Application form RPL by 15ZP20

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									                          Recognition of Prior Learning: Application form
This form consists:


     1. Personal data
     2. Employer data
     3. Working experience
     4. Training data
     5. Other learning situations
     6. Goal RPL
     7. Information
     8. Competence Scan


Please fill out this application form completely.
Questions? Please contact: directadvies@hszuyd.nl or call 088-989 3000


The completed registration form should be sent by mail to Zuyd, Direct Advies: directadvies@hszuyd.nl




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1. Personal data

Surname:
(If married, your maiden name also)
Forename (s) name (s) (full):
Callsign:
Adress:
Zip code, City/Town:
(Mobile) Phone number (s):
Private e-mail address:
City/Ttown of Birth:
Data of Birth:
Gender:                                male /    female
In possession of a European passport   yes /    no

2. Employer data

Name current employer
Visiting adress:
Zip code, City/Town:
PO Box number:
Zip code, City/Town:
General telephone number:
Contact:
Extension:
E-mail:
Website:

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3. Work experience
    Please complete your work experience in chronological order starting with you current employer.

Name of company/institution:                   Job title:                         Period:              Brief description of duties and activities
1.
2.
3.
4.
5.
6.
7.
8.

4. Education,training and courses
    Enter the training courses followed in chronological order, starting with the last received training.


Name education/training                           Name and location of providing institution                         Period:                  Certificate yes/no
1.
2.
3.
4.
5.
6.
7.
8.




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5. Other learning situations (if applicable)

Typing your “informal learning situation”           Which competence is shown by that activity          Period                 How to make provable?
(voluntary work, hobbies etc.)
1.
2.
3.
4.
5.
6.
7.
8.

6. Goal RPL

What do you want to achieve with RPL (eg: better job opportunities, better job with your current employer, following a shortened undergraduate training, etc.).



For which professional profile do you want to qualify in the RPL procedure? (For example: commercial manager, HR employee, teacher, nurse, employee CT,
etc.)



Why you think you are qualified for an RPL procedure?



Do you have specific questions you want to discuss during the interview?




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7. Information for Zuyd

Would you please indicate below how you are alerted on the RPL procedure at Zuyd? Please tick one box only.
       National media
       Regional media
       Unemployment office
       Employer
       Website Zuyd University
       Quick scan (website Zuyd University)
       Brochure Zuyd University, received from
       Otherwise, namely




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8. Competence Scan

Introduction
The competence scan (CS) is developed to make your qualities and work experience at bachelor level visible.
If you wish to follow the RPL procedure at the level of Intermediate Vocational Training, you are not obliged
to fill in this competence scan.

The primary purpose of the CS is to provide input for the intake interview, the CS does not involve your
profession specific expertise. This will be examined in a later stage of the RPL procedure.

The CS is constructed as a self assessment tool. You evaluate yourself with the help of six generic bachelor
level competences and base your self evaluation on tangible, up to date examples from your professional
environment. The six competences are: analyzing, problem based working, communicating, cooperating,
method based acting and self-steering functioning.

The CS is aimed as input for the intake interview. On the one hand, the tool enables you to connect work
experience to generic bachelor level competences. On the other, it gives the intaker/advisor a general
impression of the level of your professional activities.

Every competence is briefly described and translated into ten statements. Read the statements and indicate
how the statements apply to your situation by selecting one of the following response options:
    1. It does not apply or hardly applies
    2. It applies to a small extent
    3. It applies to a large extent
    4. It applies perfectly

After the statements, you will be asked to provide a practical example for each of the competences. This
example must originate from your professional life. The primary aim is to indicate to what degree your
behavior was effective in the situation at hand. During the intake interview you will be able to explain your
examples orally once more.

Finally, you will be asked to link the indicated examples to one or two statements




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8.1      Analyzing
Indicators
- Structuring
- Abstracting
- Evaluating
- Transfer (vertically)

Description
Analyzing at bachelor level, in terms of functioning and thinking, entails the manner with which you cope
with problems/issues in your professional environment. You lay out complex problem situations via a
systematic and structured method. In order to help you with this, you are provided with up to date
knowledge that fits recent (scientific) knowledge, insights, concepts and research results. You gather,
structure and interpret relevant data and connect theory to practice. On the grounds of the systematic
analysis you draw conclusions. In addition, you interpret the situation from different angles, so that you are
able to assess the consequences effectively. You are able to divide problems/issues into sub-problems,
which enables you to distinguish major from minor facts. If you apply this working method, you are able to
constitute well founded evaluation.

Link the statements below to your professional situation and indicate to what degree the statements in
terms of analyzing are applicable to you (1 = does not or hardly applies ----------- 4 = applies perfectly).

      In a complex problem situation, I am able to distinguish sub-problems and approach the
 1
      problem from different angles.

 2    I sort the searched information in a systematic manner.

      When I am studying the searched information, I select relevant information; I quickly
 3
      distinguish major from minor issues.
      In my professional life, I easily connect different types of searched information (for
 4    example: information received from colleagues, from literature, from policy regulations
      and procedures).
      After studying the searched information, I am able to summarize it effectively and
 5
      plausibly incorporate it in schemes, tables or graphs.
      In order to make an assessment, I refer to various sources of information which originate
 6
      from different fields in my job.

 7    I succeed to draw conclusions from the available information.

 8    I am able to support the conclusions I draw with valuable proof.

 9    In order to clarify an abstract subject, I am easily able to give a practical example.

      I apply new knowledge, insights and research results, that for example originate from
10
      occupational literature, structurally in relevant professional situations.




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Analyzing

Describe a concrete, practical example from your professional life, from which your analyzing ability
emerges.




Which of the ten statements fits best with your example? (maximum of 2 statements)

Statement number                  and




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8.2 Problem based working
Indicators
- Acting with vision
- Anticipating
- Identifying and tackling problems
- Result based working

Description
This competence is about signaling problems/bottlenecks in your job on time, as well as tackling the
problems independently and in cooperation with others. An effective problem solving approach at the
bachelor level entails defining complex problem situations and coping with them effectively in your
professional life. Vision, relevant knowledge and (theoretical) insights are the basis of doing this. In order to
tackle the problem, you develop valuable solution strategies and base these on solid proof. In addition, you
aim for agreement on and support for the utilization. Finally, you evaluate the effectiveness of your coping
method based on the results.

Link the statements below to your professional situation and indicate to what degree the statements in
terms of analyzing are applicable to you (1 = does not or hardly applies ----------- 4 = applies perfectly).


 1   I am aware of how my tasks relate to the bigger whole of the organization I work for.

     I have a clear view of what position the department I work for holds now, as well as what
 2
     the department’s position should be in the future.

 3   In advance, I take the time to think about a problem and develop a strategy for a solution.

     In my job, I signal possible problems on time. Through timely acting, I then prevent
 4
     problems from occurring.

 5   I do not avoid a problem, but recognize it when it occurs.

 6   I succeed to independently tackle complex problem situations.

     When I select a solution strategy, I can easily find the balance between the solution’s
 7
     quality and its feasibility.
     When a problem occurs, I quickly know which people to approach in order to come to a
 8
     solution.

 9   In cooperation with others, I create clear understandings about the aimed results.

     I structurally evaluate whether the approach of tackling the problem as well as the
10
     solution is effective.




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Problem based working

Describe a concrete, practical example from your professional life, from which your problem based ability to
work emerges.




Which of the ten statements fits best with your example? (maximum of 2 statements)

Statement number                  and




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8.3      Communicating
Indicators
- Communicating orally
- Putting into words/written communication
- Sensibility to context (attuning and giving feedback)

Description
This competence is about how you communicate with others in a multicultural, international and/or
multidisciplinary work environment. In your daily job, you are able to bring across ideas, opinions and
information to others in clear and accurate language. The art of it, is to do it in a way that the essence gets
across to specialists as well as non-specialists and is understood by them. Do you pick up important
messages? Do you provide others with sufficient space and attention? How do you respond to others and
how do they respond to you? In order to write reports and present your work, an effective command, in
terms of speaking and writing, of the Dutch language is required. Often a command of the English language
is required as well. The ability to work with multimedia and IT-tools is also related to this competence. In
short, to what degree are your communication competences developed?

Link the statements below to your professional situation and indicate to what degree the statements in
terms of analyzing are applicable to you (1 = does not or hardly applies ----------- 4 = applies perfectly).


 1    I clearly put in words what I want to say and mean.

      I attentively listen to what others bring into the conversation and summarize what has
 2
      been said concisely.
      I am able to express myself about my occupation, orally and on paper, in at least one
 3
      foreign language.

 4    I easily draw up reports that fit the target group.

      During presentations I am able to bring across my message clearly, and if needed make
 5
      use of multimedia tools.
      My work tasks consist of, among other things, communicative activities (consultations,
 6    meetings, (telephone) conversations, drawing up reports, giving presentations, emails
      etc.). I succeed in performing these activities well.
      When I communicate, I pay attention to my non verbal behavior as well as my
 7
      conversation partner’s non verbal behavior.
      I am able to effectively communicate with people from different backgrounds (culturally,
 8
      socially, professionally).

 9    I listen to feedback of others and respond to it constructively.

10 I discuss problems and irritations with the person that concern them, even if it is not easy.




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Communicating

Describe a concrete, practical example from your professional life, from which your competence
communicating emerges.




Which of the ten statements fits best with your example? (maximum of 2 statements)

Statement number                 and




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8.4      Cooperating
Indicators
- Empathic capacity/empathy
- Directing
- Anticipating on differences/contradictions
- Adaptive behavior
- Sound acting

Description
In a lot of bachelor level jobs cooperating is an important competence. Often teams are created to work in a
project based setting in order to work on shared goals. Together with your team members, you draw up a
time schedule and jointly work on projects and accompanying tasks. In this manner, you actively contribute
to accomplishing shared goals. In a multidisciplinary and multicultural environment you also function well. A
high degree of social skills is needed to cooperate with colleagues in a pleasant and effective fashion. You
are able to cope with tension and are open to other team members (and their problems). Furthermore, you
are expected to show respect and understanding towards others and appreciate the contribution of others
evidently.

Link the statements below to your professional situation and indicate to what degree the statements in
terms of analyzing are applicable to you (1 = does not or hardly applies ----------- 4 = applies perfectly).

      I actively contribute to a pleasant, workable situation in order to come to a joint team
 1
      result.

 2    When I cooperate, I take into account the other’s personality or personal situation.

      In a multidisciplinary team I understand the value of the contribution of all members well.
 3
      I also take this into account.

 4    In a new cooperative relationship I quickly feel comfortable.

      In a team I take initiatives: I draw up a time schedule, divide the tasks and keep guard of
 5
      continuation.

 6    I stimulate and provide space for the development of my employees.

 7    During cooperation, I take into account everybody’s strengths and weaknesses.

      Within my organization, I effectively cooperate with occupational colleagues as well as
 8
      non-occupational colleagues.

 9    I keep my appointments and obligations or will timely indicate if I will not be able to so.

10 I act soundly towards my colleagues and my organization.




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Cooperating

Describe a concrete, practical example from your professional life, from which your ability to cooperate
emerges.




Which of the ten statements fits best with your example? (maximum of 2 statements)

Statement number                  and




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8.5 Method based acting
Indicators
- Planning/organizing
- Information searching, finding and using
- Working accurately
- Transfer (horizontally)
- Innovating

Description
In your professional life you are expected to perform your tasks in an accurate, systematic and creative
manner. You actively search and gather information. On the basis of this, you construct realistic goals. You
make use of methods and techniques that are common within your professional group and/or originate from
from occupational literature. You make use of creative ideas and innovative approaches. You also apply
formerly acquired expertise and experiences.

Link the statements below to your professional situation and indicate to what degree the statements in
terms of analyzing are applicable to you (1 = does not or hardly applies ----------- 4 = applies perfectly).

     The creation of project and activity plans is part of my work tasks; I succeed in drawing up
 1
     these plans independently.
     I perform my work tasks systematically. I work according to common procedures and
 2
     guidelines.

 3   I perform my work tasks accurately and hardly make mistakes.

     I bring in ideas about how tasks can be performed in a thorough, structured and careful
 4
     manner.
     I search for information in a goal-oriented and systematic way. I quickly find the
 5
     information I need.
     I apply the searched information to achieve an optimal result. I also make use of
 6
     information that originate froms from occupational literature.

 7   In my job, I effectively make use of experiences that are gained in former situations.

     I apply ideas and alternatives from various occupational fields in order to reach the goals
 8
     that are set.

 9   I present new ideas and insights when solving problems/bottlenecks.

10 I am attentive to new knowledge and insights to serve as chances for improvement.




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Method based acting

Describe a concrete, practical example from your professional life, from which your ability to act
methodically emerges.




Which of the ten statements fits best with your example? (maximum of 2 statements)

Statement number                   and




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8.6 Self-steering functioning

Indicators
-       Working independently
-       Learning ability
-       Reflection ability/Self knowledge
-       Coping with insecurity
-       Acting ethically

Description
This competence regards your ability to function independently in your occupational environment and your
ability to control your professional development. You keep guard of the work process and the aimed results
using a helicopter view, and make adjustments when it is necessary. You keep track of (international) trends
in your occupational field and continuously develop your occupational expertise and skills. You show that
you have a critical attitude, also towards yourself. You accept that work tasks change with a certain
regularity; you are able to handle insecure and unclear situations well. In your professional life you take into
account the standards and values of your occupation and your social responsibility.

Link the statements below to your professional situation and indicate to what degree the statements in
terms of analyzing are applicable to you (1 = does not or hardly applies ----------- 4 = applies perfectly).


1       I am able to bring my work, independently and result oriented, to a successful conclusion.

    2   I take the initiative to fulfil the best possible role within my organisation.

    3   I am able to, in a short time, acquire and process lots of knowledge into a coherent whole.

        I keep up with the leading professional magazines and follow the relevant developments
    4
        in my profession.
        I monitor the quality of my own work on the basis of the requirements that my
    5
        occupational environment sets and the goals I have set myself.

    6   I use my colleagues as a sounding board for my professional development.

        If I am uncertain about my approach, I am able to bring back my uncertainty to the correct
    7
        proportions through investigating various scenarios.

    8   If things are going against me, I manage to keep myself motivated.

        If I need to make choices in my work I always take my social responsibility into
    9
        consideration.

10 In carrying out my job, I always take the values of my profession into account.




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Self-management

Describe a concrete, practical example from your professional life, from which your self steering functioning
emerges.




Which of the ten statements fits best with your example? (maximum of 2 statements)

Statement number                  and




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