Food Safety Supervisor Enrolment

First Name *

Middle Name

Last Name *

USI NUMBER ( Unique Student Identifier)

Have you ever been known by any other name?

Gender

Female

Male

Date of birth *

Address *

City *

State *

Postal code *

Phone *

Email *

Cultural Diversity

Are you of Aboriginal or Torres Strait Islander origin?

Aboriginal

Torres Straight Islander

Both

Neither

If not born in Australia, which country where you born in?

Is English your first spoken language?

YES

Do you speak any other languages other than English at home?

YES

If yes, what language/s do you speak?

How well do you speak English?

Very Well

Well

Not Well

None

Drivers License Front

Drivers Licence Back

Application Declaration

I wish to apply for Recognition of Prior Learning for the units of competency listed below the self-assessment form and contained within the evidence portfolio.

I have attached original copies of relevant documentation as supporting evidence and declare that the documentation supplied is legitimate, true and correct

I understand that the Assessor will verify my documentation for validity

I understand that the RPL process is only an assessment process whereby I submit evidence to support my competency claim.

I understand that there is no training or learning guide in this process and that I am using this process to fast- track my qualifications.

I understand that Icon Training Academy is not responsible for searching or discovering any information or supporting evidence

I understand that I am responsible for supplying all additional supporting evidence and information requested by Icon Training Academy to support my application

I understand that I shall only entitled to a refund of 50% of the total fees paid if I do not meet the competency standards or withdraw this RPL application.

I understand any further training and assessment I require to complete my qualification will be at my own expense

Student Signature

Clear

Captcha