Application Form Registration of an Educational Institution not providing Digital Learning Provision NCFHE Ref No: Institution Ref No: Section A: Contact Details For Office Use Name & Surname of Owner/s ID Card / Passport Number Attach a copy with this application form Office Address & Locality Email Address Telephone Mobile Fax Contact Details Full Name of Further and/or Higher Institution (Please include abbreviations, if applicable) Institution Address & Locality (Please ensure that this is the address from where the actual delivery of programmes is going to take place) Version 2.0 Fill in if different from the Owner/s or Office address Application Form – Registration of an Educational Institution Section B: Legal Presence in Malta For Office Use MFSA Registration Number (Please attach MSFA Certificate together with Statute of the Institution indicating that it is based in Malta) I.D Card number of Owner (in the case of further education centre and tuition centre) Section C: Category of Licence Levels to be served by the Further and/or Higher Institution (The Second Schedule section in Legal Notice 296 gives a detailed description of the criteria required for new and unlicensed providers to be registered in one of the categories mentioned in this section.) *Tuition Centres do not offer courses that are mapped to the MQF. University Higher Education Institution (MQF levels 5 – 8) Further Education Institution (MQF levels 1 – 4) Further Education Centre (MQF levels 1 – 4) *Tuition Centre Section D: Mission Statement Include a description of programme, including the aims and objective s of Institution. Please attach this application form. For Office Use the philosophy of the educational rationale, mission statement and the the Further and Higher Education notes and documents as required to Section E: Target Audience For Office Use Ages 1 - 16 Ages 16 - 18 Age 19 – 30 Age 31 – 65 Age 65+ Version2.0 Page 2 of 9 Application Form – Registration of an Educational Institution Section F: Locality of Provision a) Provision is planned only in Malta b) Provision is planned not only in Malta, but also abroad In case option b) is chosen, please indicate in a separate document attached to this application form, the precise arrangements planned for provision in other country/ies, including the following information and documentation where applicable: Name, contact details and proof of contractual or other formal relationship of operating and/or delivery partner/s in that country, where applicable. Nature of operation in each centre outside of Malta, e.g. Franchise, satellite campus, representation, amongst others. Administrative address. Venue of provision. Documentation proving that you have local permission in line with all local/regional/national regulations to provide this service. Applicability of administrative and academic procedures to be applied in Malta to each of the other centre/s of provision outside Malta. Special attention is to be given to Quality Assurance arrangements for selection of staff, provision and all forms of assessment. Version2.0 Page 3 of 9 Application Form – Registration of an Educational Institution Section G: Head of Institution Name & Surname of the Head of the Further and/or Higher Education Institution ID Card / Passport Number Attach a copy with this application form Contact Address & Locality Date of Birth _____/_____/_____ Workbook Number/ Work Permit (when required) Please include a brief profile of the selection criteria for the Head of Institution or the Employment contract of the head of institution (subject to the attainment of the licence of your institution) Qualifications must be supported by authenticated copies of certificates attached to this application form. Head’s Qualifications in Full, and Experience, if any The Licence will be issued in the name of the Head of Educational Institution. Version2.0 Page 4 of 9 Application Form – Registration of an Educational Institution Section H: List of Programmes For Office Use List of all courses to be provided by the Further and/or Higher Education Institution Please attach any recognition/comparability statements with this application form. Name of Course Version2.0 Institution Awarding Qualification QRIC Recognition MQF Level Page 5 of 9 Application Form – Registration of an Educational Institution Section I: Registration fees For Office Use List registration fees and/or other additional fees paid by the students Fees (€) Section J: Teaching Staff Generic Teaching staff profile, indicating the selection criteria used by your institution List full names of teaching staff, their post and qualifications. Please attach their CVs and QRIC verification where required. Add extra sheets if necessary. I.D. Card Version2.0 Name & Surname of Teacher / Lecturer Post Qualifications Page 6 of 9 Application Form – Registration of an Educational Institution Section K: Employment Licence For Office Use All non-EU/Third World country attach the relevant members of staff, including the Please Head of School, should have an documents to this application form. Employment Licence issued by the Employment and Training Corporation. Section L: Legal Representation Name & Surname of the person vested with the Legal Representation of the Further and/or Higher Educational Institution ID Card of the Legal Representative Business Address & Locality of the Legal Representative Signature of the Legal Representative Section M: Internal Quality Assurance System Include a detailed description of the internal quality assurance system to be implemented in the Further and/or Higher Education Institution which is fully compliant with the Subsidiary Legislation 327.433 and in line with the National Quality Assurance Framework for Further and Higher Education. Refer to the guiding document available from the National Quality Assurance Framework section on www.ncfhe.gov.mt Please refer to Section 5 of the document). Version2.0 Attach a comprehensive statement detailing the steps that will be implemented by the Further and/or Higher Education Institution. Please submit this document in word format(.doc) Page 7 of 9 Application Form – Registration of an Educational Institution Section N: Premises (select one option) For Office Use Please attach plan of premises to be used as a Further and/or Higher Education Institution with dimensions and clear indications of rooms which are to be used as classes and other facilities i.e. offices, restrooms, amongst others. Please attach MEPA/Planning Authority/PAPB Compliance Certificate for premises to be used as an educational establishment. For further regulations and other possible venues for provision please refer to Communication 04/2016 which may be accessed from http://ncfhe.gov.mt/en/services/Documents/Accreditation%20 Communications/2016/Com_.%20No.%204-2016%20%20Amendments%20to%20Communication%20No.%2032015.pdf Please specify which document is being provided in accordance to the communication 04/2016 Other: Section O: Declaration I hereby state that: The information I have supplied on this form is complete, correct and up-to-date. I assume the responsibility to inform the National Commission for Further and Higher Education (NCFHE) of any changes to my circumstances (e.g. address, contact details) while my application is being considered. Signature of Owner/s Signature of Head of Education Institution Date of Application _____/_____/_____ Version2.0 Page 8 of 9 Application Form – Registration of an Educational Institution For more information about this application form and related requirements contact: Address: Accreditation Unit, National Commission for Further and Higher Education Sir Temi Zammit Buildings Malta Life Sciences Centre Ltd Malta Life Sciences Park San Gwann, SGN 3000 Email: Tel: [email protected] +356 2381 0115 For Office Use Version2.0 NCFHE Stamp Page 9 of 9
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