Diagnostic Assessment Trial Form

This form is used to order 10 free trial licences for the QuickSmart Numeracy Diagnostic Assessment. Licences are only available for ordering and use by registered Australian schools.

If your school is brand new to QuickSmart, it will be set up on the QuickSmart Portal, and your nominated Coordinator will receive login details within 48 hours of the form being submitted. The Diagnostic Assessment trial licences will be available to use as soon as the Coordinator has reset their password and successfully logged in.

If your school already has a QuickSmart Program, the Diagnostic Assessment trial licences will be added to your account and made available once you receive an email confirmation from SiMERR/QuickSmart.

A user guide for the Diagnostic Assessment is available in the “User Guides” section of the Portal.

Please note that free licences are offered at SiMERR’s discretion and are limited to one set of 10 per school. You can purchase additional licences via this form. Please contact us if you have any questions.

School Name *

School Postal Address *

Suburb *

Postcode *

State *

School Email *

Confirm Email

School Phone Number *

Please indicate School System and Level *

Principal Name *

Principal Email *

Confirm Email

QuickSmart Coordinator/Contact Name *

QuickSmart Coordinator/Contact Email *

Confirm Email

Any comments?

Form Items

Principal Investigator

Name: University of New England through the National Centre for Science, Information and Communication Technology, and Mathematics Education for Rural and Regional Australia (SIMERR)
ABN: 75 792 454 315
Address: Armidale NSW 2351 Australia
Contact Person: Professor John Pegg, Director SIMERR
Telephone: 02 6773 5067

Duration of services under this Registration Form

- QuickSmart Numeracy Diagnostic Assessment Program Licence Term: Licences expire at the end of the current school year. For example: if a batch of licences is purchased in March 2022, they will expire on 31st December 2022. However, if they are purchased after September, they will not expire until the following December. For example: if a batch of licences is purchased in October 2022, they will expire on 31st December 2023.
- Support Services Term: Two years from 01 January of the year of purchase

Signature / Submitting:

By submitting this Research Registration Form you agree to the cost structure, the payment schedule, and the cancellation policy as set out in this form, and you warrant that you are authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.

Note:

Please note that schools are entitled to one set of ten (10) free Numeracy Diagnostic Assessment licenses at SiMERR's discretion. This allocation is limited to one set per school, and additional licenses beyond this allocation will require a separate purchase via the form on our public website: https://simerr.une.edu.au/quicksmart/renewal-forms/

Your name (Person filling in form) *

Your email (Person filling in form) *

Confirm Email

Today's Date *

Send order confirmation to: *

Confirm Email

I have read and accept the Duration, Payment, Cancellation and Termination *

Yes, I have read and accept the Duration, Payment, Cancellation and Termination

I have read and accept the Terms and Conditions *

Yes, I have read and accept the Terms & Conditions

Authorisation *

I warrant that I am authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.

Phone