NAME OF PROVIDER (Proof to be attached)
TRADING NAME OF PROVIDER (If applicable,
proof to be attached)
REGISTRATION NUMBER OF ORGANISATION (Proof to be attached)
PERIOD IN CURRENT BUSINESS
NATURE OF PROVIDER Private Company (Pty)
Ltd
Closed Corporation
(cc)
Government/Public Entity
Sole Proprietor
Other
INCOME TAX REGISTRATION NUMBER (Proof to be attached)
Tax clearance certificate (Proof to be attached)
Tax Exemption Certificate (If applicable, proof to be attached)
Financial Status: Established Provider (Proof to be attached)
Audited Financial
Statements
Balance Sheet Projected Cash Flow
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Financial Status: Emerging Providers (Proof to be attached)
Financial Statements
Balance Sheet Projected Cash Flow
Proof of Solvency Letter Other
Occupational Health and Safety (OHS) Compliance (Proof to be attached)
Certificate Report Letter
3. HUMAN RESOURCES
Please mark with an X where appropriate
Organisational Profile reflecting all positions and the names of employees (temporary/permanent) (Copy to be attached)
Company Profile Organogram
Number of permanent employees (If applicable)
Management Personnel
Administrative Personnel
Support Personnel
Other
Pro-forma contract for permanent employees (Copy to be attached if applicable)
Management Personnel
Administrative Personnel
Support Personnel
Other
Number of contract and/or temporary employees (Copy to be attached if applicable)
Management Personnel
Administrative Personnel
Support Personnel
Other
Pro-forma contract for contract/temporary employees (Copy to be
attached if applicable)
Management Personnel
Administrative Personnel
Support Personnel
Other
COMPLIANCE AND EVIDENCE REQUIREMENTS
NB. Providers are urged to please refer to the following documents to ensure absolute adherence to the compliance requirements and submission of the required information and documents:
1. Accreditation Criteria for Constituent Providers Falling within the Primary Focus of the LGSETA.
2. Programme Approval Criteria for Providers Falling within and outside the Primary Focus of the LGSETA.
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4. **QUALITY MANAGEMENT SYSTEM
Vision Mission Values Strategic Objectives Core Business Functions and Processes Business Plan Quality Management Policy Statement Quality Management Review Mechanisms Quality Management Representative(s)
5. **ORGANISATIONAL POLICIES AND PROCEDURES
(Emerging Providers should at least provide policy and procedure statements, and process flows)
**Human Resource Management Policy and Procedures **Financial Management Policy and Procedures **Administration Policy and Procedures Occupational Health and Safety Policy and Procedures Marketing, Communication & Customer Service Policy and Procedures
6. LEARNING DEVELOPMENT AND DELIVERY POLICES AND PROCEDURES
(Emerging Providers should at least provide policy and procedure statements, and process flows)
**Learning Programme Design and Development Policy and Procedures **Assessment Policy and Procedures **Moderation Policy and Procedures **Learner Appeals Policy and Procedures **Learner Support Policy and Procedures Recognition of Prior Learning Policy and Procedures Certification Policy and Procedures
7. **LEARNING PROGRAMME EVALUATION **LEARNING PROGRAMME ALIGNMENT TO QUALIFICATION(S) AND/OR UNIT STANDARD(S)
**Title of Learning Programme Evaluated **Outline Outcomes of Training **Purpose and Focus Area of the Programme against the Purpose of the Qualification and/or Unit
Standards **Alignment of Learning Programme to the Qualification(s) and/or Unit Standards **Alignment of Learning Programme to Critical Cross Field Outcomes and Exit Level Outcomes Alignment of Learning Programme Outcomes to the Unit Standard(s) Specific Outcomes,
Assessment Criteria
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8. **LEARNER ENTRY, GUIDANCE AND SUPPORT
**Identified Target Group **Learner Admission and Entry Requirements Learner Registration Process **Fee Structure Communication Channels Programme Orientation/Induction Process Career Orientation/Guidance **Pre-assessment of Learners **Identification and Provision of Support to Learners with Special Needs (e.g. learning and
physical disabilities, etc.) **Remedial Intervention (e.g. re-assessments, re-training, etc.) Provision of Counselling Services Learner Satisfaction Survey
9. **MANAGEMENT OF EXPERIENTIAL LEARNING
(Compulsory for workplace providers)
Induction of learners towards on the job learning Support of Learners during Practical Learning Structure of on the job Experiential learning Liaison between Theoretical and Practical learning sites Provision and management of logbook/PoE system Provision and process of Coaching and Mentoring on the job Structure and process of Work place assessments and moderations Management of Work place assessments and moderations Availability of trained work place Coaches and Mentors
10. **LEARNING PROGRAMME DESIGN AND DEVELOPMENT
Needs Analysis for the Learning programme **Learning Programme developed in-house or outsourced (request agreement if outsourced) **Methodology for the Design and Development of Learning Programme **Learning programme implementation strategy and plan Learning Programme design approach (e.g. Modules, Units, Sections, Chapters, etc.) Learning Programme Outcomes achieved through Modules, Units, Sections, Chapters **Sequence of learning delivery and duration **Integration of theory and practice in the Learning Programme **Methodology and approach in the Design and Development of Learning Material Process in the Design and Development of Materials **Link of Learning Outcomes in the Learning Material to the Learning Programme Outcomes **Learning delivery methods used to achieve the outcomes (esp. should link to the facilitator and
learner guides) Validity of Content and Information of the Learning Material **Relevance and Accuracy of Content in the learning Material (e.g. activities, exercises, etc)
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**Demonstration of integration of theory and practice in the Learning Material (e.g. use of case studies, practical assignments)
**Learning material developed in-house or outsourced (request agreement if outsourced) Use of language and value diversity in the learning material to promote learning List of Training Resources to be used in the delivery of the Learning Programme **Review mechanisms for the learning programme and material **Availability and link of Facilitator and Learner Guides to the learning programme and material
outcomes **Provision and process to develop and manage the logbook/PoE system available
11. **ASSESSMENT AND MODERATION
**Learning Programme captures the principles of assessment and moderation **Assessment and moderation methodology and strategy clearly outlined **Assessment and moderation instruments, tools and methods developed to relate to unit
standards’ assessment criteria and linked to the learning programme **Assessment and moderation implementation process and plan clearly outlined **Process of conducting and monitoring assessments and moderations clearly outlined **Process for Learner Preparation and Support for assessments (incl. Learner readiness,
planning, preparation, etc.) clearly outlined **Assessment and Moderation reports compiled **Planning, Preparation and Support for moderations (incl. Learner readiness, planning,
preparation) specified **Assessment records and scoring procedures outlined and kept **Liaison with External Moderator on the verification of moderated assessments specified **Assessment guides available and linked to the assessment criteria of the unit standards,
learning programme and material **Feedback provided to learners on assessments **Appeals process for assessments clearly outlined
12. **ETDP PRACTITIONERS
**Facilitators, Assessors and Moderators demonstrate the ability to train, assess and moderate against qualification/unit standards
**CVs, qualifications and employment contracts of administrative personnel relevant to the programme available
**CVs, qualifications and employment contracts of Facilitators relevant to the programme available
Facilitator Code of Conduct developed Facilitator/Learner ratio(s) specified **ETDPSETA Endorsement, LGSETA Registration, CVs, qualifications and employment contracts
of Assessors relevant to the programme available Assessor Code of Conduct developed Assessor/Learner ratio(s) clearly specified **ETDPSETA Endorsement, LGSETA Registration, CVs, qualifications and employment contracts
of Assessors relevant to the programme available
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Moderator Code of Conduct developed Moderator/Assessment quota clearly specified
13. **RECOGNITION OF PRIOR LEARNING
**Strategy and Methodology for RPL against qualification/unit standards clearly outlined Methods, tools, and instruments for conducting RPL against qualification/unit standards
developed Guides and support to gather RPL evidence available Trained and/or registered RPL advisors identified
14. **PHYSICAL RESOURCES AND OCCUPATIONAL HEALTH AND SAFETY
**Availability of appropriate facilities, equipment and tools for delivery of the Learning Programme(s)
**Signed contractual agreements available (where facilities and equipment are leased/rented) Maintenance procedures and financial provisioning for improvements/Schedules specified (if
applicable) **OHS Procedures and appropriate emergency signs & evacuation plans specified Reports on OHS Compliance available Trained safety representative identified and appointed (Proof of training attached)
15. **ADMINISTRATION AND MANAGEMENT OF DOCUMENTS AND SYSTEMS
**Capturing learner information and data **Maintenance of document and learner information system **Updating of Management information system **Access control (security) to learner information and records **Verification processes to validate accuracy of information **Identification, storage, protection, retrieval, retention periods and disposition/disposal procedure
of information
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APPENDIX 1
QUALIFICATION(S) APPLIED FOR
TITLE OF LEARNING
PROGRAMME
TITLE OF QUALIFICATION(S)
NLRD NUMBER
NQF LEVEL
NUMBER OF CREDITS
REGISTRATION END DATE
If application is for a full qualification, please indicate the learning programmes linked to each qualification.
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APPENDIX 2
UNIT STANDARD(S) APPLIED FOR
TITLE OF LEARNING
PROGRAMME
TITLE OF UNIT
STANDARD(S)
NLRD NUMBER
NQF LEVEL
FUNDAMENTAL(F) CORE (C)
ELECTIVES (E)
NUMBER OF
CREDITS
REGISTRATION END DATE
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APPENDIX 3
DECLARATION BY PROVIDER
I___________________________________ (Provider Representative) in my capacity as
__________________________________________________ (Position in the organisation)
hereby confirm that all the information provided in this “Accreditation/Programme Approval
Application Form” is a true reflection of _________________________________________
(Organisation Name) legal and operational standing to meet the core criteria for Accreditation or
Programme Approval as stipulated by the LGSETA. I further declare that all the required
information and evidence submitted with the application form is original and remains the intellectual
property of this organisation. Where copyright and/or intellectual property of another organisation
or party has been utilised in the submission of this application, an agreement has been entered
with the other party and a copy is or copies are herewith submitted to the LGSETA for record
purposes. The ________________________________ (Organisation Name) commits to adhere
to all the stipulated requirements for accreditation or programme approval of the LGSETA.
Signature Date
NB. Please note that only the person in authority within the organisation should check and sign this
application form prior to submission.
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APPENDIX 4: LEARNING PROGRAMME ALIGNMENT TEMPLATE (Example)
1. GENERAL INFORMATION
TITLE OF THE LEARNING PROGRAMME
E.g. Supply Chain Management and Public Private Partnership
US ID UNIT STANDARD TITLE(S)
1. 2.
1. 2.
Provider Name NQF Level Credits Unit Standard Type(s)
E.g. Fundamental/Core/Elective
Time Total Notional Hours: Classroom based: Practical Application and Assignments:
Requirements of Level descriptors
This learning programme shall develop learners who demonstrate with regards to: a) Applied competence I. A fundamental knowledge base of the most important areas of one or more fields or disciplines, in addition to the fundamental areas of study II. An informed understanding of the key terms, rules, concepts, established principles and theories in one or more fields or disciplines
III. An understanding of the organization or operating environment as a system within a wider context IV. An ability to apply essential methods, procedures and techniques of the field or discipline V. An ability to apply and carry out actions by interpreting information from text and operational symbols or representations
VI. An ability to use their knowledge to solve common problems within a familiar context VII. An ability to adjust an application of a common solution within relevant parameters to meet the needs of small changes in the problem or
operating context VIII. An ability to motivate the change using relevant evidence
IX. A basic ability in gathering relevant information, analysis and evaluation skills X. An ability to communicate and present information reliably and accurately in writing and verbally
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b) Autonomy of learning I. i. A capacity to take responsibility for their own learning within a supervised environment
II. A capacity to take decisions about and responsibility for actions III. A capacity to evaluate their own performance against given criteria IV. A capacity to take the initiative to address any shortcomings they find
2. PURPOSE OF THE LEARNING PROGRAMME
Overall Purpose of the Programme
US ID: 116353
2.1 Purpose of the Unit Standard
How can this purpose be achieved
What must the learners know
(knowledge)
What must the learners be able to do
(Skills)
What values are embodied in the
purpose (Attitudes)
3. OUTCOMES
UNIT STANDARD CRITICAL OUTCOMES: (Specify the CCFOs of the Unit Standard)
LEARNING PROGRAMME OUTCOMES
SPECIFIC OUTCOME 1:
SPECIFIC OUTCOME 2:
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4. ASSESSMENT
Specific Outcome 1:
Assessment Criteria
List of Formative Assessment Activities
List of Summative Activities
Assessment Criterion 1
Assessment Criterion 2
Specific Outcome 2:
Assessment Criterion 1
Assessment Criterion 2
US ID: 119353
2.1 Purpose of the Unit Standard
How can this purpose be achieved
What must the learners know
(knowledge)
What must the learners be able to do
(Skills)
What values are embodied in the
purpose (Attitudes)
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3. OUTCOMES
UNIT STANDARD CRITICAL OUTCOMES: (Specify the CCFOs of the Unit Standard)
LEARNING PROGRAMME OUTCOMES
SPECIFIC OUTCOME 1:
SPECIFIC OUTCOME 2:
4. ASSESSMENT
Specific Outcome 1:
Assessment Criteria
List of Formative Assessment Activities
List of Summative Activities
Assessment Criterion 1
Assessment Criterion 2
Specific Outcome 2:
Assessment Criterion 1
Assessment Criterion 2
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5. ACTIVITIES
The learning and teaching activities are derived from the assessment tasks. Before the course commencement, may be a month or so, learners will be pre-assessed or skills audited At the beginning of the course, learners:
1. are registered with each learner completing personal profile questionnaire, which will also seek to understand whether the learner has any learning challenges, such as language, audio visual, etc.
2. are taken through course structure and content, emphasis being onto the skills programmes including the relevant Unit Standards 3. assessment strategy and appeals procedure, which is signed and filed away
ACTIVITY RESOURCES AND MATERIALS REQUIREMENTS
1.
2.