Skills Assessor 4098 Course Registration Form 

You will receive a confirmation email once you have submitted your registration. If you do not receive it, please check your spam folder or email 4098@skills.org.nz

 
What qualification(s) will you be assessing?
 
 
 
Title*
 
 
 
First Name*
 
 
 
Last Name*
 
 
 
Preferred First Name
 
 
 
Gender*
 
 
 
Date of Birth*
 
 
 
Email address*
 
 
 
Mobile Phone*
 
 
 
Employer*
 
 
 
Residential Status*
 
 
 

Postal Address

 
Address Line 1*
 
 
 
Address Line 2
 
 
 
Address Line 3
 
 
 
City
 
 
 
Postcode*
 
 
 
Workshop Dates*
 
 
 

If you will be completing the assessment in your workplace using an experienced observer (i.e someone who holds 4098 or has equivalent knowledge and skills), please select “Workplace Assessment” from the drop down list under Workshop Dates.

 
Would you like to obtain unit standard 11281: Prepare candidates for assessment for an additional cost of $45 +GST*
 
Yes
No
 
 
 
Payment will be made by:*
 
Learner
Employer
 
 
Employer's contact name, purchase order number and email address to send the invoice to
 
 
 


Electronic Assessment Disclosure

I understand I may be sent electronic versions of assessment tasks and material to complete as part of the programme that I am currently completing with The Skills Organisation (Skills).
I understand these documents are the copyrighted property of Skills. I declare that I will be the only user of these assessment documents and I will not reproduce, sell, store or modify the assessment documents.

Employer Interaction

If your company has arranged this training and/or assessment your manager and/or supervisor will be kept informed of your progress

Complaints Process

If at any point you have a complaint or issues about any facet of course we welcome your feedback. You can contact the Moderation and Assessment Manager at Skills by email, telephone, fax or mail.

Contact Skills

Physical address: Level 2, LG House, The Crossing, 60 Highbrook Drive, East Tamaki 2013.
Email: 4098@skills.org.nz

Declaration

By submitting this form, you declare the details provided are correct and that you have read and understood the information.

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