ECDL Extra – Student Application Form By signing this form I am agreeing to the Conditions of Registration / Appeals procedure as laid out on the reverse of this form. Name ................................................................. Signature ...................................................... Status Mr / Miss / Mrs / Ms / Other ............. (Please print as shown on ID) Department/School ................................................................... Date of Birth ................................... University Login ............................................ Home Address ......................................................................................................................................................................................................................... Postcode ................................................................................ Degree Completion Date ................................................ Tel No ............................................. Student ID No ................................................. Application Date ........................................ Software Version* Office 2010 / Office 2013 *delete as applicable ID Passport / Photo Driving licence - Please provide a photocopy of your ID or email a scanned copy to itbooking@kent.ac.uk Do you have a British Computer Society ID Number – Yes / No If you know this number please write it here .......................................... Ethnicity (optional) – please select White Mixed Asian or Asian British Black or Black British White British White Irish Any other White background White / Black Caribbean White / Black African White / Asian Any other Mixed background Indian Pakistani Bangladeshi Any other Asian background Caribbean African Any other Black background Chinese or other ethnic group Chinese Any other ethnic group Not stated Not stated Disability Do you wish to declare a disability that may affect your ability to take a test – Yes / No If yes – please give details ..................................................................................................................................................................................................... The information you have provided on this form will be processed under the terms of the Data Protection Act 1998 Page 1 of 2 Document1 Information Services Conditions of Registration I understand that the fee paid entitles me to an ECDL Extra Registration and tests whilst I am a student at the University of Kent. If I leave the University any outstanding tests must be paid for at an accredited test centre. If any resits are required you will be charged for these separately (per resit). This will include an additional diagnostic (practice) test. ECDL Candidate Appeals Procedure Learners who are unhappy with any aspect of the assessment process should first discuss the problem with their Centre Representative or the Centre Manager or representative within 5 working days of receiving their result The Learner must make the reasons clear at this time Assessments are undertaken using automated testing software which has been approved by the ECDL Foundation. In the event of a Learner raising a complaint the assessment report that will have been produced by the system will be fully discussed with the Learner An action plan will be agreed and a further assessment date scheduled. In some circumstances the Learner may be offered a free re-test (e.g. if there had been hardware or software problems) If the Learner is unhappy with the decision of the Centre Manager the Learner must write to the named representative within 5 working days who will fully review the complaint and attempt to find a solution The Centre will keep a written record of each stage of the process with dates and outcomes If a Learner is not able to resolve an appeal at the approved centre then he/she has the right to appeal to BCS. This may be done via the Centre Manager or direct to the BCS Quality Team in writing. Learner appeals must be made to BCS within 90 days of the date of the assessment together with the appeal fee. This fee will be refunded if the Learner’s result improves following the appeal. The address will be supplied on request. BCS will acknowledge receipt of the appeal and advise the Learner or centre of the timescale for a decision. The BCS Representative will investigate the circumstances of the appeal and make a report to the appeals panel. In very exceptional cases, the appeals panel may request the Centre Manager possibly accompanied by the Learner, to attend a meeting of the panel to provide further explanation of the circumstances of the appeal Appeals panel decisions will be given in writing to the Centre Manager and the Learner and are final Page 2 of 2 Document1