Credit Transfer Application Form

Information collected complies with the Privacy Act and will be used solely for Kiama Community College activities.

An application for credit transfer is accepted from any person who meets the course enrolment requirements.

Personal Details

Gender *

MaleFemaleNon-binaryDifferent identity

Given Names *

Preferred Name

Family Name *

Date of Birth *

Street Address *

Town/Suburb *

State *

Post Code *

Contact Details

Email Address *

Mobile number *

Phone

Kiama Community College Course Enrolled In

Course Name *

Commencement Date if known

Information about your previous studies

Name of Institution *

Qualification/Unit Title *

Year enrolled

Was the Course Completed *

Please upload a copy of your Certificate or USI Transcript with units listed as evidence to support your application *

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To obtain a copy of your USI transcript log into the USI Register https://www.usi.gov.au/help/login-to-usi-registry

Upload any other copies of qualifications you have obtained with relevant units

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Authority to Release Information

Authorise KCC to make relevant enquiries where necessary and in accordance with legislation regarding my academic qualifications and any work experience related to my application for undertaking a course of study.

The purpose of collecting this information is to verify that the Certificates and Statements of Attainment are accurate.

*

Student Declaration and Consent

Enter your name *

Authorise KCC to collect, store and use my personal information within the limitations of the Privacy Principles contained in the Privacy Act 1988. *

Understands that my information will only be released to third parties in accordance with legislation.

*

I have read and understood the KCC Credit Transfer policy and associated fees

*

I declare that the information I have provided is, to the best of my knowledge, true and accurate. *

Draw signature|Type signatureClear

Date *

STAFF ONLY SECTION

Coordinator Name

Please list the units for administration to verify for credit transfer *

Credit Transfer Application Approved

Approved (Pending Verification)Declined

Reason for Credit Transfer application to be declined?

Name of Staff Verifying the Unit/s

Credit Transfer Verified Correct

YesNo

Application checklist

Copy of Qualification/Statement/Academic transcript or USI Transcript uploaded to aXcelerateVerification complete with previous RTO or QR code verified or USI Transcript obtainedCredit Transfer entered for unit/s with verification date