Registration Forms – QuickSmart

QuickSmart Registration Form: New Schools / Programs

Use this form if:

your school is new to QuickSmart and would like to register for either the QuickSmart Numeracy program, the QuickSmart Literacy program, or the QuickSmart Catch-Up Numeracy program (if you would like to register for more than one program, please fill out a separate form for each); OR
your school already has one QuickSmart program and would like to register for another.

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QuickSmart Registration Form: Continuing Schools

Use this form if:

your school already has a QuickSmart program and would like to train more staff members in that program; OR
your school already has a QuickSmart program and would like to enrol staff members in an Advanced Skills course or a Refresher Day.

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QuickSmart Registration Form: New schools with an already-trained staff member

Use this form if:

your school has a currently-employed staff member who has already completed six out of six days of relevant QuickSmart training at their previous school (this will be verified once SiMERR receives the completed registration form).
Please contact quicksmart@une.edu.au for more details, or to check the staff members training before submitting the registration form.
Please note that the schools will be required to send at least one new additional staff member for training in the following year.
This purchase only includes physical and online materials, plus a three-year QBSA (OZCAAS) licence. It does not include any professional development.

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School Name *

School ABN

School Postal Address *

Suburb *

Postcode *

State *

School Email *

Confirm Email

School Phone Number *

Please indicate School System and Level *

Total enrolments in school *

Please use https://www.myschool.edu.au/ if you are unsure of your total enrolment number

Principal Name *

Principal Email *

Confirm Email

QuickSmart Coordinator Name *

QuickSmart Coordinator Email *

Confirm Email

Please fill in the name of your staff member previously trained in QuickSmart *

Please fill in the email of your staff member previously trained in QuickSmart *

Confirm Email

Please indicate the approximate year that your staff member originally trained in QuickSmart *

Please indicate the approximate workshop location that your staff member originally trained in QuickSmart *

Please indicate the approximate number of years your staff member has instructed QuickSmart in *

Please indicate the program your staff member originally trained in and that you would like to purchase *

Numeracy
Literacy

Any other comments?

Purchase Order Number (if required):

NSW Government Schools: Please note that as of 2021, EDConnect require a Purchase Order number before SiMERR can issue an invoice to them on behalf of your school.

Send invoice to (name): *

Send invoice to (email): *

Confirm Email

Invoice-related phone number: *

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
Email: quicksmart@une.edu.au

Fees

- QuickSmart Program for schools with an already-trained staff member: $5,500 (plus 10% GST) per program

Professional Development

There is no professional development associated with this purchase, however schools are required to send at least one staff member for training in the following year.

Reporting

As part of the QuickSmart research project, schools are entitled to a yearly QuickSmart school report. For the duration of the Research Service Term: Reporting, the School may request a QuickSmart school report containing a cohort analysis of the student data that the School submit to SiMERR. A report is generated when the School submits data for analysis and requests a report.

Duration of services under this Registration Form

- QuickSmart Program Licence Term: Permanent and Ongoing, starting from 01 January of the year of purchase
- OZCAAS Software Licence Term: Three years from 01 January of the year of purchase
- Research Service Term: Reporting: Four years from 01 January of the year of purchase
- Support Services Term: Four years from 01 January of the year of purchase

Payment

Payment Schedule: 100% within 30 days of receipt of invoice.

Cancellation and Termination

- Cancellation prior to materials being sent by post: No penalty.
- Cancellation after materials have been sent by post: Cost of return shipping of allocated resources (kit and games pack)

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.

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.

Name