Qualification Assessment
Application Form
(for individuals)
About this application form
The purpose of this assessment is to allow you to be recognised as a qualified educator in early childhood
education and care services in Australia.
ACECQA assesses the equivalency of your qualification(s) to the requirements specified in the National
Regulations. ACECQA does not assess your ability as an educator, or any of the skills and knowledge you have
developed during your career. ACECQA’s assessment is also not for immigration or teacher registration /
accreditation purposes.
Do you need to submit an application?
Prior to submitting this application, you must first check to see whether your qualification is already
recognised. To check if you hold a recognised qualification under the NQF, please use our qualification
checker:
http://www.acecqa.gov.au/qualifications-checker
If your qualification is recognised, you do not need to submit an application to ACECQA.
If your qualification is not recognised, you will need to submit this application and have your qualifications
assessed.
Completing the application form
Information to help you complete this application can be found in ACECQA’s Guidelines for assessing and
determining equivalent early childhood educator qualifications.
ACECQA has also developed an interactive presentation that provides an overview of the assessment process.
We strongly recommend applicants watch the presentation prior to submitting an application.
Certified documents
You will need to provide supporting documents with your application. Applicants are required to submit
certified photocopies of their original documents. Only documents certified by one of the following
authorised persons will be accepted:
 a representative from the institution that originally issued the documents
 a justice of the peace (JP)
 a person authorised under the legislation of the participating Australian jurisdiction to witness
documents or take statutory declarations
 a person authorised in the country where the document is being certified to certify /notarise
documents
 a person accredited as a translator who is employed by an Australian overseas diplomatic mission
 a person accredited as a translator and interpreter by the National Accreditation Authority for
Translators and Interpreters Limited A.C.N. 008 596 996 (NAATI)
The authorised person must clearly state on the front of each document that it is a certified true copy of the
original document. The person must sign and date each statement and provide their name and position.
Certified photocopies of documents submitted as part of the application will not be returned to the applicant
or agent.
Last updated – October 2015
Please check the ACECQA website to ensure that you are using the current version
Qualification Assessment
Application Form
(for individuals)
Documents in a language other than English
If your supporting documents are in a language other than English, you will need to have them translated to
English. If your documents are translated in Australia, the translator must be accredited by NAATI (National
Accreditation Authority for Translators and Interpreters Ltd). You can locate your nearest NAATI accredited
translator at the following website: www.naati.com.au.
ACECQA will require a certified copy of both the original and translated documents.
Application checklist
Please ensure that the following documents are included with your application:
 application form
 certified photocopy of the identity page of your passport or your Australian driver’s licence
 certified evidence for your change of name (if applicable)
 certified photocopy of the certificate/parchment for each of your qualifications
 certified photocopy of the translated certificate/parchment for each of your qualifications (if applicable)
 certified photocopy of the final academic transcripts for each of your qualifications
 certified photocopy of the translated final academic transcripts for each of your qualifications (if
applicable)
 certified photocopy of your Australian or New Zealand teacher registration/accreditation ( if applicable)
 certified photocopy of your English language proficiency, in the form of a transcript showing you have
completed one year of full time study in an approved country or the results of an English language test
(section 12 of this application form)
 payment, in the form of a cheque/money order made payable to ACECQA or notification of the receipt
number for your online payment (section 15 of this application from).
Your application cannot be assessed by ACECQA until all of these documents are received.
Privacy notice
Australian Children’s Education and Care Quality Authority (ACECQA) will use the information you provide to
make an assessment of your qualifications for equivalence under section 169(7) of the Education and Care
Services National Law. ACECQA may need to disclose personal information to some third parties, including
educational institutions, to verify the information you have provided in the application. In the case of a
complaint or a challenge to the decision, the Australian Children’s Education and Care Quality Authority
(ACECQA) may need to disclose some information to a review body, for example, an ombudsman, court or
tribunal. Personal information will be used and stored in accordance with the Australian Privacy Principles
contained in the Privacy Act 1988.
ACECQA’s privacy policy is available on the ACECQA website.
Last updated – October 2015
Page 2 of 12
Qualification Assessment
Application Form
(for individuals)
1. Personal details
Title
Mrs
☐
Miss
☐
Ms
☐
Mr
☐
Surname
Given names
Other names you are, or have been, known by (including name before marriage, or before change of name through deed poll)
Day
Month
/
Date of birth
Citizenship / visa
Year
/
Australian citizen
☐
New Zealand citizen
☐
If you are not an Australian or NZ citizen, what is your Australian visa/residency status?
Evidence you need to provide for this section:
You will need to provide a certified copy of your identification in the form of a passport or Australian driver’s licence, as
well as evidence of name change if applicable.
2. Contact details
Email is the main way ACECQA will contact you. Ensure the email address you provide is correct and written clearly.
Email address
Postal address
Number and street or PO Box number
State or province
Australian phone number
(
Suburb, town or city
Post code
Country
)
3. Nominated position
Please select the position you would like your qualifications to be assessed against. If you are unsure which position to
nominate, please view the Qualification Assessment Overview video and refer to the ACECQA assessment guidelines.
Early childhood teacher
Diploma qualified educator
Certificate III qualified educator
Last updated – October 2015
☐
☐
☐
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Qualification Assessment
Application Form
(for individuals)
4. Authorised representative (optional)
If you would like to authorise another person to speak with ACECQA about your application, please provide their details
in this section. Otherwise leave this section blank.
Title
Mrs
☐
Miss
☐
Ms
☐
Mr
☐
Surname
Given names
Email address
Postal address
Number and street or PO Box number
State, county or province
Australian phone number
(
Suburb, town or city
Post code
Country
)
Relationship to you
5. Current employment
If you are currently employed in an early childhood education and care setting in Australia, please provide the details of
your employment here. Otherwise leave this section blank.
Service name
Your position title
Length of employment
Service address
years
months
Number and street
Suburb or town
State
Age range of children you work with
Last updated – October 2015
Post code
to
Country
years
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Qualification Assessment
Application Form
(for individuals)
6. Highest early childhood education and care qualification
Please enter the details of the highest early childhood education and care qualification you hold. You will be asked to
enter the details of any other early childhood education and care qualifications you hold later in the application.
Title of award
Awarding institution
Institution city
Institution country
Minimum entry requirement
Time taken to complete your study
Mode of study
Full time
☐
Part time
☐
Country where study was undertaken,
if different from above
Month
Date study began
Year
Month
Date study finished
/
Year
/
Evidence you need to provide for this section:
You must provide a certified copy of the parchment and the academic transcript for this qualification. If your documents
are in a language other than English, you will need to provide a certified copy of both the original documents and the
translated documents.
7. Supervised placements
Were you required to complete any supervised placements as part of this qualification? This may have been referred to
as professional experience, practicum, professional study, work placements, field study or an internship.
Only provide information for the supervised placement completed as part of this qualification, as you will be asked to
provide the details of your other supervised placements later in the application.
Supervised placement 1
Service name
Service city
Service country
Duration of placement
working days
Youngest age of children
you worked with
years
Month
Date placement began
Last updated – October 2015
kkk
Oldest age of children
you worked with
Year
/
years
Month
Date placement finished
Year
/
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Qualification Assessment
Application Form
(for individuals)
Supervised placement 2
Service name
Service city
Service country
Duration of placement
working days
Youngest age of children
you worked with
years
Month
Date placement began
kkk
Oldest age of children
you worked with
Year
Month
Date placement finished
/
years
Year
/
Supervised placement 3
Service name
Service city
Service country
Duration of placement
working days
Youngest age of children
you worked with
years
Month
Date placement began
kkk
Oldest age of children
you worked with
Year
Month
Date placement finished
/
years
Year
/
Supervised placement 4
Service name
Service city
Service country
Duration of placement
working days
Youngest age of children
you worked with
years
Month
Date placement began
kkk
Oldest age of children
you worked with
Year
/
years
Month
Date placement finished
Year
/
Please print additional copies of this page if you completed further supervised placements as part of this qualification.
Last updated – October 2015
Page 6 of 12
Qualification Assessment
Application Form
(for individuals)
8. Other early childhood education and care qualification(s)
Please provide details for any other early childhood education and care qualifications you hold. If you have multiple early
childhood qualifications, print additional copies of this page.
If your highest education and care qualification was a post graduate qualification, please provide details of your
undergraduate qualification here.
Title of award
Awarding institution
Institution city
Institution country
Minimum entry requirement
Time taken to complete your study
Mode of study
Full time
☐
Part time
☐
Country where study was undertaken,
if different from above
Month
Date study began
Year
Month
Date study finished
/
Year
/
Evidence you need to provide for this section:
You must provide a certified copy of the parchment and the academic transcript for this qualification. If your documents
are in a language other than English you will need to provide a certified copy of both the original documents and the
translated documents.
9. Supervised placements
Were you required to complete any supervised placements as part of this qualification? This may have been referred to
as professional experience, practicum, professional study, work placements, field study or an internship.
Only provide information for the supervised placement completed as part of this qualification.
Supervised placement 1
Service name
Service city
Service country
Duration of placement
working days
Youngest age of children
you worked with
years
Month
Date placement began
Last updated – October 2015
kkk
Oldest age of children
you worked with
Year
/
years
Month
Date placement finished
Year
/
Page 7 of 12
Qualification Assessment
Application Form
(for individuals)
Supervised placement 2
Service name
Service city
Service country
Duration of placement
working days
Youngest age of children
you worked with
years
Month
Date placement began
kkk
Oldest age of children
you worked with
Year
Month
Date placement finished
/
years
Year
/
Supervised placement 3
Service name
Service city
Service country
Duration of placement
working days
Youngest age of children
you worked with
years
Month
Date placement began
kkk
Oldest age of children
you worked with
Year
Month
Date placement finished
/
years
Year
/
Supervised placement 4
Service name
Service city
Service country
Duration of placement
working days
Youngest age of children
you worked with
years
Month
Date placement began
kkk
Oldest age of children
you worked with
Year
/
years
Month
Date placement finished
Year
/
Please print additional copies of this page if you completed further supervised placements as part of this qualification.
Last updated – October 2015
Page 8 of 12
Qualification Assessment
Application Form
(for individuals)
10.Secondary school details
Please enter the details of your secondary schooling here. This may have been referred to as high school.
Name of secondary
school
Suburb, town or city
State, county or province
Country
Address of secondary
school
Year you started
Year you finished
11.Teacher registration / accreditation
Do you hold current teacher registration/accreditation in Australia or New Zealand? Please indicate below the country,
state or territory in which you hold teacher registration/accreditation:
☐
☐
☐
☐
☐
Australian Capital Territory
Northern Territory
South Australia
Victoria
☐
☐
☐
☐
New South Wales
Queensland
Tasmania
Western Australia
New Zealand
Evidence you need to provide for this section:
If you indicated that you hold current teacher registration, please provide a certified copy of your registration.
12.Evidence of English language proficiency
☐
☐
☐
☐
I have completed at least one year of full-time tertiary or higher education level study in either:
Australia, New Zealand, Ireland, Canada, the United Kingdom or the United States of America.
I obtained a score of seven (7.0) or more in the reading and writing components, and a score of eight
(8.0) or more in speaking and listening components, in the academic version of the International English
Language Testing System (IELTS) exam in the last two years.
I obtained a score of four (4) or more in each component of the International Second Language
Proficiency Rating (ISLPR) test in the last two years.
I scored Band A in each component of the Professional English Assessment for Teachers (PEAT) test in
the last two years.
Evidence you need to provide for this section:
Certified copy of the transcript showing one year of full time study in an exempt country or a certified copy of
the results of your English language test.
Last updated – October 2015
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Qualification Assessment
Application Form
(for individuals)
13.Employment history
Please provide information about your previous employment in early childhood education and care settings.
ACECQA may consider your employment experience in limited circumstances to supplement your application or to
determine if you were previously recognised under a former state or territory law. Please keep in mind that the purpose
of this assessment is to assess your educational qualifications. This assessment does not assess your ability or experience
as an educator, or recognise any skills and knowledge you have developed during your career.
(1) Service name
Your position title
Service address
Length of employment
Number and street or PO Box number
State, county or province
Age range of children you worked with
months
years
months
years
months
Suburb, town or city
Post code
to
years
Country
years
(2) Service name
Your position title
Service address
Length of employment
Number and street or PO Box number
State, county or province
Age range of children you worked with
Suburb, town or city
Post code
to
Country
years
(3) Service name
Your position title
Service address
Length of employment
Number and street or PO Box number
State, county or province
Age range of children you worked with
Last updated – October 2015
Suburb, town or city
Post code
to
Country
years
Page 10 of 12
Qualification Assessment
Application Form
(for individuals)
14.Declaration and consent
Please tick each clause below and sign the declaration in the presence of the witness. The witness must be one of the
persons authorised to certify documents outlined on page 1
I,
(the applicant) declare that:
 the information contained in this application and in the supporting documents is true and correct
 I have paid the application fee or am enclosing a money order or bank cheque
 I have read and understood ACECQA’s Information and Guidelines for Determination of Equivalent
Early Childhood Educator Qualifications
 I have checked the approved qualifications list and qualifications checker on the ACECQA website and
determined that I do not hold an approved qualification
 I understand that the assessment process will take 6 to 8 weeks from the date I provide a complete
application to ACECQA
 I understand that failure to provide ACECQA with a complete application will result in a delay in
processing my application
 I understand that if additional supporting documents are requested and they are not provided by the
specified date, this application may be closed and I will not be entitled to a refund
 I understand that if I submit false or misleading information, ACECQA will decline to assess my
application and any further assessment applications submitted in my name
 if I have provided anyone else’s personal information, I confirm that it is with their consent
 I will inform ACECQA of any changes to my circumstances (e.g. change of contact details) while my
application is being processed
 I authorise ACECQA to make enquiries to third parties when necessary to assist in the assessment of
this application
 I have read and understood ACECQA’s privacy policy with regard to this assessment application.
Day
Signature of applicant
Month
/
Date
Day
Signature of witness
Date
/
Month
/
Year
Year
/
Witness occupation or JP number
Please note: The witness must be one of the persons authorised to certify documents outlined on page 1 of this form.
Last updated – October 2015
Page 11 of 12
Qualification Assessment
Application Form
(for individuals)
15.Payment details
We are unable to process your application until you pay the application fee. The current fee is available on our
website. The fee is not subject to GST.
Payment options are:
☐
Australia Post money order – made payable to ACECQA
☐
Bank cheque – made payable to ACECQA (personal cheques cannot be accepted)
☐
International money order – made payable to ACECQA
☐
Credit card (Visa or MasterCard only) –online or by phone –receipt number must be provided
To pay online go to www.acecqa.gov.au/payonline
To pay by phone call (02) 8240 4200 9am-5pm AEST Monday-Friday
Receipt number
If you are paying by credit card, you must provide the receipt number. ACECQA is unable to process your
application without this number.
16.Submitting your application
Please ensure that



all relevant questions in the application form have been answered
the information has been clearly recorded and is easy to read
your supporting documents are attached (refer to the checklist on page 2 and the request for
evidence at the bottom of each relevant section of this form)
Failing to submit a complete application will result in a delay in processing your application. The application
form and supporting documents can be submitted:


by email to apply@acecqa.gov.au or
by post to:
Qualification Assessment Team
ACECQA
PO Box A292
Sydney NSW 1235
ACECQA reserves the right to ask you to provide your original application form, certified documents and/or
original documents.
Last updated – October 2015
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