application for curriculum offerings, sites, mode of delivery and

Application & Declaration Form

APPLICATION AND DECLARATION FORM

CURRICULUM OFFERINGS, SITES, MODE OF DELIVERY, CENTRES OF SPECIALISATION AND TRADE TEST

CENTRES

1. Please note all applicable sections must be fully completed and the application or declaration must be

signed.

2. The required supporting documentation must be included with the application or declaration when submitted.

3. Check the application for compliance and accuracy using the checklist provided at the end.

4. Note that the implementation of the application is subject to approval by the Deputy Director-General of the

VCET Branch.

5. Any application for implementation must be lodged prior to 31 August of the year preceding implementation.

The application consists of different sections. Note that Section A is compulsory to complete and submit. For the

rest, please complete and submit only those sections that are relevant for your application. It is also essential to check

the application for completeness and accuracy using the checklist provided.

SECTION A (COMPULSORY)

Administrative Details

This section is compulsory to complete and

summit with each application.

General information and summary

Rationale and endorsement of the application

Signatures

SECTION B

New Instructional Offerings or Mode of Delivery (on existing or new campuses)

Section B1

Application for new qualification, programme or

subject offerings on existing (registered) and/or new

campus/es

If there is no other application and delivery is not intended on any new

campuses, check the application for completeness and accuracy and

submit.

Section B2

Registration of new campus/es

This section is only required to complete or submit in case of a new

campus to be registered.

Section B3

Application for a new mode of delivery

This section is only required to complete or submit in case of new mode

of delivery such as offering programmes on distance learning.

SECTION C

Offering a Higher Certificate

Application to offer a Higher Certificate (HC) This section is only required to complete or submit in case of an

agreement signed with a university to offer a HC.


SECTION D

Discontinuation of Instructional Offerings

Application to discontinue qualification, programme or

subject offerings

This section is only required to complete or submit when instructional

offerings are phased out.

SECTION E

Closure of Campuses

Application to discontinue operations on a registered

campus

This section is only required to complete or submit when a campus is

closed for operations.

SECTION F

Centres of Specialisation

Expression of interest to become a centre of

specialisation

This section is only required to complete or submit when college requires

an assessment to become a centre of specialisation.

SECTION G

Trade Test Centres

Declaration regarding registering a trade test centre This section is only required to complete or submit when trade test

centres have been registered on college premises.

ANNEXURE A: Checklist for Compliance and Accuracy

Note the following definitions:

Campus A site of learning or operation that is used by a TVET or CET college and that has been registered in

terms of the relevant legislation.

Centre of

Specialisation (COS)

A Centre of Specialisation is a faculty or department in an education and training institution, such as a

TVET or CET college, dedicated to the delivery of the theoretical and practical components of a

specified occupation or cluster of related occupations. Such a centre will be recognised by the

Department of Higher Education and Training for this purpose in the province.

Electrical Certificate of

Compliance A certificate issued by a competent electrical contractor according to SABS regulations.

Existing TVET or CET

college site

A property currently in use by the TVET or CET college, irrespective of the purpose for which the site

is being utilised at present.

Learning or training

site

A site of delivery used by a TVET or CET college which often has not been formally registered as a

campus. Often identified as “satellites” or “skills centres.” These sites may have TVETMIS or

CETMIS numbers.

Mode of delivery Refers to the manner in which teaching and learning is facilitated, for example open learning, distance

education, face-to-face classroom contact.

New TVET or CET

college site

A property or piece of land which has been identified for the use of a TVET or CET college,

irrespective of the purpose for which the proposed TVET or CET site will be utilised i.e. open piece of

land, land with buildings on it.

Programme Programme is understood to be a grouping of subjects in a learning pathway in order to achieve a

qualification or part-qualification.

Provider Code

A code that has been issued by a QC or its appointed agent for a legally registered institution. The

institution is recognised, usually for a particular period of time, as having the capacity or provisional

capacity to offer a qualification or part-qualification registered on the NQF at the required standard

(SAQA definition).


SECTION A: GENERAL INFORMATION AND SIGNATURES

1. College Information

Provide the following information.

Name of TVET or CET College:

Tel no of the College Central Office:

Postal address of the College:

Name of TVET or CET College

Principal:

Cell no of TVET or CET College

Principal:

E-mail of TVET or CET College

Principal:

Name of TVET or CET College Council

Chair:

Cell no of TVET or CET College Council

Chair:

E-mail of TVET or CET College Council

Chair:

Name/s, designation/s and contact

details of other College Management

Name Designation Contact Details

These are the names of other college management members involved in the

application such as the Deputy Principal: Academic.

2. Summary of the Application

Complete the relevant sections.

List of new instructional offerings (Section B1) Registered campus/es where to be

implemented

Date/s for implementation

1.

2.

List of new instructional offerings (Section B2) New campus/es where to be

implemented


1.

2.

List of instructional offerings in new mode of

delivery (Section B3)

Registered campus/es where to be

implemented



List of Higher Certificate offerings (Section C) Campus/es where to be implemented Date/s for implementation

1.

2.

List of discontinued instructional offerings

(Section D)

Campus/es where to be implemented Date/s for implementation

1.

2.

List of campuses for closure (Section E) Physical location of campus/es Date/s for implementation

1.

2.

List of specialisation centres (Section F) Physical location of centres of

specialisation


1.

2.

List of registered trade test centres (Section G) Physical location of centres Date/s of registration

1.

2.

3. Submission Details

Complete details of the person responsible for submitting the application.

This application is lodged by: The name of person submitting

College:

Contact Details

Date: Of the submission

4. Rationale for Application

In a comprehensive narrative explain the reasons for this application. Refer to evidence in this regard.

Indicate, amongst other, (i) findings of market and community research that was conducted; (ii) processes that were

followed to arrive at this application; (iii) proof of impact and/or sustainability of the implementation of the application

detail; (iv) applicable examination results (history of at least 2 years); (v) human resource capacity in terms of delivery as

well as (vi) support and capacity within the college to implement successfully after approval.


In a brief narrative, explain how this application detail links to the strategic and operational planning of the college.

Explain how this application detail relates to the achievement of strategic objectives of both the Department and the

college as well as the relevance of this application in terms of annual performance and operational planning.

5. Sign-off and Declarations

I, _________________________________________________________________________, the undersigned,

hereby declare that:

1. All the information in this application and in any attachments are true and correct;

2. I will notify the Department in writing if any information in this application changes during the approval

process;

3. I agree that all information provided in this application and in any attachments are subject to verification

by the Department;

4. I understand that any misrepresentation in the application or attachments may result in the application

being rejected/not approved.

Signed at ______________________ on _____/_____/20__

COLLEGE PRINCIPAL

I, _________________________________, the undersigned, hereby declare that the information provided in this

application is accurate and that the application has been ratified by the College Council.

Signed at ______________________ on _____/_____/20__

COLLEGE COUNCIL CHAIR

COMMISSIONER OF OATHS STAMP


SECTION B1: NEW QUALIFICATION, PROGRAMME & SUBJECT OFFERINGS

The following supporting documentation must be submitted:

(i) Implementation plan including: a) Detailed budget and cost analysis for the first year; b) Secured sources of

funding; c) Financial projections of sustainability for 3 years; d) Available resources (HR, infrastructure &

equipment and teaching and learning materials) and e) Readiness and plan for curriculum delivery;

(ii) Provider code1 / TVET or CETMIS number and examination centre number/s;

(iii) An OHS2 audit report and other documentary proof attesting to the safety and readiness of infrastructure and

college facilities for implementation;

(iv) Proof of conducted readiness checks for examination centre registration; and

(v) Proof of ratification of application by the college council.

1. Administrative and Legal Information

NOTE: Duplicate these tables below for each new instructional offering intended.

Indicate the offering

Application for: Qualification Programme Subject

NOTE: Should you apply for ADDING A SUBJECT OFFERING ONLY, still indicate the qualification and

programme it resides with.

Complete fully.

Provide details regarding the

instructional offering:

Qualification Programme Subject/s

e.g.

N4 – N6 Business Studies

Management Assistant

Communication

Office Practice

Information Processing

Computer Practice

Campus/es intended for the

delivery:

1. Registered New

2. Registered New

3. Registered New

Provider code/s or TVET OR

CET MIS number/s of

campus/es where will be

delivered:

1.

2.

3.

Examination centre number/s 1.

1 The provider code (currently use TVET OR CETMIS number) is the unique identifier of this campus as an education and training delivery site. 2 Occupational health and safety audit report issued by an independent registered OHS auditor.


of campus/es where will be

delivered: 2.

3.

2. Implementation Plan

Complete the information requested and attach the required documentary proof.

Indicate the first

enrolment into the

offering/s:

Qualification Number to be enrolled Programme Number to be enrolled

Subject3 Number to be enrolled Subject Number to be enrolled

Comment on

readiness to offer

the new

qualification(s) /

programme(s) /

subject(s):

Insert or attach implementation plan.

Implementation plan includes a) detailed budget and cost analysis for the first year; b) secured sources of

funding; c) financial projections of sustainability for 3 years; d) available resources (HR, infrastructure &

equipment and teaching and learning materials) and e) readiness and plan for curriculum delivery.

Comment on

health and safety

aspects of the

campus/es

intended for

delivery:

Attach recent OHS report/s (not older than a year) for all campus/es intended for delivery

Comment on

approval by

Council as well as

planning for

implementation:

Attach proof of ratification of application by Council. Also refer to the relevant college plans and sections

where the new offering/s has/have been captured.

3 In case of applying for subject offerings only.


SECTION B2: REGISTRATION OF NEW CAMPUS/ES

NOTE: This section is compulsory to complete when the qualifications, programmes or subjects (applied for in

B1) are to be delivered on a new campus.


(i) Implementation plan including:

a) Detailed budget and cost analysis for the first year;

b) Sources of funding (also to be reported separately in OPS plan);

c) Financial projections of sustainability for 3 years;

d) Sketch plan (with GIS coordinates) of the site showing in block form all buildings and main access roads.

Buildings must be labelled to show main usage/purpose;

e) Table with T&L4 infrastructure listed, square meters and planned seating capacity (if applicable) and its

utilisation. This should be cross-referenced to the sketch plan. The OPS plan sheet may be used/copied for this

purpose;

f) Table with residential facilities. This should be cross-referenced to the sketch plan. The OPS plan sheet may

be used/copied for this purpose;

(ii) Proof of ownership of campus such as deed of transfer, lease agreement etc.

(iii) An OHS audit report;

(iv) An electrical certificate (Compliance Certificate)

(v) Bulk Service Supply values: a) Electrical in KVA); b) Potable Water (in kl/day); c) Sewage system (municipal water

borne system; d) Septic tank or waste water treatment plant in kl/day; e) Alternative water supply (if relevant), e.g.

borehole and storage tanks - capacity expressed in litres and certificate of quality of water and pump rate for

borehole must be supplied; and

(vi) Proof of ratification of application by the college council.


Complete fully.

Name of new campus:

Physical address (location) of

campus:

Local region and/or municipal

area:

Province:

GIS coordinates:

4 T&L = teaching and learning


Purpose of site: Indicate the purpose for establishing the site, for example as a teaching and learning site, skills

development centre, etc.

Legal ownership: Indicate which entity legally owns the site. Attach proof of ownership such as copy of the

deed of transfer or lease agreement.

2. Compliance with Infrastructure and Other Delivery Requirements

NOTE: A site visit will be conducted by a team from the Department to verify the information provided and to

ascertain readiness and compliance with all requirements.

Complete the information requested and attach the required documentary proof.

Comment on the intended use of the site in terms of:

(i) The kind of building structures on the site and

their surface coverage expressed in square

metre;

(ii) The types and intended use of the existing

facilities;

(iii) The surface coverage of the site expressed in

square metre;

(iv) The number of students, staff or other that

can be accommodated in each type of facility;

and

(v) List all ablution facilities per gender i.e. Male X

urinals, Z Toilets, Y Basins.

The facility type relates to classrooms, workshops, information centres,

hostels, staff rooms, amongst other.

Comment on the OHS audit for the site and its

compliance with occupational, health and safety

requirements:

Attach audit report of an independent and registered OHS auditor, not

older than a year.

Comment on the suitability of the site in terms of:

(i) Accessibility (existing roads, transport

available to students etc.);

(ii) Water and waste water demand;

(iii) Ablution facilities;

(iv) Condition of buildings; and

(v) Fit-for-purpose status of the buildings.

The condition of the buildings relates to aspects such as painting (internal

and external, ceilings; lighting, storm water and sewerage drainage;

gutters and facias; roof structures, and electrical infrastructure amongst

other. Attach electrical certificate issued by competent contractor.

The fit-for–purpose status relates to suitability in terms of use for office

space, storage, classrooms, workshops, etc. It includes reference to the

equipment and furniture that are available and ready for use and meeting

examination centre compliance in terms of suitable venues to

accommodate candidates (e.g. sufficient space for the conduct of

examinations) and safekeeping requirements ( e.g. a strong room for the

safekeeping of the examination material and question papers). Conduct

compliance check for registration as examination centre using the

checklist below.


Comment on the financial viability and sustainability

of the site: Insert or attach implementation plan.

Comment on the intended education and training

delivery on the site: Insert or attach implementation plan.

Comment on approval by Council as well as

planning for implementation:

Attach proof of ratification of application by Council. Also refer to

the relevant plans and sections where this intended registration has been

captured.

COMPLIANCE CHECK FOR REGISTRATION AS EXAMINATION CENTRE

NOTE: This pre-check will be verified by a site visit by a team of DHET officials. Proof of conducting this

assessment (completed checklist) must be included with the application.

Requirements for Examination Centre Registration College Official

1. Is the college currently conducting national examinations? If yes, Indicate names of

programmes and/or subjects number of students enrolled for examinations. Yes No

List of programmes for which national examinations are conducted Number enrolled

Requirements for Examination Centre Registration College Official

2. Is/are the venue/s conducive for the conduct of national examinations?

Please indicate the following:

2.1 The number of rooms with doors available to seat candidates for writing of examinations on the

premises to be registered:

2.2 The number of fully fitted/equipped computer laboratories:

2.3 The number of computers and printers per laboratory (Divisions must be between computers,

minimum of 10 per room):

2.4 The number of simulation/practical rooms available for NC(V):

Please list for which subjects.


2.5 Does the examination centre have appropriate furniture and equipment (standard desks,

chairs, whiteboards, connected telephone, fax, printers and large photocopier machine,

storage areas, etc.)?

Yes No

2.6 Is there sufficient lighting in all rooms and passages of the centre? Yes No

2.7 Is there availability of fresh water? Yes No

2.8 Are there separate, working and lockable toilet facilities for males and females (1:50

male/female students)? Yes No

Comments regarding 2.6-2.8:

Requirements for Examination Centre Registration DHET Official

2. Does the examination meet safekeeping requirements for the conduct of national examinations?

Please indicate the following:

3.1 Is there 24 hour security at the venue/premises? Yes No

3.2 Does the venue/premise(s) have an alarm system connected to an Armed Response Unit? Yes No

3.3 Does the centre have a strong room for the safekeeping of examination question papers and

examination materials? Yes No

3.4 Is/Are the venue/premises approved by the local health and fire services in terms of the by-

laws?

Provide proof.

Yes No


SECTION B3: NEW MODE OF DELIVERY


Complete fully.

List of offerings intended

and in which mode:

Offerings Mode of delivery Number to be enrolled

1.

2.

3.

Campus/es intended for

the delivery:

1. Registered New

2. Registered New

3. Registered New

Provider code/s or TVET

or CETMIS number/s of

campus/es where will be

delivered:

1.

2.

3.

Examination centre

number/s of campus/es

where will be delivered:

1.

2.

3.

2. Readiness for Implementation

Fully explain readiness for implementation.

Comment on readiness to

conduct teaching and learning

within this mode:

Comment on financial implications, resource requirements, and readiness for ICAS and ISAT

assessments amongst other.

Comment on approval by

Council as well as planning for

implementation:

Attach proof of ratification of application by Council. Also refer to the relevant plans and

sections where this application detail has been captured.


SECTION C: HIGHER CERTIFICATE OFFERING

NOTE: Approval by the Minister to offer a higher certificate is required in terms of Section 43(4) of the

Continuing Education and Training Act, No. 16 of 2006. This section is compulsory to complete in case of any

intention to offer a higher certificate in collaboration with a higher education institution (HEI).


(i) Implementation and business plan including a detailed budget and all resource allocations and readiness as well

as proof of sustainability and benefits to college;

(ii) Copies of letters from CHE confirming approval of qualification with a qualification code assigned;

(ii) A signed memorandum of understanding (MOU) between the college and the Higher Education Institution (HEI)

covering aspects of delivery of tuition, conduct of assessment and certification as well as subsidy implications for

HEI for this cohort of students;

(iii) Evidence of a student support services programme in line with the student support services at the HEI; and

(iv) Proof of ratification of application by the college council.


NOTE: Duplicate the table below for each new offering intended.

Complete fully.

Higher Certificate (HC) Offering

intended:

Higher Certificate

Qualification Qualification Code Subject/s

Campus/es or Site/s intended

for the delivery:

1. New Existing

2. New Existing

Programme approval obtained: Attach copies of the letters of approval by the Council for Higher Education (CHE).

Agreement with HEI:

Attach copy of the signed MOU. The MOU outlines all elements of the partnership between

the college and the HEI required for the delivery of tuition, the conduct of assessments and the

certification of the qualification/s.


2. Readiness for Implementation

Fully explain readiness for implementation.

Comment on the

first enrolment

into the HC:

Qualification Qualification Code Number to be

enrolled Subject/s

Number to be

enrolled

Comment on

readiness to offer

the HC:

Insert or attach implementation and business plan.

Comment on

provision of

student support

services for

students enrolled

for HC offering/s:

Insert or attach student support services programme.

Comment on

approval by

Council as well as

planning for

implementation:

Attach proof of ratification of application by Council. Also refer to the relevant plans and sections where

this intended HC offering has been captured.


SECTION D: DISCONTINUING QUALIFICATION, PROGRAMME & SUBJECT OFFERINGS

NOTE: This section is compulsory to complete when any qualification, programme and/or subject offerings are

to be discontinued. It may be required to complete this section in conjunction with Section E – closure of a

registered campus or other TVET or CET college site of learning.


(i) Phase-out strategy and plan with specific reference to impact on students currently enrolled for qualifications on

this campus or learning site, plans to accommodate these students elsewhere in order to complete and achieve

their qualifications as well as financial and other impact on the college community;

(ii) Provider code and examination centre number; and

(iii) Proof of ratification of application by the college council.


NOTE: Duplicate these tables below for each new instructional offering intended.

Indicate the offering to be discontinued.

Application for: Qualification Programme Subject

NOTE: Should you apply for DISCONTINUING A SUBJECT OFFERING ONLY, still indicate the qualification and

programme it resides with.

Complete fully.

Currently offering to be

discontinued:

Qualification Programme Subject/s

e.g. NC(V) L4 Primary Health

English 1st Additional

Language

Mathematics

Life Orientation

Public Health

The South African Health

Care System

The Human Body and Mind

Community Orientated

Primary Care (O)*

Province:

GIS coordinates:

Provider code/s or TVET or

CETMIS number/s of campus:

The provider code (currently use TVET OR CETMIS number) is the unique identifier of this

campus as an education and training delivery site.


Examination Centre Number:

2. Phase-out Strategy

Fully explain impact of discontinuation and phase-out strategy.

Comment on

current enrolment

into the offering/s:

Qualification Number of enrolled

students Programme

Number of enrolled

students

Subject5 Number of enrolled

students Subject

Number of enrolled

students

Comment on

financial and other

impact of the

discontinuation on

the college and

surrounding

community:

Insert or attach phase-out strategy and plan.

Comment on the

phase-out of

current education

and training

delivery on the

site:

Insert or attach phase-out strategy and plan.

Comment on

approval by

Council as well as

planning for

implementation:

Attach proof of ratification of application by Council. Also refer to the relevant plans and sections where

this discontinuation detail has been captured.

5 In case of applying for subject offerings only.


SECTION E: CLOSURE OF EXISTING SITE OR CAMPUS

NOTE: This section is compulsory to complete when any registered campus or TVET OR CET college learning

site has been earmarked for closure. This application MUST BE COMPLETED in conjunction with Section D, i.e.

discontinuation of delivery of qualifications, programmes or subjects.


(i) Phase-out strategy and plan with specific reference to impact on students currently enrolled for qualifications on

this site, plans to accommodate these students elsewhere in order to complete and achieve their qualifications as

well as financial and other impact on the college community;

(ii) Provider code and examination centre number;

(iii) Plan of method of disposal and

(iv) Proof of ratification of application by the college council.


Complete fully.

Name of existing learning site

or campus:


site or campus:


area:

Province:

GIS coordinates:

Purpose of site or campus: Indicate the purpose of the site, for example as a teaching and learning site, skills development

centre, etc.

Provider code/s or TVET or

CETMIS number/s of campus:

The provider code (currently use TVET OR CETMIS number) is the unique identifier of this

campus as an education and training delivery site.

Examination Centre Number:

2. Indicate phase-out strategy

Fully explain impact of closure and phase-out and disposal strategy.

Comment on the current use of the site in terms of:

(i) The kind of building structures on the site;

(ii) The types and current use of the existing facilities;

(iii) The number of students, staff or other currently enrolled

at this campus;

(iv) Indicate the number of and qualifications, programmes

The facility type relates to classrooms, workshops, information

centres, hostels, staff rooms, amongst other.


and/or subjects that are affected by the closure.

Comment on financial and other impact of the site

closure on the college and surrounding community: Insert or attach phase-out strategy and plan.

Comment on the phase-out of current education and

training delivery on the site: Insert or attach phase-out strategy and plan.

Comment of method of disposal of the site and its

assets:

Attach documentary proof and plan of method of disposal of the TVET or

CET college site, for example i.e. sale documents (if applicable),

termination of lease or rental agreement, and proof of relinquishing

permission to occupy property (used for a property owned by the State).

Also include a plan indicating what will be done with movable assets, e.g.

movement to other sites, sale or transfer to another State Entity.

NOTE: The sale of a site requires Ministerial Approval. Indicate any

financial consequences of this action.

Comment on approval by Council as well as

planning for implementation:

Attach proof of ratification of application by Council. Also refer to

the relevant plans and sections where the closure detail has been

captured.


SECTION E: CENTRE OF SPECIALISATION (COS)


(i) Expression of interest and motivation to become a centre of specialisation and

(ii) Proof of ratification of expression of interest by the college council.


NOTE: Duplicate the table below for centre to be established.

Complete fully.


or campus where COS will be

located:


COS:


area:

Province:

GIS coordinates:

Specialisation focus of COS: Indicate the purpose of the site, for example as a teaching and learning site, skills development

centre, etc.



implementation:


sections where the COS detail has been captured.

2. Expression of Interest

Write a motivation and fully explain the reasons for this decision in terms of the criteria listed.

(i) Proximity to demand (current or future):

(ii) Proximity to workplace learning

opportunities:

(iii) Capacity: Provide evidence of past performance

(iv) Existing partnerships with employers: Attach proof.

(v) Declaration to undergo an assessment

and to commit time and effort:


SECTION F: DECLARATION REGARDING A REGISTERED TRADE TEST CENTRE


(i) Declaration regarding trade test centres registered on college premises;

(ii) Proof of registration; and

(iii) Proof of ratification of registration by the college council.


NOTE: Duplicate the table below for each trade test centre registered .

Complete fully.


or campus where located:


trade test centre:


area:

Province:

GIS coordinates:

Focus of trade test centre: Indicate which trades are tested

Registration detail: Attach all documentary proof of the registration, e.g. letters from NAMB, accreditation

documents etc.



implementation:


sections where the trade test centre detail has been captured.

2. Declaration

Briefly explain the reasons for this decision and the impact on current existing programme offerings.

Motivation for registration of trade test

centre/s: Relate to strategic planning and benefits for the college.

Impact on existing offerings: Explain fully which instructional offerings have been affected and to

what degree.


APPENDIX A: CHECKLIST

Please verify and check Confirmation Comments

1. Section A is fully completed.

2. The information provided in the application is correct.

3. Sign-off page is fully completed with all signatures and

the stamp of a Commissioner of Oaths.

4. Section B1 is fully completed.

5. All supporting documentation for Section B1 is included

with the application.







10. Section C is fully completed.

11. All supporting documentation for Section C is included


12. Section D is fully completed.

13. All supporting documentation for Section D is included


14. Section E is fully completed.

15. All supporting documentation for Section E is included


16. Section F is fully completed.

17. All supporting documentation for Section F is included


18. Section G is fully completed.

19. All supporting documentation for Section F is included


application for curriculum offerings, sites, mode of delivery and

Documents