2015 Training Agreement

A. InstructionsPlease note:

Complete all sections in a clear and legible manner. In this document, ‘trainee’ refers to the person who wishes to start training. Use the checklist on page 5 to ensure your training agreement is complete. Incomplete agreements will be returned to you. If you have any questions or require help, please call the Careerforce Client Services Team on 0800 277 486.

B. Employer’s details – Employer to complete sections B and C

Company name: Trading name:(if different to above)

Site/branch: Account number:

Key contact name:

Email address:

Trainee’s work status: Paid employee Voluntary/Unpaid work agreement

C.Literacy – Employer to completeIf your qualification is at level 2, you must select either a paper or online assessment (participation above level 2 is optional). If participating, please select how your trainee will complete the assessment.

Paper assessment (the completed assessment must be attached to this agreement) Online assessment

D. Trainee’s details – Trainee to complete sections D - IFull legal name:(These details must match your evidence of ID &/or residency. See page 2)

First name: Middle name:

Last name: Preferred name:

Previous name(s):

Date of birth:

Day/Month/Year

Gender: Female Male

NZQA/NSN number:(if known)

Address:

Street address: Suburb

Town/city: Postcode:

Email address:

Contact number:Home telephone: Mobile:

E.EthnicityTo which of the following ethnic groups do you consider you belong? Please tick the appropriate box (es).

NZ European/Pākehā Niuean Other Pacific Filipino NZ Māori* Cook Islands Maori Indian Chinese Samoan Tokelauan African Other Asian Tongan Fijian Other please specify:

* If you are of NZ Māori descent, please list the iwi with which you are affiliated. You may also provide the name of your hapu:

Iwi: Hapu:

F.Residency statusPlease select your residency status and attach the correct verified documentation. Please note:

Your employer must verify your identification. Refer to document: Forms of Identification accepted by NZQA/Careerforce: Page 6

If the name you are enrolling in is different from your identification, you must provide additional evidence that supports your name change (i.e. marriage certificate, birth certificate, deed poll).New Zealand citizen (including Cook Islands, Niue and Tokelau citizens).Please provide a verified copy of your passport, birth certificate or certificate of citizenship.New Zealand permanent residentPlease provide a verified copy of your passport and your current residence permit.Work permit/work visa Please provide a verified copy of your passport and your current work permit.

Expiry date:

Day/month/year

Australian citizenPlease provide a verified copy of your passport.Other overseasIf you have refugee status in New Zealand, please provide a verified copy of your valid certificate of identity from the New Zealand Immigration Service (NZIS).

G. Statistical dataIs English your second language? Yes NoDo you have a disability (visual/hearing impairment or physical disability)? Yes NoWhat were you doing immediately prior to entering training?

House person or retired Secondary student Currently employed Unemployed or beneficiaryTertiary student Overseas

H. Workplace sectorWhat area will you mostly work in while completing this qualification? (Please select only one)

Aged Residential Care Aged Care Home-basedDisability Mental Health and AddictionEmployment Support Social ServicesAllied Health (e.g. dental, dietitian, rehabilitation assistants)

Disability Support Other (e.g. vocational, day option centres, early intervention service)

Secondary Care (e.g. health care assistants, Public Health and Primary Care (e.g. screeners,

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orderlies) community health workers)Whānau Ora Cleaning ServicesWhānau/family and Foster Care Pest ManagementYouth Work

I. Previous educationState the name and country of the last secondary (high) school you attended:

Name of School:Country:

What is the highest qualification you achieved at secondary (high) school?

No qualification University entrance14 or more credits at any level OtherNCEA Level 1 or School Certificate Not knownNCEA Level 2 or 6th Form Certificate Overseas qualification (includes International

Baccalaureate and Cambridge exams)NCEA Level 3 or Bursary or Scholarship

What is the highest qualification you achieved after secondary (high) school?

No qualification Level 6 Graduate Certificate, Diploma or CertificateLevel 1 Certificate Bachelor Degree, Level 7 Graduate Diploma,

Certificate or DiplomaLevel 2 CertificateLevel 3 Certificate Postgraduate Diploma/Certificate, Bachelor HonoursLevel 4 Certificate MastersLevel 5 Diploma/Certificate Doctorate

J. Qualification selection – Employer to completeState the qualification your trainee is enrolling in:

Qualification title: Level:      

Strand title:

K. Training programme (for this qualification) – Employer to complete

Compulsory units: You will automatically be enrolled in the compulsory units for the qualification.Elective units:

1 If your qualification has electives, select one of the options below.2 If there are no elective choices in your qualification, please leave this section blank.

Option 1: Where specified electives or a specified integrated learning package has been preselected for this programme by the employer.

Option 2: The trainee is completing this qualification through the Skills Recognition Programme. Option 3: Individualised programme of electives (please list below). Option 4: Workshop Model (contracted programme).

Unit standard number Level Credits Unit standard number Level Credits                        

                       

                       

                       

                       

                       

                       

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A full list of available elective unit standards can be found at www.careerforce.org.nz or by contacting your Careerforce Workplace Advisor. Total credits:      

L. Privacy Act 1993 – Please readYou, the trainee, authorise Careerforce staff and its agents to:1. collect and securely hold information relevant to this training agreement (note: you can access your personal

information on request).2. distribute this information as necessary to manage your training (in accordance with the relevant provisions of the

Privacy Act 1993) to the New Zealand Qualifications Authority (NZQA), the Tertiary Education Commission (TEC), education training providers, iwi authorities, graduation ceremony organisers and your employer.

3. keep you informed of any changes or updates to qualifications or services, and to support your progress using electronic communications in accordance with the provisions of the Unsolicited Electronic Messages Act 2007.

4. use your assessment evidence as part of Careerforce’s and NZQA’s moderation or quality control systems. Careerforce will remove all references to people/places before using this information for external moderation purposes.

5. provide your employer and assessor with your National Student Number (‘NZQA hook-on number’) and your NZQA Record of Achievement (ROA).

6. allow Careerforce and my employer access to the personal information created by the Literacy Assessment Tool for teaching and learning purposes only.

7. allow Careerforce and the TEC to use the information and results for research purposes and general statistics on tertiary education.

M. Training agreement terms – Please reada. This training agreement intends to set out the relationship between the parties arising from Section 3 of the Industry

Training Act 1992. It forms part of the employment or voluntary/unpaid work agreement between the employer and the trainee and is valid for as long as you remain in employment or in voluntary/unpaid work with your current employer.

b. Nothing in this training agreement will detract from or otherwise affect the operation of the provisions of the Employment Relations Act 2000 relating to personal grievances or to the enforcement of employment or voluntary/unpaid work agreements between the employer and the trainee.

c. Registration begins when a correctly completed and signed training agreement and trainee identification is received by Careerforce. The training start date will be the date the employer has signed the training agreement.

d. By submitting this training agreement to Careerforce you agree to pay the qualification fees (where applicable) for this programme.

e. This training agreement will cease for any of the following reasons:i. On the completion of this training plan.ii. On termination of the employment or voluntary/unpaid work agreement between the

trainee and employer.iii. If either the employer or employee request that this training agreement be terminated.iv. A trainee is on a work visa and has not supplied Careerforce with a renewed visa.v. A trainee has not reported any credits for an extended period of time as outlined in

section P.f. Careerforce cannot register credits after this training agreement has ceased.

g. Training registration fees are refundable, less $50 administration fee, if the trainee terminates within 3 months of the training start date. Requests for terminations must be received by Careerforce within one month of the termination date. This refund policy does not apply to contracted programmes. Training

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agreements cannot be transferred to another trainee.

Trainee: Go to Section N on page 5. Employer: Go to section P on page 5.

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N. Fees payable – Trainee to completeWill you be paying your own qualification fee? Yes No

If you are paying for your own qualification, you will be invoiced directly by Careerforce on receipt of this Training Agreement. You may also provide payment in advance by attaching a cheque to this agreement.

O. Trainee’s declaration and signature – Trainee to complete

By signing here you, the trainee, acknowledge that the information supplied is correct to the best of your knowledge. You have read and agree to the terms and conditions listed in the training agreement (section O) and to the responsibilities listed below.I agree to:

• achieve at least 10 credits for each calendar year that I am enrolled (where I am enrolled for more than 90 days in the calendar year).

• supply all my own evidence in assessments.• report credits in every calendar year that this agreement is valid.• advise Careerforce if I need to place my training agreement on hold, change employer or if any of my details

(including contact details) change.• that if I am taking part in the Literacy Assessment programme, I understand the purpose of the Assessment Tool and

will complete it as required and will not copy or change any of the questions.

Trainee’s signature:

P.Employer’s declaration and signature – Employer to complete

Use this checklist to ensure your training agreement is complete – incomplete agreements will be returned to you.

Verified copy of identification is included (this is not required if the trainee has been enrolled with Careerforce in the last two years and was not on a work visa) refer to Forms of Identification accepted by NZQA/Careerforce page 6

All sections are completed

Signed by the trainee (section O)

Signed by you, the employer (section P)

By signing here you, the employer, acknowledge that the information supplied is correct to the best of your knowledge. That you, or an authorised person within your organisation, have verified the identification provided and have sighted the original. (Refer to the Careerforce Enrolment Guide for acceptable identification and how to complete verification).You have read and agree to the terms listed in this training agreement (section O) and to the responsibilities listed below. I am responsible for providing support to the trainee and agree that:

• the person identified in this training agreement has a current employment agreement (consistent with the provisions of the Employment Relations Act 2000) or a voluntary/unpaid work agreement with my organisation

• I will provide workplace support to the trainee of a type and level appropriate to the nature/scope of this training• I will advise Careerforce if the training agreement is to be placed on hold or if the trainee leaves the employment of

this organisation

Employer’s full name: Employer’s position:

Employer’s signature: Date:Day/month/year

     

Special Notes:

You can post, fax, or scan and email this training agreement and identification documents to:

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Post: Client Services, Careerforce, PO Box 25 255, Christchurch 8144Fax: 03 371 9285 Email: info@careerforce.org.nzIf you have any questions or require help, please call our Client Services Team on 0800 277 486.

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