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NSW Education Standards Authority Page 1 of 16 Eligibility Determination – [Language]* Continuers Courses (where there are [Language] in Context and/or [Language] and Literature courses) Information and Application Form * insert relevant language, eg Chinese Students need to meet specific eligibility criteria for [Language] Continuers courses where there are [Language] in Context and/or [Language] and Literature courses. For each of these courses, students must apply for an eligibility determination. The principal needs to make eligibility decisions before the student’s enrolment in the relevant Languages course. A student applying for an eligibility determination must: complete the [Language] Continuers Course – Application for Eligibility Determination form (including the Statutory Declaration) provide relevant additional documentation the principal requires, or that they wish to submit. Note: Submitting false, inaccurate or incomplete information could place a student’s eligibility for the Higher School Certificate (HSC) at risk. Course eligibility criteria To be eligible for a course, a student must meet all eligibility criteria at the time of entry to that course. For determining eligibility: speakers of dialects and variants of a language are considered speakers of the standard language, eg Cantonese Chinese speakers are considered speakers of Mandarin speakers of Indonesian and speakers of Malay are considered speakers of both languages formal education is ‘education that is institutionalised, intentional and planned through public organizations [sic] and recognised private bodies, and – in their totality – constitute the formal education system of a country.’ (UNESCO International Standard Classification of Education, 2011, para 36). Target candidature Eligibility criteria Students are learning the language as a second (or additional) language. Students typically have studied the language for 200–400 hours at the commencement of Stage 6. (In languages where Extension courses are offered, the Extension courses are available to HSC Continuers course candidates only.) Students have had no more than one year’s formal education from the first year of primary education (Year 1) in a school where the language is the medium of instruction. Students have had no more than three years residency in the past 10 years in a country where the language is the medium of communication. Students do not use the language for sustained communication outside the classroom with someone with a background in using the language.

[Language] Continuers eligibility form

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Page 1: [Language] Continuers eligibility form

NSW Education Standards Authority

Page 1 of 16

Eligibility Determination – [Language]* Continuers Courses (where there are [Language] in Context and/or [Language] and Literature courses)

Information and Application Form

* insert relevant language, eg Chinese

Students need to meet specific eligibility criteria for [Language] Continuers courses where there are [Language] in Context and/or [Language] and Literature courses. For each of these courses, students must apply for an eligibility determination. The principal needs to make eligibility decisions before the student’s enrolment in the relevant Languages course.

A student applying for an eligibility determination must: • complete the [Language] Continuers Course – Application for Eligibility Determination form

(including the Statutory Declaration)• provide relevant additional documentation the principal requires, or that they wish to

submit.

Note: Submitting false, inaccurate or incomplete information could place a student’s eligibility for the Higher School Certificate (HSC) at risk.

Course eligibility criteria

To be eligible for a course, a student must meet all eligibility criteria at the time of entry to that course.

For determining eligibility: • speakers of dialects and variants of a language are considered speakers of the standard

language, eg Cantonese Chinese speakers are considered speakers of Mandarin• speakers of Indonesian and speakers of Malay are considered speakers of both languages• formal education is ‘education that is institutionalised, intentional and planned through public

organizations [sic] and recognised private bodies, and – in their totality – constitute the formaleducation system of a country.’ (UNESCO International Standard Classification of Education,2011, para 36).

Target candidature Eligibility criteria

Students are learning the language as a second (or additional) language. Students typically have studied the language for 200–400 hours at the commencement of Stage 6.

(In languages where Extension courses are offered, the Extension courses are available to HSC Continuers course candidates only.)

• Students have had no more than one year’sformal education from the first year of primaryeducation (Year 1) in a school where thelanguage is the medium of instruction.

• Students have had no more than three yearsresidency in the past 10 years in a country wherethe language is the medium of communication.

• Students do not use the language for sustainedcommunication outside the classroom withsomeone with a background in using thelanguage.

Page 2: [Language] Continuers eligibility form

Page 2 of 16

Determining eligibility

The principal of the school delivering the course determines eligibility. This may be:

• the student's home school• the Saturday School of Community Languages• the NSW School of Languages• a Distance Education Centre• a TAFE.

For a student who intends to study the course with an approved outside tutor, the principal of the student's home school determines eligibility.

To be deemed eligible for a course, a student must meet all eligibility criteria at the time of entry to that course.

The principal must provide the eligibility determination to the student in writing before the student enrols in the relevant Language course. Schools that deliver Language courses outside the home school may have early submission deadlines. The student is responsible for meeting these deadlines.

Review of principal’s eligibility determination

If a student believes that the principal’s determination has not been made according to the course eligibility criteria, they can request a review of the determination.

Students requesting a review must:

• use an Application for Review of Eligibility Determination form• submit their review request to the principal within one week of receiving the principal’s

original decision• if applicable, include relevant documentation not included in the original application.

The principal and/or school review panel will re-examine the matter and advise the student of the outcome in writing.

Appeal to NESA

If the review concludes that the student remains ineligible to undertake the Language course, the student may appeal to NESA.

Any student who wishes to appeal to NESA must submit their request to the principal within one week of receiving the review decision. The school must then submit the appeal to NESA within one week of the student's request.

The appeal must include:

1. an Application for Eligibility Determination form (including the Statutory Declaration)2. an Application for Review of Eligibility Determination form3. an Appeal to NESA against Principal’s Eligibility Determination form4. documentation submitted to the principal as part of the student's application for

eligibility determination or review.

Appeals should be emailed to [email protected].

NESA will notify the principal and the student of its decision via email.

Page 3: [Language] Continuers eligibility form

Page 3 of 16

[Language] Continuers Course Application for Eligibility Determination

(where there are [Language] in Context and/or [Language] and Literature courses)

PART A: TO BE COMPLETED BY THE STUDENT

Applicant details:

Student Number:

Student Name:

Student Email:

Language:

Home school details:

School Name:

Contact Person:

Phone Number:

Principal:

School Email:

Teaching school details (if different from home school)

School Name:

Contact Person:

Phone Number:

Principal:

School Email:

Page 4: [Language] Continuers eligibility form

Page 4 of 16

Section 1: Formal education*

* Formal education is “education that is institutionalised, intentional and planned throughpublic organizations [sic] and recognised private bodies, and – in their totality – constitutethe formal education system of a country.” (UNESCO International Standard Classificationof Education, 2011, para 36).

Please write the required information in the table below. FILL IN ALL BLANKS. If you did not attend school in any of these years, please write ‘none’ in the relevant space.

School year

Calendar year Name of school attended

Country in which school was attended

Languages learned (other than English)

10

9

8

7

6

5

4

3

2

1

Further information related to formal education (if applicable):

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Page 5: [Language] Continuers eligibility form

Page 5 of 16

Section 2: Residency

Please write the required information in the table below. FILL IN ALL BLANKS.

School year

Calendar year Country of residence Language of communication

in country of residence

10

9

8

7

6

5

4

3

2

1

Further information related to country/language of residence (if applicable):

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Page 6: [Language] Continuers eligibility form

Page 6 of 16

Section 3: Language used for communication outside the classroom

Please use the space below to provide a statement about the extent of your experience using the language outside the classroom.

1. Have you used the language to communicate with anyone outside theclassroom? Yes / No

If yes, please provide details of the type and extent of any communication that has involved you in speaking, writing, reading or listening to the language outside the classroom.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

2. Has anyone used the language to communicate with you outside theclassroom ? Yes / No

If yes, please provide details of the type and extent of any communication that has involved you in speaking, writing, reading or listening to the language outside the classroom.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Page 7: [Language] Continuers eligibility form

Page 7 of 16

3. Outline the extent of any time you have spent living in or visiting a country where thelanguage is used as the main medium of communication.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Section 4: Additional documentation provided by student

The student may choose, or be asked to provide additional documentation to support their application. Such documentation may include copies of school reports from previous schools, passports/visas or evidence of residency in Australia and/or overseas.

Please list any additional documentation submitted with this application.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Page 8: [Language] Continuers eligibility form

Section 5: Student declaration

Please complete the Statutory Declaration, which must be signed by the student and an appropriately qualified person. It is an offence under the Oaths Act 1900 to make a false statutory declaration. The remote witnessing pilot scheme is currently in effect in NSW, meaning that the signing of a statutory declaration may also be witnessed by audio-visual link. Where this is the method used, the witness should tick the box alongside the statement provided. If you are unsure of the answers to any of the questions you have given above, seek advice from your principal before you sign the declaration.

Statutory Declaration OATHS ACT 1900, NSW, EIGHTH SCHEDULE

I, .......................................................................... , do solemnly and sincerely declare that [name of declarant]

all information given on this form is complete and correct, and I make this solemn declaration

conscientiously believing the same to be true, and by virtue of the provisions of the Oaths Act

1900.

Declared at: ................................................... on ................................................................... [place] [date]

.................................................................. [signature of declarant]

in the presence of an authorised witness, who states:

I, ..................................................................... , a ................................................................... , [name of authorised witness] [qualification of authorised witness] 1

certify the following matters concerning the making of this statutory declaration by the person

who made it: [* please cross out any text that does not apply]

1. *I saw the face of the person OR *I did not see the face of the person because the person

was wearing a face covering, but I am satisfied that the person had a special justification2

for not removing the covering, and

2. *I have known the person for at least 12 months OR

*I have confirmed the person’s identity using an identification document and the document I relied

on was ……...………………………………………… [describe identification document relied on]

3. Please tick if applicable [* please cross out any text that does not apply]:☐ This declaration was [*signed in counterpart OR *countersigned] and witnessed over audio-visual

link in accordance with section 14G of the Electronic Transactions Act 2000 (NSW).

……...…………………………………………… ……...…………………………………… [signature of authorised witness] [date]

This statutory declaration may be signed and witnessed in accordance with the authority provided by Part 2B of the Electronic Transactions Act 2000 (NSW).

1 Please see following pages for list of authorised witnesses, including those allowed under section 14I of the Electronic Transactions Act 2000 (NSW). 2 Note – A special justification includes having a legitimate medical reason for not removing the face covering.

Page 8 of 16

Page 9: [Language] Continuers eligibility form

The following persons may witness a statutory declaration in New South Wales:

• a justice of the peace

• a notary public

• a solicitor or barrister with a current New South Wales or interstate practisingcertificate

• a commissioner of the court for taking affidavits

• a person by law authorised to administer an oath

• a person authorised to witness statutory declarations under the CommonwealthStatutory Declarations Act 1959, as permitted by section 14I of the ElectronicTransactions Act 2000 (NSW) – please see next page for a list

For statutory declarations to be signed and witnessed via audio-visual link, please refer to section 14G of the Electronic Transactions Act 2000 to ensure that you comply with the requirements.

Page 9 of 16

Page 10: [Language] Continuers eligibility form

A statutory declaration under the Statutory Declarations Act 1959 may be made before–

(1) a person who is currently licensed or registered under a law to practise in one of the following occupations:

Architect Chiropractor Dentist Financial adviser Financial Planner

Legal practitioner Medical practitioner Midwife Migration agent registered under Division 3 of Part 3 of the Migration Act 1958

Nurse Occupational therapist Optometrist Patent attorney Pharmacist

Physiotherapist Psychologist Trade marks attorney Veterinary surgeon

(2) a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); or

(3) a person who is in the following list:

Accountant who is:

a) a fellow of the National Tax Accountants’ Association; or

b) a member of any of the following:

i. Chartered Accountants Australia and New Zealand;

ii. the Association of Taxation and Management Accountants;

iii. CPA Australia;

iv. the Institute of Public Accountants

Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public

APS employee engaged on an ongoing basis with 5 or more years of continuous service who is not specified in another item in this list

Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955)

Bailiff

Bank officer with 5 or more continuous years of service

Building society officer with 5 or more years of continuous service

Chief executive officer of a Commonwealth court

Clerk of a court

Commissioner for Affidavits

Commissioner for Declarations

Credit union officer with 5 or more years of continuous service

Employee of a Commonwealth authority engaged on a permanent basis with 5 or more years of continuous service who is not specified in another

item in this list

Employee of the Australian Trade and Investment Commission who is:

a) in a country or place outside Australia; and

b) authorised under paragraph 3 (d) of the Consular Fees Act 1955; and

c) exercising the employee’s function at that place

Employee of the Commonwealth who is:

a) at a place outside Australia; and

b) authorised under paragraph 3 (c) of the Consular Fees Act 1955; and

c) exercising the employee’s function at that place

Engineer who is:

a) a member of Engineers Australia, other than at the grade of student; or

b) a Registered Professional Engineer of Professionals Australia; or

c) registered as an engineer under a law of the Commonwealth, a State or Territory; or

d) registered on the National Engineering Register by Engineers Australia

Finance company officer with 5 or more years of continuous service

Holder of a statutory office not specified in another item in this list

Judge

Justice of the Peace

Magistrate

Marriage celebrant registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961

Master of a court

Member of the Australian Defence Force who is:

a) an officer

b) a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982 with 5 or more years of continuous service

c) a warrant officer within the meaning of that Act

Member of the Australasian Institute of Mining and Metallurgy

Member of the Governance Institute of Australia Ltd

Member of:

a) the Parliament of the Commonwealth

b) the Parliament of a State

c) a Territory legislature

d) a local government authority

Minister of religion registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961

Notary public, including a notary public (however described) exercising functions at a place outside

a) the Commonwealth

b) the external Territories of the Commonwealth

Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office providing postal

services to the public

Permanent employee of

a) a State or Territory or a State or Territory authority

b) a local government authority with 5 or more years of continuous service, other than such an employee who is specified in another item

of this list

Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made

Police officer

Registrar, or Deputy Registrar, of a court

Senior executive employee of a Commonwealth authority

Senior executive employee of a State or Territory

SES employee of the Commonwealth

Sheriff

Sheriff’s officer

Teacher employed on a permanent full-time or part-time basis at a school or tertiary education institution

Page 10 of 16

Page 11: [Language] Continuers eligibility form

Page 11 of 16

PART B: TO BE COMPLETED BY THE SCHOOL

Section 6: Statement by student’s home school

The language course for which _______________________ is applying will be delivered by: (student’s name)

(Please tick)

the student’s home school

TAFE

the Saturday School of Community Languages

the NSW School of Languages

a Distance Education Centre at __________________________________________

another high school, namely ____________________________________________

an approved outside tutor

The following additional information is provided for the consideration of the principal making the eligibility determination. Such additional information can be drawn from school enrolment forms, school interviews or school assessment. It is expected that the teacher’s assessment includes specific information about the student’s reading, writing, listening and speaking skills, in regards to the language course the student is applying for.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Teacher’s Name: ___________________________________________________________

Teacher’s Signature: ___________________________________ Date: ____/____/____

Principal’s Name: ___________________________________________________________

Principal’s Signature: ___________________________________ Date: ____/____/____

Page 12: [Language] Continuers eligibility form

Page 12 of 16

Section 7: Statement by school delivering the course (if different to home school)

Additional comments / information where the school delivering the course is not the student’s home school.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Teacher’s Name: ___________________________________________________________

Teacher’s Signature: ___________________________________ Date: ____/____/____

Section 8: Eligibility determination

The eligibility determination is to be made by the school delivering the course for which the student is seeking an eligibility determination. This may be the student’s home school, the Saturday School of Community Languages, the NSW School of Languages, a Distance Education Centre or TAFE. In the case of a student who intends to study the course with an approved outside tutor, this section is to be completed by the student’s home school.

___________________________ is eligible to commence the (student’s name) ineligible

___________________________ course in _____________. (name of course) (calendar year)

School / Institute: ___________________________________________________________

Principal’s Name: ___________________________________________________________

Principal’s Signature: ___________________________________ Date: ____/____/____

Page 13: [Language] Continuers eligibility form

Page 13 of 16

[Language] Continuers Course Application for Review of Eligibility Determination

(where there are [Language] in Context and/or [Language] and Literature courses)

This form need only be completed if the student believes that the principal's determination has not been made in accordance with the course eligibility criteria, and the student is seeking a review of the determination by the principal.

PART A: TO BE COMPLETED BY THE STUDENT

Applicant details:

Student Number:

Student Name:

Language:

Home school details:

School Name:

Contact Person:

Phone Number:

Principal:

Teaching school details (if different from home school)

School Name:

Contact Person:

Phone Number:

Principal:

Page 14: [Language] Continuers eligibility form

Page 14 of 16

Section 1: Student statement

Please provide an additional statement in support of your application for a review of your eligibility determination.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Section 2: Additional documentation (optional)

If you wish to provide any additional documentation in support of your application for a review of your eligibility determination, please list the additional documents in the space below.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Student’s Name: ___________________________________________________________

Student’s Signature: ___________________________________ Date: ____/____/____

Page 15: [Language] Continuers eligibility form

Page 15 of 16

PART B: TO BE COMPLETED BY THE PRINCIPAL

Section 3: Principal’s review and determination

In reviewing the determination of a student’s eligibility to enter a Stage 6 Language course, the principal is required to consider:

• the student’s original Application for Eligibility Determination• any additional documentation submitted with the original Application• the additional statement made and any documentation that the student may have

provided with the student’s Application for Review of Eligibility Determination.

Determination:

___________________________ is eligible to commence the (student’s name) ineligible

___________________________ course in _____________. (name of course) (calendar year)

Reason:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

School / Institute: ___________________________________________________________

Principal’s Name: ___________________________________________________________

Principal’s Signature: ___________________________________ Date: ____/____/____

Page 16: [Language] Continuers eligibility form

Page 16 of 16

[Language] Continuers Course Appeal to NESA against Principal’s Eligibility Determination

(where there are [Language] in Context and/or [Language] and Literature courses)

This form need only be completed if the student wishes to appeal to NESA against the principal’s determination.

PART A: TO BE COMPLETED BY THE STUDENT

I ______________________________________ (student name) (student number)

wish to appeal to NESA against the principal’s determination that I am ineligible to

undertake the _______________________________________ Continuers course. (language)

Student’s Signature: ___________________________________ Date: ____/____/____

PART B: TO BE COMPLETED BY THE PRINCIPAL

I acknowledge the student’s appeal to NESA against the determination I made that the student is ineligible to undertake the above [Language] Continuers course. I will send all the relevant documentation that was considered in making the determination.

Principal’s Name: ___________________________________________________________

Principal’s Signature: ___________________________________ Date: ____/____/____