SCOUTS AUSTRALIA, QUEENSLAND BRANCH INC. RECOMMENDATION FOR APPOINTMENT AS A SCOUT ASSESSOR
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1 SCOUTS AUSTRALIA, QUEENSLAND BRANCH INC. RECOMMENDATION FOR APPOINTMENT AS A SCOUT ASSESSOR Form: A59 Issue: 04 Date: 04/12 Forward to Training Department, Queensland Scout Centre: PO Box 520 Toowong Qld Dixon Street Auchenflower Qld training@scoutsqld.com.au Phone (07) Fax (07) Free Call (for country callers): TO: DEPUTY CHIEF COMMISSIONER (ADULT TRAINING and DEVELOPMENT) I recommend that the following Leader be appointed as a Scout Assessor, who has completed the prerequisite training: FULL NAME OF LEADER:.. MEMBERSHIP NUMBER:. CURRENT APPOINTMENT:. APPOINTMENT: Scout Assessor FORMATION:.. Wood Badge Completed:../../.. Completed Profile (including certified attachments) attached Assessor s Course or equivalent Completed:../../.. Signed Duty Statement attached....../. /. Signed District Commissioner Name (please print) Date....../. /. Signed Region Commissioner Name (please print) Date.... Endorsed by DCC (Adult Training and Development)./. /. Date
2 REGISTRATION OF SCOUT ASSESSORS (NON-TRAINING TEAM) The information contained in this document is required for the REGISTRATION AUDIT for delivery of the Scouts Australia Nationally Accredited Courses: 30286QLD Diploma of Leadership 30287QLD Certificate IV in Leadership 30288QLD Certificate III in Leadership Support 30289QLD Certificate II in Leadership Support Please number and attach certified copies (JP/ComDec) of all formal qualifications /academic records and other appropriate industry/scouting training awards/statements etc. PLEASE DO NOT SEND ORIGINALS. Any alterations to, or upgrading of this information must be provided immediately to your Branch for forwarding to the Scouts Australia Institute of Training. Branch: Date Received: Membership check including Police Check occurred: Signature of Deputy Chief Commissioner: Name: D.O.B. Address: Telephone: Business: Facsimile: Private: Mobile: First Aid Qualification: Scout courses/modules you are eligible to train and/or assess on: Certificate II in Leadership Support Certificate III in Leadership Support Certificate IV in Leadership Citizenship: Expiry Date: Train and /or Assess Assess Assess Assess Diploma units only assessed by SAIT approved Assessors
3 Academic Qualifications: (most recent qualification first) Tertiary Education: Year: University: Award: Vocational Education: Year: College: Award: Secondary Education: Year: School: Award:
4 Industry Qualifications: (most recent qualification first) Date: Institution: Award: Professional Development: (most recent PD first) Date: Organisation: PD Training:
5 Scouting Qualification and Awards: (most recent award first) Date: Award:
6 Membership of Professional bodies: (please do not use acronyms) Scouting History: (current role first) Overall Length of Service: Date: Role: Location & Branch: BRANCH HEADQUARTERS WILL ATTACH COPY OF LEADER S RECORDS HERE
7 Employment History: (current employment first) Dates: Employer: Job role:
8 Other Volunteer Roles: (last/current role first) Date: Organisation: Position: Special Awards or Commendations: (external to Scouting) Interests and Hobbies:
9 DUTY STATEMENT POSITION TITLE: Function: Responsible to: Duties: Scout Assessor To assist with the design and assessment of designated approved National Training Packages using materials developed by Scouts Australia. Deputy Chief Commissioner Adult Training and Development Assessors will be appointed for a maximum period of three years (renewable) by the Chief Commissioner of Australia and the National Commissioner for Adult Training and Development after recommendation by the Branch Chief Commissioner and the Deputy Chief Commissioner Adult Training and Development. Assessors will be presented with an Honourable Charge for the duration of the appointment, signed by the Chief Commissioner of Australia and the National Commissioner for Adult Training & Development. Criteria for selection of an Assessor must include: completion of year 12 level of education or equivalent OR completion of an acceptable Certificate Level course or equivalent at an approved institution a Wood Badge, in a relevant area completion of an approved Assessors Course or TAE Certificate IV in Assessment and Workplace Training. a minimum of three years Scouting experience qualifications in, or sound knowledge of, the skills/topics to be assessed. ability to carry out an impartial assessment of peers a close relationship between both the training function and the assessing function basic level training experience Duty statement accepted / / Signature of Scout Assessor Print Name (Date) / / Supported by District Commissioner or Print Name (Date) Region Commissioner
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