Template 1

Application cover sheets

This template contains high-level information about your program. The Dean or Head of School must sign it. The teacher regulatory authority will publish this information on its website when it decides about accrediting the program.

Program details

• Application date:
• Program titles this application covers:
• Program type:
• Program code:
• Provider:
• Faculty / school / department:
• Program duration in equivalent full-time student load (EFTSL):
• Minimum duration for program completion:

Delivery modes: [ ] On campus [ ] Online [ ] Blended

• Campuses where the program is offered:
• Length of professional experience component (days of supervised practice):
• Stages of schooling (for example, early childhood/primary, primary, secondary):
• Teaching areas offered (secondary programs):
• Website URL:
• Dates of any preliminary meetings with the relevant teacher regulatory authority for this application:

Start date: [ ] A new program [ ] An existing program

If an existing program, this application is for: [ ] Stage one [ ] Stage two

If an existing program, what is the date of:

• original program start date
• last accreditation date
• approval expiry: date
• Shared courses:

Program description, rational and quality assurance

• Program description and rationale (200 word limit):
• Quality assurance processes (200 word limit):

Program contact’s details

• Name:
• Position:
• Email:
• Phone:
• Postal address:

Dean or Head of School’s declaration

I (Name), (Position title), endorse the attached document as the formal application from (faculty / school / department). I will comply with the reporting requirement specified under Program Standard 5.3

• Signature:
• Date:
• Email:
• Phone: