RPL PORTFOLIO OF EVIDENCE - FORM
Applicant Details and Checklist
First Name:
[Insert text here]
Student ID:
[Insert text here]
Phone:
[Insert text here]
Family/Surname:
Email:
[Insert text here]
[Insert text here]
(during business hours 9am – 5pm)
SCU Course: [Insert text here]
If applying for RPL for more than one unit, go to the end of the form now, insert a page break and
copy and paste pages 2 – 4 only, as many times as required.
I have:
carefully read the
SCU RPL Portfolio of Evidence - Guidelines; PLUS
undertaken paid/voluntary work experience, seminars, professional development programs,
community projects or other non-formal or informal learning experiences within the last five (5) years;
PLUS
submitted an Advanced Standing Application at least one month before course commencement; PLUS
supported my application by uploading or lodging the following evidence with this completed form:
List your Evidence Appendices here:
[Insert text here]
For example:
Appendix A – Resume/Curriculum Vitae <insert company name>
Appendix B – Position Description <insert company name>
Appendix C – Performance Review <insert company name>
Appendix D – Clinical/Service Hours Records <insert company name>
Appendix E – Work Samples <insert company name>
Please amend by adding or removing forms of evidence to suit your circumstance; PLUS
verified my current experience and expertise against the relevant unit content and learning outcomes
in this form via the signature and contact details of a recent supervisor/trainer.
Applicant Declaration:
/
Applicant Signature
/
Date
1
Unit Content and Learning Outcome Achievement
Click on the relevant SCU course - Course structure tab for which RPL is sought. View the Schedule of
Units, or perform an SCU Unit Search to be able to copy and paste the unit code, name, content
(topics) and learning outcomes in the spaces provided.
Unit Code:
[Insert text here]
Unit Name:
[Insert text here]
Unit Content (Topics):
[Insert text here]
How do you fulfil the learning outcomes below as they relate to the topics above?
Using performance verbs that best describe the levels of cognition you have attained through nonformal or informal learning, provide 400 words (+ or – 10%) per learning outcome. Incorporate:
 specific examples of non-formal or informal experiences demonstrating the understanding and
capabilities you have achieved, including the ways currency of knowledge and skills has been
maintained; PLUS
 reflections on what you have learnt, what you might do differently next time and your future
learning priorities; PLUS
 Suitably acknowledge the works of others via in-text citations and a reference list.
Copy and paste LEARNING OUTCOME 1 here:
[Insert text here]
LEARNING OUTCOME 1 statement addressing what you know, understand and are able to do:
[Insert text here]
Copy and paste LEARNING OUTCOME 2 here:
2
[Insert text here]
LEARNING OUTCOME 2 statement addressing what you know, understand and are able to do:
[Insert text here]
Copy and paste LEARNING OUTCOME 3 here:
[Insert text here]
LEARNING OUTCOME 3 statement addressing what you know, understand and are able to do:
[Insert text here]
Copy and paste LEARNING OUTCOME 4 here:
[Insert text here]
LEARNING OUTCOME 4 statement addressing what you know, understand and are able to do:
[Insert text here]
Copy and paste LEARNING OUTCOME 5 here:
[Insert text here]
3
LEARNING OUTCOME 5 statement addressing what you know, understand and are able to do:
[Insert text here]
Copy and paste LEARNING OUTCOME 6 here:
[Insert text here]
LEARNING OUTCOME 6 statement addressing what you know, understand and are able to do:
[Insert text here]
If too many options are listed, please leave blank.
VERIFICATION BY SUPERVISOR/TRAINER
To the best of my knowledge, the statements in this portfolio and evidence are genuine and factual.
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Supervisor/Trainer Signature
[Insert text here]
Date
[Insert text here]
Position
/
[Insert text here]
Organisation
Relationship to applicant
[Insert text here]
[Insert text here]
Email
Phone
If applying for RPL for more than one unit, insert a page break and copy and paste pages 2 – 4 below.
4