Request Form for Mandatory Training Resource Equivalency Organisation Contact Name Email Telephone Contact Local training Code: Duration: Frequency: resource Course Name: Equivalency Request Code: Duration: Frequency: matched to (Name of State Course Name: endorsed Mandatory Training Resource) Document Check List Have you included the Statement of Learning Objectives and Outcomes? Yes No Lesson Plan Have you included the for Face-to-Face sessions? Yes No Have you included a copy of the Local Training Resource(s)? Yes No Authorisation to submit Request for Mandatory Training Equivalency Executive (or delegate) Authorisation Name: Signature: Date: Return completed Cover Sheet with supporting evidence via email to: | Program Officer| Professional Practice and Interprofessional Collaboration Directorate | HETI
Request Form for Mandatory Training Resource Equivalency Organisation Contact Name Email Telephone Contact Local training resource Code: Duration: Frequency: Course Name: Equivalency Request matched to (Name of State endorsed Mandatory Training Resource) Code: Duration: Frequency: Course Name: Document Check List Have you included the Statement of Learning Objectives and Outcomes? Yes No Have you included the Lesson Plan for Face-to-Face sessions? Yes No Have you included a copy of the Local Training Resource(s)? Yes No Authorisation to submit Request for Mandatory Training Equivalency Executive (or delegate) Authorisation Name: Signature: Date: Return completed Cover Sheet with supporting evidence via email to: | Program Officer| Professional Practice and Interprofessional Collaboration Directorate | HETI
Request-Form-Mandatory-Training-Equivalency-Matching-Cover-Sheet-2018.docx