VETASSESS Trade Skills Assessment Program Application form

VETASSESS Trade Skills Assessment Program
Occupation (title)
PERSONAL DETAILS
3 TradeSET identification number
Pathway 1 applicants only
ANZSCO code
If you have yet to complete the free self-evaluation or
would like more information please go to
www.tradeset.com.au
Please read the Explanatory Notes and TRA Migration
Skills Assessment Applicant Guidelines available on our
website, before you complete this form.
1 Indicate your application type:
General Skilled Migration (GSM)☐
4 Unique Student Identifier (USI)
Only required if you are in Australia at the time of
assessment
Employer Nomination Scheme (ENS)☐
Regional Sponsored Migration Scheme (RSMS)☐
457 visa☐
Optional☐
2 Pathway options
5 Your name
Mr ☐ Mrs ☐ Miss ☐ Ms ☐ Other ☐
Family Name
There are two (2) pathway options available.
• Pathway 1 is for people who do not hold an
Australian qualification.
Given Names
• Pathway 2 is for people who already hold an
Australian Certificate III qualification in their
nominated occupation or applicants applying with a
current Australian Occupational Licence.
6 Other names by which you have been known
Please use this application form for both Pathway 1
and Pathway 2 and completed the relevant sections.
7 Your date of birth (dd/mm/yyyy):
/
/
Indicate your pathway option:
Pathway 1 ☐
Pathway 2: Australian Qualification ☐
Pathway 2: Australian Occupational Licence ☐
8 Your sex
Male ☐
Indeterminate/Intersex/Unspecified
Female ☐
9 Your passport number
10 Your country of citizenship (passport holder)
11 Your country of residence
Page 1 of 10
12 How long have you lived in your country of residence?
Years
Months
13 Are you in Australia at the time of lodging this
application?
No ☐
Yes☐
14 Your postal address (for all correspondence)
17 Do you authorise an agent or representative to act for
you with in matters concerned with this application?
No ☐►Go to the next question
Yes
☐►Give details below
I authorise the agent or representative below to act for
me.
Do you want your correspondence to be sent to this
address?
No ☐ Yes ☐
Name of agent or representative
State
Post/ Zip code
Agent’s company name
Country
15 Your home address (if different from your postal
address)
Agent’s MARA number
Agent’s address
State
Post/ Zip code
Country
16 Your contact details
Telephone number
Fax number
Mobile/Cell number
Email
State
Post/ Zip code
Country
Agent’s email
Agent’s telephone number
Agent’s fax number
Agent’s mobile/ cell number
Trade Skills assessment application form
VETASSESS (August 15)
Page 2 of 10
TRAINING AND LICENCES
18 (a) Give details of your Australian qualification
Pathway 2 applicants only
19 Give details of your formal training
Pathway 1 applicants only
Title of qualification/training program
Title of Australian qualification
Name of awarding institute or authority
Qualification code
Name of Registered Training Organisation (RTO) that
issued the qualification
RTO location (Australian state/territory)
RTO registration number (if known)
Attach copies of your Australian
qualification and academic transcript
(b) Give details of your current Australian Occupational
Licence
Pathway 2 applicants only
Title of licence/registration
Address of awarding institute or authority
State
Post/ Zip code
Country
Period of study:
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Type of training
Full-time ☐ Part-time☐
Total course duration
hours
Was this qualification/training program part of an
apprenticeship?
No ☐
Yes
☐ Give employer details below
Company name
Type of licence
Company address
Issuing authority
State of authority
State
Post/ Zip code
Country
Issue date (dd/mm/yyyy)
Expiry date(dd/mm/yyyy)
Attach copies of your Australian
qualification and academic transcript
Trade Skills assessment application form
Attach copies of your Australian
qualification and academic transcript
VETASSESS (August 15)
Page 3 of 10
20 Give details of your informal and/or on the job
training
Pathway 1 applicants only
Training program 1
Title of training program
21 Give details of your relevant licences or industry
membership
Licence/ Membership 1
Title of licence/registration
Name of employer or institute
Issuing authority
Address of awarding employer or institute
Issue date (dd/mm/yyyy)
State
Post/ Zip code
Country
Period of study:
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Type of training
Total course duration
hours
Full-time ☐ Part-time☐
Training program 2
Title of training program
Expiry date(dd/mm/yyyy)
Licence/ Membership 2
Title of licence/registration
Issuing authority
Issue date (dd/mm/yyyy)
Expiry date(dd/mm/yyyy)
Licence/ Membership 3
Title of licence/registration
Name of employer or institute
Issuing authority
Address of awarding employer or institute
Issue date (dd/mm/yyyy)
State
Post/ Zip code
Country
Period of study:
From (dd/mm/yyyy)
Expiry date(dd/mm/yyyy)
Licence/ Membership 4
Title of licence/registration
To (dd/mm/yyyy)
Issuing authority
Type of training
Full-time ☐ Part-time☐
Total course duration
hours
Issue date (dd/mm/yyyy)
Expiry date(dd/mm/yyyy)
Attach copies of any training detailed
above.
Trade Skills assessment application form
VETASSESS (August 15)
Page 4 of 10
EMPLOYMENT DETAILS
Note pathway 2 applicants: For a skills assessment, you must demonstrate at least three (3) years full-time paid
employment in a relevant and directly related trade, including at least twelve (12) months full-time paid employment in the
nominated trade in the last three (3) years. For Australian licence holders, this 12 months employment must be in Australia.
22 How long have you been working in the trade area you have nominated in this application?
Years
Months
23 Give details of your employment history, starting with your most recent employer. Print additional copies of this page as
required, complete and include with your application.
Important note: You must provide a unique Employer Statement for every period of employment claimed in this
application.
Employer 1
Position description
Employer 2
Position description
Nature of company’s business
Nature of company’s business
Worked under direct supervision
Yes ☐ No☐
Period of employment
From (dd/mm/yyyy)
Hours per week
hours
To (dd/mm/yyyy)
Worked under direct supervision
Yes ☐ No☐
Period of employment
From (dd/mm/yyyy)
Company’s name
Company’s name
Company’s address
Company’s address
State
Post/ Zip code
Country
State
To (dd/mm/yyyy)
Post/ Zip code
Country
Company’s email
Company’s email
Company’s phone number
Company’s phone number
Contact person
Contact person
Position held by contact person
Employer ☐
Supervisor ☐
Hours per week
hours
Manager ☐
Other ☐► Specify
Trade Skills assessment application form
Position held by contact person
Supervisor ☐
Employer ☐
Manager ☐
Other ☐► Specify
VETASSESS (August 15)
Page 5 of 10
Employer 3
Position description
Employer 4
Position description
Nature of company’s business
Nature of company’s business
Worked under direct supervision
Yes ☐ No☐
Period of employment
From (dd/mm/yyyy)
Hours per week
hours
To (dd/mm/yyyy)
Worked under direct supervision
Yes ☐ No☐
Period of employment
From (dd/mm/yyyy)
Company’s name
Company’s name
Company’s address
Company’s address
State
Post/ Zip code
Country
State
Hours per week
hours
To (dd/mm/yyyy)
Post/ Zip code
Country
Company’s email
Company’s email
Company’s phone number
Company’s phone number
Contact person
Contact person
Position held by contact person
Supervisor ☐
Employer ☐
Position held by contact person
Supervisor ☐
Employer ☐
Manager ☐
Other ☐► Specify
Manager ☐
Other ☐► Specify
Attach evidence of employment for each employer. See the Required Document Checklist for further
details.
Trade Skills assessment application form
VETASSESS (August 15)
Page 6 of 10
OTHER DETAILS
24 Are you of Aboriginal and/or Torres Strait Islander
origin?
No ☐
Yes, Aboriginal ☐
Yes, Torres Strait Islander ☐
25 When did your secondary and/or technical education
start and finish?
Start (mm/yyyy)
Finished (mm/yyyy)
/
/
31 Do you require advice or support with any of the
disabilities, impairments or long term conditions selected
in 30?
No ☐
Yes ☐
32 Which of the following categories best describes your
current employment status?
Full time employee☐
Part time employee☐
Self-employed – not employing others☐
Employer☐
26 Country of education
Employer – unpaid worker in a family business☐
Unemployed – seeking full time work☐
27 What is the highest school level you have completed?
Completed Year 12 ☐
Completed Year 11 ☐
Completed Year 10 ☐
Completed Year 9 or Equivalent ☐
Completed Year 8 or Lower ☐
Never attended school ☐
28 Do you speak a language other than English at home?
No ☐►Go to the next question
Yes
☐►Which language do you speak at home?
If you speak more than one language, please
specify the language that is spoken most often.
Unemployed – seeking part time work☐
Not employed – not seeking employment☐
33 Have you successfully completed any of the
following Australian qualifications?
Select ALL that apply
Bachelor Degree or Higher Degree☐
Advanced Diploma or Associate Degree☐
Diploma or Associate Diploma☐
Certificate IV or Advanced Certificate/Technician☐
Certificate III or Trade Certificate☐
Certificate II☐
Certificate I ☐
Certificates other than the above☐
29 How well do you speak English?
Very well ☐
Well ☐
34 Which of the following reasons best describes
why you are undertaking this assessment?
To get a job☐
Not well ☐
To develop my existing business☐
Not at all ☐
30 Do you consider yourself to have a disability, impairment
or long term condition?
No ☐►Go to 32
Yes ☐►Please select the area(s) of disability,
impairment or long term condition.
Select ALL that apply
Hearing/Deaf☐
To start my own business☐
To try for a different career☐
To get a better job or promotion☐
It was a requirement for my job☐
I wanted extra skills for my job☐
To get into another course of study☐
For personal interest or self-development☐
Other☐
Mental illness☐
Physical☐
Acquired brain impairment☐
Intellectual☐
Vision☐
Learning☐
Medical condition☐
Other☐
Trade Skills assessment application form
VETASSESS (August 15)
Page 7 of 10
APPLICANT’S DECLARATION
35 Please use a paperclip to attach two (2) recent passport sized photographs
of yourself here.
DO NOT STAPLE.
36 You MUST read and sign this declaration
(print name)
declare that:
• The information I have supplied on this form and in attachments is true and correct.
• I have included the required documents as listed on the Required Document Checklist and all documents are genuine.
• All the evidence I have provided relates to me and my work and can be verified.
• I have read and understood the information supplied to me in the Explanatory Notes accompanying this application.
• I intend to apply to migrate to Australia under the General Skilled Migration Program, Employer Nomination Scheme,
Regional Sponsored Migration Scheme or an Optional Skills Assessment.
• I will inform VETASSESS of any changes to my circumstances in writing (e.g. address) while my application is being
considered.
• I authorise my appointed agent or representative to act in all matters concerned with this application.
• I authorise VETASSESS to make any enquiries necessary to assist in the assessment of my skills (including contacting training
institutions, employers or other authorities) and to use any information supplied for that purpose.
• I understand that VETASSESS may verify information relating to this application with any Australian state or territory licensing
or training authority.
• I understand that VETASSESS may provide the Department of Education and Training, the Department of Employment, the
Department of Immigration and Border Protection or the Australian Taxation Office with any of the information supplied in this
application.
• I understand that documentation and information submitted in support of my application may be referred to the
Department of Immigration and Border Protection for integrity checking.
• I understand that the Department of Immigration and Border Protection may, where relevant, take into account any
information referred to it by VETASSESS in the application for a visa.
• I understand that my photograph may be taken and/or videotaping/recording may occur during the assessment. This may be
used for identity check and and/or for assessment purposes.
• I acknowledge that if I undertake a practical assessment it is at my own risk and that it is my responsibility to adhere to safe
work practices during the scheduled practical assessment. I acknowledge that it is my responsibility to ensure that at all times
during the assessment activities that I work safely when working on my own and when working with others, and while using
any tools and equipment. I agree that VETASSESS and any third party providing services in respect of or hosting the
assessments is not liable in respect of any personal injury, death or property damage arising during the course of the
assessments.
• I acknowledge that I may need to meet the minimum IELTS requirements to gain the relevant visa and that all assessments by
VETASSESS will be conducted in English.
Applicant’s signature
(agents DO NOT sign on behalf of applicant)
Date (dd/mm/yyyy)
/
/
On completion of this form, please print and sign by hand
Trade Skills assessment application form
VETASSESS (August 15)
Page 8 of 10
REQUIRED DOCUMENT CHECKLIST
37 I have included:
Identity documents
☐ Two (2) recent passport size photographs – passport
size, and dated. No stamp marked on the
passport size photographs
☐ Relevant passport pages – copy (passport
page must show name, photo and date of birth)
☐ Change of name evidence (if applicable)
☐ Copy of completed TradeSET evaluation with the
Skills Assessment Identification Number
☐ Unique Student Identifier (USI)
Only required if you are in Australia at the time of
assessment
Training and licences
☐ Evidence of training and/or qualification
☐ Evidence of academic transcripts
☐ English translation of the above documents,
compiled by a registered translation service, if originally
issued in a language other than English
☐ Evidence of recognition of your skills,
e.g. licences, registration, industry membership
Pathway 2 applicants ONLY
☐ Copy of Australian qualification
☐ Evidence of academic transcripts, or
☐ Copy of current Australian
Occupational licence/registration
Employment
☐ An employer statement for each period of
employment
FEES AND PAYMENT
38 I am paying my fees by
MasterCard/VISA ☐
Bank draft or bank cheque ☐
Money order ☐
39 Amount payable
__________________________________________
Skills assessment
☐ Training and employment check
– AUD $735.00
__________________________________________
Postage (if applicable)
Only select postage if you require
one of the special postage options.
Select one only
☐ Registered Australian mail
– AUD $5.00
☐ Express Post International
(not traceable outside Australia)
– AUD $21.00
Express Courier International (traceable in major
cities outside Australia)
☐ Region 1 countries – AUD $54.50
(Brazil, Ireland, South Africa, United Arab
Emirates, United Kingdom, Zimbabwe)
☐ Region 2 countries – AUD $43.50
(China, Fiji, India, South Korea, Papua New
Guinea, Philippines, Sri Lanka, Thailand,
Vietnam)
☐ Countries not from Region 1 or
Region 2 – AUD $54.50
__________________________________________
Add Total Payable Amount
You should also submit the following documentary
evidence to support each period of employment you are
claiming:
☐ Taxation record/ Assessment notice
☐ Annual payment summary/ Group certificate
☐ Pay Slips
☐ Bank Statements
☐ Superannuation employer contributions
☐ CV
☐ Position description
Other
☐ Completed form signed and dated
☐ Payment for training and employment check
Trade Skills assessment application form
VETASSESS (August 15)
Page 9 of 10
40 Credit card payment
I (name of cardholder)
SUBMIT APPLICATION
41
Authorise VETASSESS to debit my credit card for the
amount of AUD $
Post/Courier
VETASSESS
Skills Recognition International
Level 5, 478 Albert St
East Melbourne VIC 3002
Australia
as payment for the processing of my training and
employment.
I understand that the fee is non-refundable.
Credit card type
MasterCard ☐ VISA ☐
Credit card number
Expiry date
/
Credit card validation code
(the last three digits of the number
printed on the signature panel)
Name of applicant
Signature of cardholder
Send your application, with all
required documentation and
fees to:
42
After this training and employment check has
been completed, you will receive further
information from VETASSESS explaining your
options for the next stage of assessment.
Indicate whether you want to undertake a technical
interview or a practical demonstration and your
preferred country to undertake the assessment.
Refer to the assessment schedules on our website for
more information go to www.vetassess.com.au
Technical interview
(via web conference)
☐ Specify country
Practical demonstration/
Technical interview in your
country
☐ Specify country
Australia
☐ Specify
state/territory
Date (dd/mm/yyyy)
/
/
Authorisations missing any of the above information
will not be processed
Trade Skills assessment application form
VETASSESS (August 15)
Page 10 of 10