THE AUSTRALIAN INSTITUTE OF
WELFARE AND COMMUNITY WORKERS INC.
THE ASSOCIATION FOR COMMUNITY SERVICE PROFESSIONALS
Vic. Reg. A0036440S ABN 28 696 828 620
APPLICATION FOR COURSE AND CAMPUS APPROVAL
Title of Course: (as will appear on Diplomas, etc)
Name of Institution: Reg. Provider No. ..
Campus Location: .. (Separate form required for each campus)
Campus Postal address: .. ..
(Pcde) . Tel: ....................................... Fax: ..
Campus Street Address:
Course commencement at this campus (past or proposed): (Month) (Year)
Estimated number of students: (Now) (Next semester) .. . (Next year) . ..
Estimated proportion of international students: (Now) ... % (Next semester) % (Next year) %
.
Length of Course (Do not include Fieldwork/Industry Placement hours in Class Contact hours):
Full time: (No. of years) .......... (Weeks in each semester) . (No. of semesters) . (Total course class contact hours) .
Part time: (No. of years) .......... (Weeks in each semester) . (No. of semesters) . (Total course class contact hours) ..
Estimated Availability of the Course: Class-room Attendance ..% Distance Education . % (attach full details)
Fieldwork/Industry Placement: (No. of placements) .. . (Total No. of hours) .. .
Current Teaching Staff - Please attach a list of current teaching staff, with their qualifications, including title, majors or specialisations, institution, year completed; and their professional experience, including job titles, years employed, brief duties; or attach CVs,
Curriculum: For uni courses, has the curriculum previously been approved by the AIWCW? No [ ] Yes [ ] When
If not, please enquire before applying.
For Community Services Training Packages (CSTP) courses, please check AIWCW elective requirements for specialised courses, and for all courses list the current electives to be offered, and any planned changes in the next year.
Important Notice: If this is a new course and/or at a new campus, all the extra required documents must be included. These are available at the AIWCW website, but check with the National Office for any proposed amendments.
Application Statement:
I hereby apply for AIWCW Basic Approval of the above course at the Campus indicated. I enclose a cheque/money order (or authorise payment by credit card as indicated below) for the Application Fee of $200 (plus $50 for each additional course to be approved if the application is for more than one course to be processed at the same time at the same campus).
Visa/Mastercard: No. (16 digits) . . .Expiry date: . ./...
Name on the Card: . . Signature of Card Holder: . ...............
To the best of my knowledge, the AIWCW Approval For New Courses and Campuses have been fulfilled, including:
a. the course curriculum ; (details attached, if a new course/campus)
b. teaching staff have the qualifications and experience for the subjects in which they teach, (list attached);
c. library and other resources are adequate for current student needs (details attached if a new campus);
d. the course is taught over at least two full-time years (or part-time equivalent);
e. AIWCW Code of Ethics will be adhered to; and
f. Course Review Provisions will be displayed and available, (including now, if applicable for current students).
Course Leader: (Printed name) . (Signature) .. ..
Telephone: Email: .
Head of Department (or CEO): (Printed name) (Signature) .
Position: Dept./Division: Date: . ..
Telephone: Email: .
Send this form, together with supporting documents and application fee to: AIWCW, PO Box 42, FLINDERS LANE VIC 8009
Tel: (03) 9654 8287 Fax: (03) 9654 1081 Email: info@aiwcw.org.au website: www.aiwcw.org.au
TAX INVOICE - ABN 28 696 828 620
If you require a tax invoice, please retain a copy of this form after it has been completed. CRSE.01 Ver July09