2012 National VET Practitioner Professional Development Opportunity
Sustainability Champions Scholarship Program
22060VIC Vocational Graduate Certificate in Education and Training for Sustainability
Please read the course information sheet and then complete all sections (A-D) of this form. Applications
must be sent by email to firstname.lastname@example.org in Word Document Format (not PDF)
by 5pm Wednesday 29 February 2012.
No late, ineligible or incomplete applications will be considered.
Applications must include a statement of recommendation from an appropriate supervisor from
your Registered Training Organisation.
Download course information sheet from:
Section A – Personal information
Faculty / Unit
Organisation National Code
Phone Work Mobile
Application Form 2012 Sustainability Champions Scholarship Program NCTAFE 06-Feb-12
Employment status (select the appropriate box)
Full time Part time Casual Contract Other
Vocational qualifications (select the appropriate boxes)
Certificate IV in Training and Assessment. Please specify: TAE40110 or TAA40104
Diploma of Training and Assessment
Other vocational education qualifications that would meet AQTF requirements
Previous study in an accredited sustainability unit or course. Note: Preferably Unit 1 Diploma of
Sustainability Unit VU30302 Apply Basic Concepts of Sustainability to Own or Local Practice or
Section B – Course delivery location
You will be required to participate in three (3) face-to-face training events (totalling nine days) over the 12-
month period. The training events will be supported by virtual ‘live’ web conferencing and online learning.
Applicants should only apply if they are committed to participate in all 3 training events and periodic web
Consideration may be given to delivery of the workshops in regional locations if demand exists and
arrangements can be made. In this event, please number your preference of location (1-2), where 1 is your
first preference and 2 is your second preference.
Preference (1–2) Location
(Queensland) location to
Other (please list):
For NSW and ACT applicants consideration will be given to successful applicant’s locations to determine a
central and accessible venue.
Section C - Selection criteria
In your own words, please respond to the following selection criteria in the box below each question.
Please keep to stated word limits:
1. Motivation: Describe why you want to complete this course. (150 word maximum)
2. Opportunity: Describe your current role and how you will manage, advance and deliver sustainability
training within your educational institution over the next two years. (200 word maximum)
3. Advancement: Describe how you will lead, advance and support sustainability initiatives within your
institution, with employers and/or in the community. (200 word maximum)
4. Leadership: Describe how you will share the expertise you gain from the course, during and
afterwards, across the VET sector and beyond. (150 word maximum)
5. Commitment: Describe the strategies you will use to ensure that you will complete the course. (100
Section D – Institutional recommendation
Applicants must have the support of their Registered Training Organisation to participate in this course. The
appropriate supervisor/manager/director from your institution should state why they are supporting and
recommending your application in the space below. (200 word maximum)
Supervisor’s recommendation statement:
Registered Training Organisation
Work phone Mobile phone