VQ Assessment Centre Registration Agreement Level 3 Diploma for Children & Young People’s Workforce (Social Care Pathway) Instructions for completion This form contains questions relating to your suitability for this qualification and essential information needed for Awarding Organisation registration. If you need any help completing this form please contact the VQAC Learner Support Team on 01908 653774 or email us on vq-enquiries@open.ac.uk SECTION 1 Your personal details Title (Mrs /Mr /Miss / Other) All given/first names Family or surname Date of birth Gender Home Address Post Code Home telephone number (with area code) Home e-mail Your work details Your job title Name of your organisation Type of service provided Work address Post Code Work telephone number (with area code) Work e-mail Where do you prefer to be contacted? Home Work SECTION 2 Are you ready for distance learning? This vocational qualification enables you to develop and demonstrate your knowledge and competence. It is completed by: • Distance learning • Minimal face-to-face contact • Self-directed study It is not offered as a face-to-face taught programme or training course. Are you confident that you will be able to complete your vocational qualification in this way, committing a regular time slot to studying/producing evidence? Yes No – you will not be able to register for the qualification Do you have regular access and permission to use an internet connection which will allow you to access an e-portfolio? Yes No – you will not be able to register for the qualification SECTION 3a Is this the right qualification for you? The Level 3 Diploma for Children & Young People’s Workforce (Social Care Pathway) requires you to: • Work in a health or social care setting with children and/or young people • Promote effective communication and overcome communication barriers • Demonstrate how legislation and standards relating to safeguarding, equality, inclusion, health & safety and handling information are followed Evaluate own performance and undertake opportunities for personal development • • • Understand and promote child and young person development, developing positive relationships and supporting positive outcomes Undertake assessment and planning with children and young people Are you confident that your current job role and level of responsibility will enable you to meet the requirements of all mandatory units and a range of the optional units that make up the qualification? You may wish to review the requirements of these mandatory and optional units on our website at www.open.ac.uk/vq Yes No – you will not be able to register for the qualification Do you already hold any vocational qualifications in health & social care? If so, you may be able to apply for Recognition of Prior Learning (RPL). Further information can be found on our website at www.open.ac.uk/vq Yes – I have contacted the VQAC about RPL No – I do not hold any previous vocational qualifications 2 SECTION 3b Do you need any extra help? Do you have any disability, health condition, mental health disability or specific learning difficulty (e.g. dyslexia) that might affect you assessment or for which you might need additional support? Yes No Are your literacy/numeracy skills at a level which will enable you to achieve your vocational qualification? Yes No – you may find useful support at www.move-on.org.uk Are you confident about your study skills? Yes No – have a look at Open Learn which provides free resources that may help you SECTION 3c Further qualification requirements LEVEL 3 DIPLOMA FOR CHILDREN & YOUNG PEOPLE’S WORKFORCE (SOCIAL CARE PATHWAY) Start date End date Price I understand that the price of this qualification is based on the minimum credit value requirements and that I may be charged extra if I choose to take more than 5 credits over the minimum. Yes I am aware that my qualification has a set Start and End date. Yes I am aware that if I do not complete my qualification by the End date I may be able to apply for an extension which will incur additional fees. Further information about End Date extensions and fees can be found on our website at www.open.ac.uk/vq Yes 3 SECTION 4a Workplace support It is essential that your manager/employer agrees that you can undertake your vocational qualification. Have you discussed registering for this vocational qualification with your manager and obtained their support to allow you time in the work place to work on it? Yes No – you will not be able to register for the qualification An assessor visit is an essential part of your qualification. Has your employer agreed to allow our assessor to visit you in the work place? Yes No – you will not be able to register for the qualification Please note you will need to provide information about Health and Safety in your work place as part of the preparation for the assessor visit. You also need to provide the name and contact details of a Line Manager, Senior Carer and/or health/social care professional with whom you work regularly who can act as an expert witness. The expert witness may be required to provide testimony about your work practice as evidence towards your qualification. We will contact your expert witness to seek further details during registration. Details of your expert witness Name Job Title Tel number Email 4 SECTION 4b Line Manager agreement To be completed by your Line Manager I confirm that I have read the registration agreement and support the learner in achieving this qualification. I am willing to be contacted from time to time for progress updates. I agree to the learner being observed by an assessor in the workplace if that is a requirement of their qualification. Further information about supporting a learner undertaking a Vocational Qualification in the workplace can be found at www.open.ac.uk/vq Name Signature Job title Tel number Email Date Address SECTION 5a Payment – fee payment is a condition of registration Please tick how you would like to pay: CHEQUE Cheques should be included with your registration agreement and made payable to “The Open University VQ Assessment Centre” and crossed “payee only”. CREDIT/DEBIT CARD Please provide your card details on Section 9 of this agreement. Payment will be debited on receipt of your registration agreement. OUSBA (Open University Student Budget Account) This is for use by individuals only and cannot be used if you are being sponsored (further information can be found on the OUSBA website If you are paying for your qualification using an OUSBA, please sign the statement below: I authorise you to charge fees to my OUSBA account if my application is approved: ………………………………………………………………………………….. SPONSORSHIP Please go to Section 5b of this agreement and ask your sponsor to complete and sign this section. 5 SECTION 5b Sponsorship – only complete if you are being fully or partially sponsored To be completed by your sponsor I confirm that I have authority to bind the sponsor by signing this form. I hereby undertake that the sponsor will pay the agreed fee for this booking within 30 days of the invoice date. I accept that, if an employee withdraws from the qualification or leaves the sponsor’s employment, liability for the sponsor’s contribution towards the fees will remain with the sponsor. Information for sponsors which forms part of your agreement with the VQAC is available at www.open.ac.uk/vq Name Signature Job title Tel number Email Date Invoice address Purchase order/Ref. no Part sponsorship only Please confirm your sponsor contribution SECTION 6 Ethnic origin Asian or Asian British Black or Black British Mixed ethnicity White British/Irish/Scottish/Welsh/English White other Other ethnic group SECTION 7 Learner Records Service (see Part 4 of the VQAC Conditions of Registration) Please tick only if you do not wish your data to be shared within the education sector. At no time will learner personal information be passed to any organization for marketing or sales purposes. For further details please see the Learning Records Service website at www.learningrecordsservice.org.uk 6 SECTION 8 Your signature The VQAC conditions of registration and this VQAC Registration Agreement form part of your Registration Agreement. It is important that you are aware of these conditions and understand them. If you have not got the conditions of registration, please contact us and we will send you another copy. I confirm that I wish to register for the qualification specified in Section 3c of this Registration Agreement. I have read and understood the conditions which form part of this Registration Agreement and I agree to be bound by them. I confirm that I am normally and lawfully resided in the UK from choice and without any immigration restriction on the length of my stay in the UK. I understand that other conditions affecting my continued registration with the University may be issued by the University from time to time. I also understand that my failure to abide by such conditions may lead to the University terminating this Registration Agreement. I confirm that I am in a job role, secondment or a voluntary work placement that will allow me to gather the required work based evidence of competence and that I am supported by my Line Manager. Signature Date VQAC use only Name Signature Date Fee Notes 7 £ SECTION 9 Credit/Debit card details If you are paying by credit/debit card (individual or sponsor) please provide the card details below. Please note – we do not accept American Express, Diners or Solo cards. Name as it appears on the card Type of card Visa debit MasterCard Visa credit Card number Expiry date Security code Next steps Once you have completed all the sections on the form please send it to us using one of the following methods: If you are being sponsored or are paying by OUSBA you can submit a scanned copy (so original signatures can be seen) of your completed registration agreement by e-mail to vqenquiries@open.ac.uk or you can send them by post to the address below. If you are paying by credit/debit card we are not able to accept an e-mail copy of registration agreement forms that contain card details therefore you should send your completed registration agreement to the following address: The Vocational Qualification Assessment Centre Centre for Qualifications and Ceremonies Ground Floor Philip Sully Building Hammerwood Gate Kents Hill Milton Keynes MK7 6BY We will check the details you have provided on the form to make sure you are registering for a suitable qualification. We will confirm receipt of your registration by email. 8