Registration Forms – QuickSmart

QuickSmart Research Registration Form

Use this form if:

your school is new to QuickSmart and would like to register for either the QuickSmart Numeracy research project or the QuickSmart Literacy research project (if you would like to register for both programs, please fill out two separate forms);
your school is already taking part in one QuickSmart project and would like to register for the other.

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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 indicate the program you would like to purchase *

Numeracy
Literacy

Preferred Workshop Location *

Please see https://simerr.une.edu.au/quicksmart/workshop-calendar/ for current locations and dates

Preferred Workshop Dates *

Please see https://simerr.une.edu.au/quicksmart/workshop-calendar/ for current locations and dates

Any comments (offers to host, etc)?

Attendee One Name (at least one attendee's details are required) *

Attendee One Email *

Confirm Email

Attendee One Teacher Trained? *

Attendee Two Name (TBD if unknown)

Attendee Two Email

Confirm Email

Attendee Two Teacher Trained?

Attendee Three Name (TBD if unknown)

Attendee Three Email

Confirm Email

Attendee Three Teacher Trained?

Attendee Four Name (TBD if unknown)

Attendee Four Email

Confirm Email

Attendee Four Teacher Trained?

Attendee Five Name (TBD if unknown)

Attendee Five Email

Confirm Email

Attendee Five Teacher Trained?

Executive Name (An executive from your school is permitted to attend Workshop One - TBD if unknown)

Executive Email

Confirm Email

Workshop Attendee Special Requirements (if any)

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: John Pegg, Director SIMERR
Telephone: 02 6773 5067
Email: quicksmart@une.edu.au

Fees

- QuickSmart Program: $10,500 (plus 10% GST) per program
- QuickSmart Program for small schools (less than 100 total enrolments): $7,000 (plus 10% GST) per program
- Professional Development (venue hire and catering where applicable): $30 (including GST) per person per day
- Travel and Accommodation: N/A

Professional Development

For the School to be able to take part in the QuickSmart research project and deliver the QuickSmart Program(s), the School staff instructing students are expected to complete professional development training. Registering for the QuickSmart research project obligates the school to train at least one (1) and up to five (5) staff member(s) in the first year of implementation. The registered staff member(s) are expected to attend all six days (3x2 days) of professional development in order to complete the training. Withdrawal from the program(s) is possible in line with the cancellation policy (see below).

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 on 01 January 2020
- OZCAAS Software Licence Term: 01 January to 31 December 2022
- Research Service Term: Reporting: until 31 August 2023
- Research Service Term: Professional Development: 01 January to 31 December 2020
- Support Services Term: 01 January to 31 August 2023

Payment

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

Cancellation and Termination

- Cancellation prior to 1 month before Workshop One: No penalty.
- Cancellation prior to date of Workshop One (but no more than one month prior): Cost of return shipping of allocated resources (kit and games pack), if resources have already been shipped; and contribution towards the venue hire and catering for Workshop One
- Termination up to one month after Workshop One: Cost of return shipping of allocated resources (kit and games pack) and contribution towards the venue hire and catering for Workshop One. An administrative fee of $500 may be payable upon cancellation after commencement of Workshop One.
- Termination of agreement more than one month after Workshop One: 100% of total program fee.

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.

Phone

Additional Professional Development Registration Form

Use this form if:

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

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School Name *

School ABN

School Postal Address *

Suburb *

Postcode *

State *

School Email *

Confirm Email

School Phone Number *

Principal Name *

Principal Email *

Confirm Email

QuickSmart Coordinator Name *

QuickSmart Coordinator Email *

Confirm Email

Please indicate the course you would like to attend (your school must already have the relevant program in order for staff to attend) *

Numeracy Basic Skills
Literacy Basic Skills
Numeracy Advanced Skills (attendees must have already completed Numeracy Basic Skills to attend)

Please see https://simerr.une.edu.au/quicksmart/workshop-calendar/ for current courses, locations and dates

Preferred Workshop Location *

Please see https://simerr.une.edu.au/quicksmart/workshop-calendar/ for current courses, locations and dates

Preferred Workshop Dates *

Please see https://simerr.une.edu.au/quicksmart/workshop-calendar/ for current courses, locations and dates

Any comments (offers to host, completing training from previous years, etc)?

Attendee One Name (at least one attendee's details are required) *

Attendee One Email *

Confirm Email

Attendee One Teacher Trained? *

Attendee Two Name (TBD if unknown)

Attendee Two Email

Confirm Email

Attendee Two Teacher Trained?

Attendee Three Name (TBD if unknown)

Attendee Three Email

Confirm Email

Attendee Three Teacher Trained?

Attendee Four Name (TBD if unknown)

Attendee Four Email

Confirm Email

Attendee Four Teacher Trained?

Attendee Five Name (TBD if unknown)

Attendee Five Email

Confirm Email

Attendee Five Teacher Trained?

Workshop Attendee Special Requirements (if any)

OZCAAS Software Licence (required for attending Professional Development) *

Please renew our participation in the QuickSmart research project and the OZCAAS licence for three years ($1950 plus 10% GST), starting 1st January 2020
We have a current licence
I do not know the status of my school's licence

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: John Pegg, Director SIMERR
Telephone: 02 6773 5067
Email: quicksmart@une.edu.au

Fees

If registered for Professional Development: Basic Skills

- $750 (plus 10% GST) for one staff member OR
- $1,500 (plus 10% GST) for two to five staff members
PLUS
- Venue hire and catering (where applicable): $30 (including GST) per person per day

If registered for Professional Development: Advanced Skills

- $1750 (plus 10% GST) for one to two staff members OR
- $3,500 (plus 10% GST) for three to five staff members
PLUS
- Venue hire and catering (where applicable): $30 (including GST) per person per day

If requiring OZCAAS Licence Renewal (a valid licence is required before attending Professional Development):

- $1950 (plus 10% GST) for 1 January 2020 to 31 December 2022.

The Renewal of the OZCAAS Licence includes:
- OZCAAS Software Licence for 1 January 2020 to 31 December 2022.

- Reporting from 1 January 2020 to 31 August 2023.

- Research Services from 1 January 2020 to 31 December 2020.

- Support Services until 31 August 2023.

- Access to shared resources in the private area from 1 January 2020 to 31 August 2023.

Professional Development

The registered staff member(s) are expected to attend all six days (3x2 days) of professional development in order to complete the training. Withdrawal from the program(s) is possible in line with the cancellation policy (see below).

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 a school submits data for analysis and requests a report.

Duration of services under this Registration Form

- QuickSmart Program Licence Term: Permanent and Ongoing
- OZCAAS Software Licence Term: As per previous agreement, or according to renewal term as indicated on this form
- Research Service Term: Reporting: As per previous agreement, or according to OZCAAS Licence Renewal on this form.
- Research Service Term: Professional Development: 1 January 2020 to 31 December 2020.
- Support Services Term: As per previous agreement, or according to OZCAAS Licence Renewal on this form.

Payment

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

Cancellation and Termination

- Cancellation prior to 2 weeks before Workshop One: No penalty.
- Cancellation prior to date of Workshop One (but no more than two weeks prior): Contribution towards the venue hire and catering for Workshop One.
- Termination up to one month after Workshop One: A contribution towards the venue hire and catering for Workshop One. An administrative fee of $200 may be payable upon cancellation after commencement of Workshop One.
- Termination of agreement more than one month after Workshop One: 100% of total fee.

Signature / Submitting:

By submitting this Order Form you agree to the fees, the payment schedule, and the cancellation policy as indicated on 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.

Phone