Application to renew RTO registration The Queensland Curriculum and Assessment Authority as delegate for the Australian Skills Quality Authority About this form You should complete this form if you are a Queensland school applying to renew your registration as a registered training organisation (RTO). Please note that this form must be submitted a minimum of 90 days before the expiry of your organisation’s registration. There are five sections to this application form: Section 1: Applicant details Section 2: Ownership, management structure and control of the organisation Section 3: Applicant history Section 4: RTO details, scope and operating context Section 5: Statutory declaration by chief executive officer You must refer to the Application guide: Application to renew RTO registration when preparing your application. Some of the questions in Section 2 require a free-text response. The text entry section will expand to accommodate your response as you enter it. Unless otherwise indicated, you must provide a response to each question and to each part of each question. This symbol has been used to indicate that additional information must be attached to the application. Submitting the form Scan this form and any evidence to demonstrate compliance (as detailed in the checklist) then submit by email to vet@qcaa.qld.edu.au. If the form and evidence cannot be emailed, please contact the VET Branch on (07) 3864 0381 or vet@qcaa.qld.edu.au. Your application must be accompanied by the required attachments. Incomplete applications or applications completed incorrectly will be returned to you for completion. A Checklist for submitting an application to renew RTO registration has been provided at the back of this form to help you ensure your applicator is complete. Help with this form For assistance in completing this form, please refer to the Application guide: Application to renew RTO registration. For further assistance, please contact the VET Branch on (07) 3864 0381 or vet@qcaa.qld.edu.au. 150178 The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Section 1: Applicant details 1.1 Registration Number Include the RTO/ID number as it appears on the National Register at http:training.gov.au. RTO/ID 1.2 Australian Business Number ABN 1.3 Name of legal entity applying for registration 1.4 Australian Company Number (if relevant) ACN 1.5 Type of legal entity Natural person (sole trader) Pty Ltd company Ltd company Incorporated association Partnership Trust Cooperative association Government entity Other (specify below) 1.6 Registered business (trading) name/s Registered business name / School name QSA school number For each business/trading name listed, attach a copy or extract of the Certificate of the Registration of a Business Name issued by the relevant state/territory body, which provides current and correct business name details. 1.7 Address of head office of legal entity applying for registration Head office Street address (mandatory) Postal address (if different from above) Phone Website The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 2 of 17 1.8 Principal place of business of entity applying for registration (if different from head office) Principal place of RTO business Street address Postal address (if different from above) Contact person Title Family name Given name/s Position Phone Fax Mobile Email Section 2: Ownership, management structure and control of the organisation 2.1 Details of all NATURAL PERSONS who own/are the legal entity applying for registration Refer to the Application guide: Application to renew RTO registration for a definition of executive officer and high managerial agent. Please note that all company directors and shareholders must be listed and these details must align to records held by the Australian Securities and Investments Commission (ASIC). A Fit and Proper Person Requirements declaration must be completed by each executive officer and high managerial agent and attached. Owner 1 Title Family name Phone Given name/s Mobile Email Residential address This person is best described as (select one): Owner and executive officer Owner and high managerial agent Owner and a person who will exercise a degree of control or influence over the management or direction of the RTO but who is not an executive officer of high managerial agent Owner and a person who will not exercise a degree of control or influence over the management or direction of the RTO and who is not an executive officer or high managerial agent Describe the role this person will undertake in relation to the RTO (position title alone is not sufficient): The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 3 of 17 Owner 2 Title Family name Phone Given name/s Mobile Email Residential address This person is best described as (select one): Owner and executive officer Owner and high managerial agent Owner and a person who will exercise a degree of control or influence over the management or direction of the RTO but who is not an executive officer of high managerial agent Owner and a person who will not exercise a degree of control or influence over the management or direction of the RTO and who is not an executive officer or high managerial agent Describe the role this person will undertake in relation to the RTO (position title alone is not sufficient): Owner 3 Title Family name Phone Given name/s Mobile Email Residential address This person is best described as (select one): Owner and executive officer Owner and high managerial agent Owner and a person who will exercise a degree of control or influence over the management or direction of the RTO but who is not an executive officer of high managerial agent Owner and a person who will not exercise a degree of control or influence over the management or direction of the RTO and who is not an executive officer or high managerial agent Describe the role this person will undertake in relation to the RTO (position title alone is not sufficient): Owner 4 Title Phone Family name Given name/s Mobile Email Residential address The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 4 of 17 This person is best described as (select one): Owner and executive officer Owner and high managerial agent Owner and a person who will exercise a degree of control or influence over the management or direction of the RTO but who is not an executive officer of high managerial agent Owner and a person who will not exercise a degree of control or influence over the management or direction of the RTO and who is not an executive officer or high managerial agent Describe the role this person will undertake in relation to the RTO (position title alone is not sufficient): Tick this box if details of additional owners are attached. 2.2 Details of OTHER ENTITIES (not natural persons) that own the legal entity applying to renew registration (if relevant) Please note that all shareholders must be listed and these details must align to records held by ASIC or other state or territory business registers as displayed on the Australian Business Register (ABR). Refer to the table in Section 1.3 of the Application guide: Application to renew RTO registration and attach the type of evidence that correlates to the entity type that is an owner of the organisation seeking registration. A Fit and Proper Person Requirements declaration must be completed on behalf of each nonnatural person that owns the legal entity apply to renew registration and attached. Entity 1 Name Entity type Pty Ltd company Cooperative association Incorporated association Ltd company Trust Other (specify): Pty Ltd company Cooperative association Incorporated association Ltd company Trust Other (specify): % share Entity 2 Name Entity type % share Tick this box if details of additional entities are attached. The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 5 of 17 2.3 Details of influential non-owners of the legal entity applying to renew registration (if relevant) A Fit and Proper Person Requirements declaration must be completed by each influential non-owner and attached. Person 1 Title Family name Phone Given name/s Mobile Email Residential address This person is best described as (select one): An executive officer but not an owner A high managerial agent but not an owner A person who will exercise a degree of control or influence over the management or direction of the RTO but who is not an executive officer or high managerial agent or an owner Describe the role this person will undertake in relation to the RTO (position title alone is not sufficient): Person 2 Title Family name Phone Given name/s Mobile Email Residential address This person is best described as (select one): An executive officer but not an owner A high managerial agent but not an owner A person who will exercise a degree of control or influence over the management or direction of the RTO but who is not an executive officer or high managerial agent or an owner Describe the role this person will undertake in relation to the RTO (position title alone is not sufficient): Tick this box if details of additional influential non-owners are attached. The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 6 of 17 Section 3: Applicant history 3.1 Apart from the RTO for which renewal of registration is being sought, does any natural person or other entity named in Section 2 above currently hold registration as a RTO registered with ASQA or a state or territory registering body? No If yes — provide details in the table below. Yes Current registration Which person or entity? Legal name of RTO Trading name/s RTO ID number Registering body Current period of registration ACN / From to ABN / / / / Chief executive officer of the RTO 3.2 Is any natural person or other entity named in Section 2 above currently associated with a RTO registered with ASQA or a state or territory registering body — apart from the RTO for which renewal of registration is being sought? No If yes — provide details in the table below. Yes Current association Which person or entity? Legal name of RTO Trading name/s RTO ID number Registering body Current period of registration ACN / From / to ABN / / / Chief executive officer of the RTO The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 7 of 17 3.3 Has any natural person or other entity named in Section 2 above ever been registered as a RTO with ASQA or a state or territory registering body (do not include current registration/s held)? No If yes — provide details in the table below. Yes Previous registration Which person or entity? Legal name of RTO Trading name/s RTO ID number Registering body Current period of registration ACN / From to ABN / / / / Chief executive officer of the RTO Which person or entity? 3.4 Has any natural person or other entity named in Section 2 above ever been associated with an RTO registered with ASQA or a state or territory registering body—apart from the RTO for which renewal of registration is being sought? No If yes — provide details in the table below. Yes Current association Which person or entity? Legal name of RTO Trading name/s RTO ID number Registering body Current period of registration ACN / From / to ABN / / / Chief executive officer of the RTO The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 8 of 17 3.5 Apart from this application, does any natural person or other entity named in Section 2 above have an application for registration currently lodged with ASQA or a state or territory registering body? No If yes — provide details in the table below. Yes Other current pending registration Which person or entity? Legal name of RTO Trading name/s Registering body ACN / / ABN / / / Chief executive officer of the RTO 3.6 Apart from this application, does any natural person or other entity named in Section 2 above have an association with any entity that currently has an application for registration lodged with ASQA or a state or territory registering body? No If yes — provide details in the table below. Yes Other current pending registration Which person or entity? Legal name of RTO Trading name/s Registering body ACN / / ABN / / / Chief executive officer of the RTO The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 9 of 17 Section 4: RTO details, scope and operating context 4.1 Type of training organisation (select one only) School type Government school Non-state school Catholic school Independent school Australian technical college 4.2 Chief executive officer (person legally responsible for registration) Chief executive contact details Title Family name Given name/s Position Phone Fax Mobile Email 4.3 Contact for general enquiries General enquiries contact details Title Family name Given name/s Position Phone Fax Mobile Email 4.4 Registration contact person Registration contact details Is this person an employee of the applicant (legal entity)? Yes No – insert name of employer organisation Title Family name Given name/s Position Phone Fax Mobile Email The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 10 of 17 4.5 Planned location for majority of delivery and training and/or assessment services Queensland 4.6 Proposed permanent delivery site/s (within Australia where different to head office) Delivery site 1 Street address Contact person Title Family name Given name/s Position Email Phone Delivery site 2 Street address Contact person Title Family name Given name/s Position Email Phone Delivery site 3 Street address Contact person Title Family name Given name/s Position Email Phone Tick this box if details of additional delivery sites are attached. 4.7 Proposed scope of registration As part of this application to renew your RTO’s registration, you may apply to retain your current scope of registration. You may also remove qualifications and accredited courses from your current scope of registration. Are you only seeking to renew your current scope of registration? Yes – go to Section 4.8 No – continue The QCAA as delegate for the Australian Skills Quality Authority (ASQA) is collecting the information on this form for your renewal of RTO registration as part of legislative functions described in the National Vocational Education and Training Regulator Act 2011 and Data Provision Requirements 2012 (pt.3). Personal information will be accessed by authorised QCAA staff, and handled in accordance with the Information Privacy Act 2009. Under information-sharing arrangements in the NVR Act, collected information will be disclosed on the National Register of RTOs, to various state, territory and federal government agencies and regulators, Ministers, occupational licensing, funding and industry bodies, overseas authorities and for ASQA’s marketing activities. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 11 of 17 Remove qualification/s and/or accredited courses Use this table if you want to REMOVE any qualification or accredited course from your RTO’s current scope of registration. Note: If the scope of registration to be renewed includes an accredited course (other than Certificate I in Work Readiness, Certificate I in Work Education and Certificate II in Workplace Practices), you must attach a copy of the course owner’s permission to use the course (this may be in the form of a licence agreement). If the scope of registration to be renewed includes an accredited course, you must attach a copy of the course copyright owner’s permission to use the course (this may be in the form of a licence agreement) Additional rows can be added to the table if required, using the Tab key. National code of qualification or accredited course Title of qualification or accredited course Example: BSB20107 Certificate II in Business 4.8 Current and recent activity Does your organisation currently deliver training and/or assessment services from multiple sites, or do you expect to do so in the future? Yes No Does your organisation currently deliver training and/or assessment services offshore/outside Australia, or do you expect to do so in the future? Yes No Has your organisation entered partnership or subcontracting arrangements, or do you intend to do so? Yes No Is your organisation a recipient of government training contracts, or do you intend to apply for such contracts? Yes No Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 12 of 17 What modes of delivery does your organisation use or intend to use in the future? (select all relevant modes) Face-to-face at RTO premises Face-to-face at workplace Online Distance Does your organisation deliver training and/or assessment services to overseas students studying in Australia, or do you intend to do so in the future? Yes No Does your organisation currently accept fees in advance from students, or do you intend to do so in the future? Yes No Does your organisation currently deliver training and/or assessment to school students, or do you intend to in the future? Yes No Does your organisation currently deliver training and/or assessment services to students under the age of 18, or do you intend to do so in the future? Yes No Does your organisation deliver training and/or assessment services to apprentices or trainees employed under a training contract, or do you intend to do so in the future? Yes No Are there students currently enrolled with your RTO? Yes No Have students completed their training and/or assessment with your RTO within the last 12 months? Yes No If you answer ‘Yes’ to either of the above questions, you will need to complete a Delivery Activity Data Summary. If there are students currently enrolled with the RTO and/or students have completed training and/or assessment with the RTO within the last 12 months, a Delivery Activity Data Summary must be completed and attached. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 13 of 17 Section 5: Declaration by chief executive officer This statutory declaration must be completed by the chief executive of the legal entity applying to renew its RTO registration. If the legal entity applying is a person, that person must complete the declaration. This declaration may not be completed on screen. Please print it and complete it by hand. Commonwealth of Australia STATUTORY DECLARATION Statutory Declarations Act 1959 1 Insert the name, address and occupation of person making the declaration I, 1 ____________________________________________________________ _______________________________________________________________ _______________________________________________________________ make the following declaration under the Statutory Declarations Act 1959 1. 2. 3. I declare that I have read and understand the VET Quality Framework, as amended from time to time, comprising: a. the Standards for NVR Registered Training Organisations b. the Australian Qualifications Framework c. the Fit and Proper Person Requirements d. the Financial Viability Risk Assessment Requirements e. the Data Provision Requirements I declare that I understand that: a. I will be required to submit to a Financial Viability Risk Assessment to determine if my organisation meets the financial viability requirements of the Australian Skills Quality Authority, and that I will need to provide statements and evidence requested by ASQA’s contracted supplier of this service in order for the assessment to be conducted b. The results of the Financial Viability Risk Assessment will be taken into consideration in the assessment of my application I declare that if registration is granted I will: a. accept responsibility for ensuring my organisation’s compliance with the VET Quality Framework and the conditions of registration as defined within Part 2, Division 1, Subdivision B — Conditions of registration of the National Vocational Education and Training Regulator Act 2011 (the Act); as amended from time to time. b. ensure my organisation cooperates with ASQA, as the national VET regulator: i. in the conduct of audits and the monitoring of its operations ii. by providing information about significant changes to its operations iii. be providing information about significant changes to its ownership Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 14 of 17 iv. in the retention, archiving, retrieval and transfer of records consistent with ASQA’s requirements v. 4. by providing a statement demonstrating its financial viability and/or financial statements and/or business plan on the request of ASQA I declare that I understand that ASQA, as the national VET regulator: a. may impose conditions on the registration of a registered training organisation (RTO) b. may share information about this application with other state and territory registering bodies and with other relevant authorities, bodies, persons and agencies in accordance with the ACT c. may audit my organisation to assess compliance with the VET Quality Framework d. may refuse this application if my organisation fails to provide true and correct information of a material nature in this application or fails to fulfil the undertakings made in this declaration. I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declaration Act 1959, and I believe that the statements in this declaration are true in every particular. 2 Signature of person making the declaration 3 Place 4 Day 5 Month and year 2 6 Signature of person before whom the declaration is made 7 Full name, qualification and address of the person before whom the declaration is made (in printed letters) Before me, Declared at 3 on 4 of 5 6 7 Note 1: A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years — see section 11 of the Statutory Declaration Act 1959. Note 2: Chapter 2 of the Criminal Code applies to all offences against the Statutory Declaration Act 1959 — see section 5A of the Statutory Declarations Act 1959. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 15 of 17 A statutory declaration under the Statutory Declarations Act 1959 may be made before: 1. a person who is currently licensed or registered under a law to practice in one of the following occupations: 2. 3. Chiropractor Dentist Legal practitioner Medical practitioner Nurse Optometrist Patent attorney Pharmacist Physiotherapist Psychologist Trade marks attorney Veterinary surgeon a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); or a person who is in the following list: Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955) Bailiff Bank officer with 5 or more continuous years of service Building society officer with 5 or more years of continuous service Chief executive officer of a Commonwealth court Clerk of a court Commissioner for Affidavits Credit union officer with 5 or more years of continuous service Employee of the Australian Trade Commission who is: a. in a country or place outside Australia; and b. authorised under paragraph 3 (d) of the Consular Fees Act 1955; and c. exercising his or her function in that place Employee of the Commonwealth who is: a. in a country or place outside Australia; and b. authorised under paragraph 3 (c) of the Consular Fees Act 1955; and c. exercising his or her function in that place Fellow of the National Tax Accountants’ Association Finance company officer with 5 or more years of continuous service Holder of a statutory office not specified in another item in this list Judge of a court Justice of the Peace Commissioner for Declarations Magistrate Marriage celebrant registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961 Master of a court Member of Chartered Secretaries Australia Member of Engineers Australia, other than at the grade of student Member of the Association of Taxation and Management Accountants Member of the Australasian Institute of Mining and Metallurgy Member of the Australian Defence Force who is: a. an officer; or b. a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982 with 5 or more years of continuous service; or c. a warrant officer within the meaning of that Act Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practising Accountants or the National Institute of Accountants Member of: a. the Parliament of the Commonwealth; or b. the Parliament of a State; or c. a Territory legislature; or d. a local government authority of a State or Territory Minister of religion registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961 Notary public Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office supplying postal services to the public Permanent employee of: a. the Commonwealth or a Commonwealth authority; or b. a State or Territory or a State or Territory authority; or c. a local government authority; with 5 or more years of continuous service who is not specified in another item in this list Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made Police officer Registrar, or Deputy Registrar, of a court Senior Executive Service employee of: a. the Commonwealth or a Commonwealth authority; or b. a State or Territory or a State or Territory authority Sheriff Sheriff’s officer Teacher employed on a full-time basis at a school or tertiary education institution. Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 16 of 17 Checklist for submitting an Application to renew RTO registration To avoid any delay in processing your application, please ensure that your application is complete and check that all of the required documents have been attached. Applications which are not accompanied by the required attachments will be returned to your organisation for completion. Checklist Yes Section 1: Applicant details 1.1 – 1.8 Full and accurate responses have been provided to all questions 1.5 Evidence of the type of legal entity, as described in the application guide, has been attached 1.6 A copy or extract of a Certificate of the Registration of a Business Name, as issued by the relevant authority for each business/trading name, has been attached Section 2: Ownership, management structure and control of the organisation 2.1 – 2.3 Full and accurate responses have been provided to all questions 2.1 A Fit and Proper Person Requirements declaration has been completed by each executive officer and high managerial agent and attached 2.2 A certificate of incorporation and historical company extract has been attached for each shareholder that is a Pty Ltd or Ltd company A Fit and Proper Person Requirements declaration has been completed by each non-natural person that owns the legal entity applying for registration and attached 2.3 A Fit and Proper Person Requirements declaration has been completed by each influential non-owner and attached Section 3: Applicant history 3.1 – 3.6 Full and accurate responses have been provided to all questions Section 4: RTO details, scope and operating context 4.1 – 4.6 Full and accurate responses to all questions have been provided 4.7 If qualifications or accredited courses are being removed, full and correct codes and titles have been used 4.8 Responses have been provided to all questions 4.9 Responses have been provided to both questions and a Delivery Activity Data Summary is attached Section 5: Statutory declaration by chief executive officer The statutory declaration has been completed by the chief executive and witnessed by an authorised person Application to renew RTO registration Queensland Curriculum & Assessment Authority February 2015 Page 17 of 17