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Assessor Registration Form

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					Assessor Registration Form

For detailed information please download the Assessor Registration and Management Policy Document: http://www.theta.org.za/policies/index.asp?thepage=etqa.htm 1 Please be advised that all details requested are in accordance with the SAQA, NLRD requirements.

CONTENTS SECTION SECTION SECTION SECTION SECTION SECTION SECTION SECTION SECTION SECTION SECTION SECTION A. A. B. C. D. E. F. G. H. I. J. K. Permitted Values Reference Table ................................................................. 1 Personal Details ............................................................................................ 2 Contact Details .............................................................................................. 2 Application details ......................................................................................... 3 Assessment Scope Details............................................................................. 4 Motivation of Assessment Competence .......................................................... 5 Prior Learning Review ................................................................................... 5 Motivation of Technical Competence .............................................................. 5 Motivation of Contextual Competence ............................................................ 5 Declaration by Applicant ................................................................................ 6 THETA Qualifications Framework................................................................... 7
Permitted Values Reference Table This section will assist in the completion of SECTION B. Permitted values adhere to SAQA, NLRD and THETA database requirements. Alternate ID Number (SECTION B) Birth Certificate Number Drivers Licence Employee Number ETQA Record Number HSRC Register No. Passport No SAQA Member ID Student Number Temporary ID Number Unknown Work Permit Number Nationality (SECTION B) Angola Asian Countries Australia and New Zealand Botswana Central and South American Countries European Countries Lesotho Malawi Mauritius Mozambique Other and rest of Oceania Rest of Africa SADC except SA Seychelles South African Swaziland Tanzania Unspecified Zaire Zambia Zimbabwe

Citizen residence status (SECTION B) Dual (SA plus other) Other Permanent Resident South African Unknown

Home Language (SECTION B) Afrikaans Chinese English isiNdebele isiXhosa Northern Sotho (Pedi) Other Siswati Southern Sotho TshiVenda Tswana Unknown xiTsonga (Shangaan) Zulu

Disability status (SECTION B) (None) Communication (talking, listening) Disabled but Unspecified Emotional (behavioural or psychological) Hearing Impaired (Even with hearing aid) Intellectual (difficult in learning) Multiple Physical (moving, standing, grasping) Sight impaired (Even with Glasses) Unknown Disability Status

Socio-economic status (SECTION B) Employed N/A: Aged<15 N/A: Institution Not working – disabled person Not working – housewife/homemaker Not working – none of the above Not working – not looking for work Not working – not wishing to work Not working – pensioner/retired person Not working – scholar/full-time student Unemployed, looking for work Unspecified

1

National Learner Record’s Database

Issue Date Last Review

13 July 2003 07 August 2007

Version Review Date

5 Yearly

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Assessor Registration Form

APPLICATION INFORMATION SECTION B.
Personal Details * Please refer to SECTION A for permitted answers. Title (Dr, Miss, Mr, Mrs, Ms, Not stated, Prof) First Name Middle Names Surname Maiden Name (if applicable) RSA ID Number (13 digits) Alternate ID Number (if applicable) * Alternate ID Type & Country * Nationality * Citizen residence status Gender Male Female Equity Black: African Black: Coloured Black: Indian/Asian White * Home language * Disability status * Socio-economic status

SECTION C.

Contact Details

Kindly notify Theta should there be any changes to your contact details during the processing of your application.

Field BUSINESS telephone number HOME telephone number CELLULAR number FAX number
E-mail address Preferred Communication~ ~cell phone, e-mail, fax, post, telephone

Dialling Code

Number

Address Physical Line 1 Line 2 Line 3 City Code Region~ ~Eastern Cape, Freestate, Gauteng, KwaZulu-Natal, Limpopo, Mpumalanga, North West, Northern Cape, Western Cape) Postal

Issue Date Last Review

13 July 2003 07 August 2007

Version Review Date

5 Yearly

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Assessor Registration Form

SECTION D. 1.

Application details

Assessor Type – Select a category. Category INTERNAL Function Assessor in the employ of an organizational employer provider, who conducts assessments primarily for that employer as part of organizational performance management. Generally it is understood that this assessors’ core function is not assessment. Assessors in the employ of private and public providers, where their core function are most likely ETD practices in general, and assessment is conducted for external learners on a cost basis. Assessors who conduct internal and external assessments.

EXTERNAL

BOTH

INDEPENDENT

Assessors not attached to one accredited provider, who contracts their services for a defined scope to several accredited providers

2.

Institutional Assessors Only – Complete current employment details

Name of Organisation Position Month and year of appointment Name of person reporting to Contact number / e-mail

3.

Provider Details – List all Providers you wish to conduct assessment for.
2

Provider Accreditation no. / 3 SDL no.

Provider Name

Provider Contact details: e-mail address

3.1.

Proof of Authority - Complete nominator details for each Provider in number 3. OR attach letters from Providers/Organisations authorising your linkage. Provider Nominator Position Signature

Provider Nominator Position Signature

Date

Date

Provider Nominator Position Signature

Provider Nominator Position Signature

Date

Date

2 3

Theta Accreditation Number (e.g. 613/P/123456/2005) Skills Development Levy Number (e.g. L123456789)

Issue Date Last Review

13 July 2003 07 August 2007

Version Review Date

5 Yearly

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Assessor Registration Form

4.

Province of Assessment – Indicate your primary province of assessment. Gauteng Limpopo North West Free State Mpumalanga KwaZulu-Natal Province (you may select more than 1) Northern Cape Eastern Cape Western Cape Outside SA SA National Province, unspecified Undefined

5.

Sector of Assessment – Indicate your primary sectors of assessment. Where possible, indicate sub-sectors. (e.g. Hospitality, Accommodation Services). Sector (you may select more than 1) Tourism Hospitality Guiding Nature Conservation Sport Fitness & Recreation Travel Gaming Other (specify) Sub-sector

SECTION E.

Assessment Scope Details

List the qualifications / skills programme / unit standards you want to assess as an assessor. Please consult the Theta Qualifications Framework for SAQA Qualifications & Unit Standards registration codes: http://www.theta.org.za/etqa/index.asp?thepage=qualifications/index.asp OR refer to SECTION K for quick reference.

1.

National Qualifications – Provide details of Theta qualifications only. National Qualification Title NQF Level
4

SAQA ID (e.g. 20155)

Elective unit standards numbers & Title selected within the qualification

Etqa office use only

2.

Unit Standards – List only those that fall outside of the above qualifications, assess as single unit standards Unit Standard Title NQF Level Etqa office use only

SAQA ID (e.g. 7793)

Attach additional pages / insert lines if necessary.
4

National Qualifications Framework

Issue Date Last Review

13 July 2003 07 August 2007

Version Review Date

5 Yearly

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Assessor Registration Form
An Assessor may only assess against the listed scope as approved by Theta . SECTION F.
Motivation of Assessment Competence

Please note that TD Qualifications are expired. Assessors are required to reapply for registration after achieving the new Assessor Unit Standard. Assessor Unit Standards: 7978, Plan and conduct assessment of learning outcomes 115753 , Conduct outcomes-based assessment Have you received training in the Assessor unit standards 7978 / 115753? Have you been declared competent in the Assessor unit standard 7978 / 115753? Have you received a certificate/letter from the Provider or ETDP SETA? Please attach this document to application if available Please supply your ETDP learner number (ETDP Statement of Results No). Please attach this ETDP Statement of result document to application COMPULSORY for full registration status YES NO

SECTION G.

Prior Learning Review

Complete this section if SECTION F was not answered or NO was selected. Conversions to ASSMT 01 should have been completed by 1 April 2004 for Registrations to have remained valid.

1.

Alternate Assessor Training – Supply details of alternate Assessor training.

Have you received any other form of Assessor training (e.g. City & Guilds)? Name of Training Provider Duration of Training Standard Title Month and year of conversion to ASSMT 01 / 7978 / 115753

SECTION H. 1.

Motivation of Technical (academic) Competence

Formal Qualifications – List all formal qualifications and associated and relate this to the National Qualification or Unit Standards from requested scope application listed in SECTION E. Institution/Training Provider (e.g. UNISA) Year of Completion Related NQF Qualification/Unit Standard (e.g. 20155, 8550)

Qualification/Course Title (e.g. BSc)

SECTION I.
Organisation

Motivation of Contextual (work experience) Competence Complete this section OR attach Curriculum Vitae including duties details & references. Job Title Overview of Functions / duties Related NQF Qualification Reference (Name, contact no.)

Issue Date Last Review

13 July 2003 07 August 2007

Version Review Date

5 Yearly

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Assessor Registration Form

SECTION J.

Declaration by Applicant

I,

certify that the information given in this application is true and correct.

Applicant Signature

Date

Deliver / Courier completed application form to:
3 rd Floor, Block E, Sandhurst Office Park, Cnr Kathrine & Rivonia Road OR

Fax to: Facsimile: 0865053348 OR Post to: P O Box 1329, Rivonia, 2128
OR

e-mail to: only if signatures are electronically registered info@theta.org.za Kindly attach to application a signed Code of Conduct document (see below)

Issue Date Last Review

13 July 2003 07 August 2007

Version Review Date

5 Yearly

Page 6 of 11 Created by Leone Whateley

Assessor Registration Form

SECTION K. 1.
Qualifications

THETA Qualifications Framework

Detailed information available on http://www.theta.org.za/etqa/index.asp?thepage=qualifications/index.asp
TOURISM SUB SECTOR General Education and Training Certificate : Tourism National Certificate in Tourism: Car rental National Certificate in Tourism: Cabin Crew National Certificate in Tourism: Reception National Certificate in Tourism: Event Support National Diploma in Tourism: Event Co-ordination HOSPITALITY SUB SECTOR National Certificate in Accommodation Services National Certificate in Fast Food Services National Certificate in Hospitality Reception National Certificate in Food & Beverage Services National Certificate in Professional Cookery National Diploma in Accommodation Services National Diploma in Fast Food Services National Diploma in Food & Beverage Management National Diploma in Professional Cookery Diploma in Hospitality Operations National Diploma in Service Management GUIDING SUB SECTOR National Certificate in Tourism: Guiding National Certificate in Tourism: Guiding NATURE CONSERVATION SUB SECTOR General Education & Training Certificate Conservation National Certificate in Conservation Guardianship National Certificate in Natural Resource Management: Terrestrial National Certificate in Fisheries Resource Guardianship National Certificate in Fisheries Resource Management National Certificate in Community Conservation: Liaison & Support National Certificate in Community Conservation: Practice & Co-ordination National Certificate in Species Care in Controlled Environments National Certificate in Captive Animal Management National Certificate in Fisheries Observation: Deep Sea National Certificate in Fisheries Observaton: Inshore SPORT SUB SECTOR National Certificate in Sport / Recreation / Fitness Leadership National Certificate in Coaching Science National Certificate in Fitness National Diploma in Coaching Science National Diploma in Fitness GAMING SUB SECTOR National Certificate in Gaming: Cashiering National Certificate in Gaming: Dealing National Certificate in Gaming: Surveillance National Certificate in Gaming: Slots Operation TRAVEL SUB SECTOR National Certificate in General Travel National Diploma in Retail Travel National Diploma in Wholesale Travel NQF Level 1 4 5 4 4 5 NQF Level 2 3 4 4 4 5 5 5 5 5 5 NQF Level 2 4 NQF Level 1 2 5 4 5 2 5 2 4 5 4 NQF Level 4 5 5 5 5 NQF Level 3 3 3 3 NQF Level 5 5 5 SAQA ID 22190 17492 18943 20513 17390 20613 SAQA ID 14110 14115 14116 14113 14111 14123 14109 14108 14112 24433 20414 SAQA ID 17174 20155 SAQA ID 22971 20415 20416 20413 20153 24199 24195 48433 48435 35925 23513 SAQA ID 21500 21499 23374 21891 21890 SAQA ID 14117 14114 14121 14120 SAQA ID 14119 14122 14118

2.

Skills Programmes
Registration No TRV/GenRec/4/0001 TRV/TrvPro/4/0002 NQF Level 4 4

TRAVEL SUB SECTOR General Receptionist, Office Assistant, Filing Clerk or Secretary Travel Processor

Issue Date Last Review

13 July 2003 07 August 2007

Version Review Date

5 Yearly

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Assessor Registration Form
BSP Clerk Driver / Messenger TOURISM SUB SECTOR General Tourist Assistant Support Event Manager Event Support Clerk Airline Check in Clerk, General Assistant Air Ports EVENT MANAGEMENT Support Event Manager Event Support Volunteer HOSPITALITY SUB SECTOR Room Attendant Laundry Assistant Public Area Cleaner Assistant Housekeeper Porter Receptionist Porter / Concierge Cook – Convenience foods Cook – Fast Foods Kitchen Cleaner Assistant Chef Food Service Assistant Drink Serviced Assistant Table Attendant Fast Food / Counter Attendant Bar Attendant GUIDING SUB SECTOR Cultural Site Guide Nature Site Guide Nature Site Guide (Dangerous Game Area) Adventure Site Guide (Mountaineering) Adventure Site Guide (Fly Fishing) Adventure Site Guide (Pro-Paddling) Adventure Site Assistant (Pro-Paddling) Adventure Site Guide (Marine Guiding) Cultural Site Guide Nature Site Guide Nature Site Guide (Dangerous Game Area) Adventure Site Guide (Mountaineering) Adventure Site Guide (Fly Fishing) Adventure Site Guide (Pro-Paddling) Adventure Site Guide (Marine Guiding) NATURE CONSERVATION SUB SECTOR Field Ranger (Armed or Unarmed) Senior Field Ranger General Field Assistant Conservation Natural Resource Management - General Natural Resource Management - Fauna Natural Resource Management - Flora Natural Resource Management – Environmental Community Conservation Management Conservation Compliance Programmes Officer SPORT SUB SECTOR Sport Recreation and Fitness Leadership and Administration TRV/BspClk/4/0003 TRV/Msnger/4/0004 Registration No TRS/GenAst/4/0005 TRS/SupEMn/4/0006 TRS/ESupCl/4/0007 TRS/AirpGA/4/0008 Registration No TRS/SupEMn/0009 TRS/EvnSup/4/0010 TRS/EvnVol/4/0011 Registration No HSP/RmAttd/2/0012 HSP/LndAss/2/0013 HSP/Cleanr/2/0014 HSP/AssHkr/2/0015 HSP/FoHPrt/2/0016 HSP/Recept/2/0017 HSP/PrtCon/2/0018 HSP/CkConF/2/0019 HSP/CkFstF/2/0020 HSP/KchCln/2/0021 HSP/AssChf/2/0022 HSP/FdSrvA/2/0023 HSP/DSrvA/2/0024 HSP/TblAtt/2/0025 HSP/FfCAtt/2/0026 HSP/BarAtt/2/0027 Registration No TGD/CulSGd/2/0028 TGD/NatSGd/2/0029 TGD/NSGDGm/2/0030 TGD/ASGMnt/2/0031 TGD/ASGFsh/2/0032 TGD/ASGPad/2/0033 TGD/ASGPad/2/0034 TGD/ASGMar/2/0042 TGD/CulSGd/4/0035 TGD/NatSGd/4/0036 TGD/NSGDGm/4/0037 TGD/ASGMnt/4/0038 TGD/ASGFsh/4/0039 TGD/ASGPad/4/0040 TGD/ASGMar/4/0041 Registration No CSV/FldRng/2/0043 CSV/SrFRng/2/0044 CSV/GFldAs/2/0045 CSV/NRMnGl/5/0046 CSV/NRMFau/5/0047 CSV/NRMFlo/5/0048 CSV/NRMEnv/5/0049 CSV/CConsM/5/0050 CSV/CnsCom/5/0051 CSV/PrgOff/5/0052 Registration No SRF/LdsAdm/4/53 4 4 NQF Level 4 4 4 4 NQF Level 4 4 4 NQF Level 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 NQF Level 2 2 2 2 2 2 2 2 4 4 4 4 4 4 4 NQF Level 2 2 2 5 5 5 5 5 5 5 NQF Level 4

Issue Date Last Review

13 July 2003 07 August 2007

Version Review Date

5 Yearly

Page 8 of 11 Created by Leone Whateley

Assessor Code of Conduct
Role of Assessor and Internal Moderator
Individuals fulfilling an Assessor or Internal Moderator role will have high visibility within the organization as well as the Tourism, Hospitality and Sport Education and Training Authority and should be seen to be displaying appropriate values and behaving in accordance with the Code of Conduct as agreed to between the THETA ETQA and (Organization’s name)

Individuals should be guided by the highest possible standards of personal integrity, professional competence, sound judgement, and discretion whilst fulfilling their roles as Assessors and Internal Moderators.

The following is considered as acceptable Assessor and Internal Moderator practice:

To actively and effectively implement the role of Assessor/Internal Moderator as laid down in the Terms and Conditions, thereby ensuring client and user involvement, participation and ownership.

Professionalism
To maintain the professional image of the organization and the THETA at all times by ensuring: preparation for meetings, assessments and moderation is done in a thorough and timeous manner

attendance of all training programmes as identified in order to keep up to date with new assessment and moderation practices, etc.

managing personal biases

showing respect for demographic and learner differences

avoiding conflict of interests

evaluating gifts/favors in relation to this code of conduct and ethics

Assessment Practice and Principles
The Assessor undertakes to • Follow the assessment process as determined by the SAQA and ETQA criteria / requirements: 1. 2. 3. 4. 5. 6. • Plan and prepare assessment Prepare the candidate Conduct the assessment Make a judgement Record the assessment Review the assessment

Maintain a developmental approach to assessment, and show continuous commitment to the principles of professional ethics and learner support,

• • • •

Conduct assessment with due care and diligence and adherence to the assessment principles : Fair Valid Reliable

• • • • • • • • • •

Direct Appropriate Manageable Integrated into work or learning Authentic Current Transparent Direct Systematic Sufficient

Fraudulent Activities
Due to the nature of the role of Assessors and Internal Moderators, caution must always be exercised to ensure that Assessments and the Moderation thereof are conducted according to the policies and procedures of (Organization’s name) , as laid down and submitted to the THETA ETQA, in their Quality Management

System Policy, and that no exceptions will be made. Exceptions of any kind can be construed as fraudulent.

Matters of Confidentiality
As part of your role as Assessor/Internal Moderator you will have access to confidential information/material. This information is a valuable asset and you are not permitted to make a disclosure of this information, or to use it, without the written consent of the company or the third party. This applies both during the course of your employment and thereafter.

De Registration
Failure to adhere to this Code of Conduct could result in the withdrawal of your Assessor/Internal Moderator registration with the THETA ETQA and disciplinary action by the organization.

The following instances are regarded as serious breaches of the Assessor Code of Conduct, and may lead to deregistration of the assessor”

No 1 2 3

Instance Misconduct Moderation Results Misrepresentation

Description Complaints lodged by learners, providers or other stakeholders regarding conduct or ethics of the assessor during the assessment process Repeated non-performance and/or policy violations of an assessor emerging in moderation results Willful misrepresentation by the assessor of: • the provider scope, • his/her own expertise or • Theta policy issues and/or practices. An assessor is found to be not competent in the scope of assessment through external moderation

4

Competence Audit

Declaration by Assessor / Moderator
I (Full Name and Surname)

Declare that I have read and understood the contents of this document and am aware that any disregard of the regulations could result in my being de-registered as an Assessor/Moderator with THETA and possibly other SETA’s too.

Signed at (place): on (date): between the following parties: Assessor / Internal Moderator Full name/s and Surname: Signature:

Representative of Organization Full name/s and Surname: Signature:

on behalf of Organization Name:


				
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Description: Assessor Registration Form