
{"id":4488,"date":"2024-08-01T16:27:11","date_gmt":"2024-08-01T06:27:11","guid":{"rendered":"https:\/\/simerr.une.edu.au\/quicksmart\/?page_id=4488"},"modified":"2025-07-24T10:49:06","modified_gmt":"2025-07-24T00:49:06","slug":"diagnostic-assessment-trial-form","status":"publish","type":"page","link":"https:\/\/simerr.une.edu.au\/quicksmart\/diagnostic-assessment-trial-form\/","title":{"rendered":"Diagnostic Assessment Trial Form"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<p>This form is used to order 5 free trial licences for the <em>QuickSmart<\/em> <a aria-label=\"Numeracy Diagnostic Assessment (opens in a new tab)\" href=\"https:\/\/simerr.une.edu.au\/quicksmart\/quicksmart-numeracy-diagnostic-assessment\/\" target=\"_blank\" rel=\"noreferrer noopener\">Numeracy Diagnostic Assessment<\/a>. Licences are only available for ordering and use by registered Australian schools.<\/p>\n\n\n\n<p>If your school is brand new to <em>QuickSmart<\/em>, it will be set up on the<em> QuickSmart<\/em> 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.<\/p>\n\n\n\n<p>If your school already has a <em>QuickSmart<\/em> Program, the Diagnostic Assessment trial licences will be added to your account and made available once you receive an email confirmation from SiMERR\/<em>QuickSmart<\/em>.<\/p>\n\n\n\n<p>A user guide for the Diagnostic Assessment is available in the Program Resources section of the Portal.<\/p>\n\n\n\n<p>Please note that free licences are offered at SiMERR&#8217;s discretion and are limited to one set of 5 per school. You can purchase additional licences via <a aria-label=\"this form (opens in a new tab)\" href=\"https:\/\/simerr.une.edu.au\/quicksmart\/renewal-forms\/\" target=\"_blank\" rel=\"noreferrer noopener\">this form<\/a>. Please <a aria-label=\"contact us (opens in a new tab)\" href=\"https:\/\/simerr.une.edu.au\/quicksmart\/contact-details\/\" target=\"_blank\" rel=\"noreferrer noopener\">contact us<\/a> if you have any questions.<\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-4487\"><form id=\"wpforms-form-4487\" class=\"wpforms-validate wpforms-form\" data-formid=\"4487\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/quicksmart\/wp-json\/wp\/v2\/pages\/4488\" data-token=\"c8a9df173274fb5dc6ebfda3bdeab461\" data-token-time=\"1779189546\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-4487-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_1\">School Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4487-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" placeholder=\"please use full and official school name\" required><\/div><div id=\"wpforms-4487-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_4\">School Postal Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4487-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-4487-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_5\">Suburb <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4487-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-4487-field_7-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_7\">Postcode <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-4487-field_7\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-4487-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_8\">State <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-4487-field_8\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'> <\/option><option value=\"ACT\" >ACT<\/option><option value=\"NSW\" >NSW<\/option><option value=\"NT\" >NT<\/option><option value=\"QLD\" >QLD<\/option><option value=\"SA\" >SA<\/option><option value=\"TAS\" >TAS<\/option><option value=\"VIC\" >VIC<\/option><option value=\"WA\" >WA<\/option><\/select><\/div><div id=\"wpforms-4487-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\">School Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-4487-field_9\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][9][primary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_9\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-4487-field_9-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-4487-field_9\" name=\"wpforms[fields][9][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_9-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-4487-field_58-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_58\">School Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-4487-field_58\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][58]\" required><\/div><div id=\"wpforms-4487-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_10\">Please indicate School System and Level <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-4487-field_10\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'> <\/option><option value=\"Government Primary\" >Government Primary<\/option><option value=\"Government Central\" >Government Central<\/option><option value=\"Government High\" >Government High<\/option><option value=\"Catholic Primary\" >Catholic Primary<\/option><option value=\"Catholic Central\" >Catholic Central<\/option><option value=\"Catholic High\" >Catholic High<\/option><option value=\"Independent Primary\" >Independent Primary<\/option><option value=\"Independent Central\" >Independent Central<\/option><option value=\"Independent High\" >Independent High<\/option><\/select><\/div><div id=\"wpforms-4487-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_6\">Principal Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4487-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-4487-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Principal Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-4487-field_12\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][12][primary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_12\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-4487-field_12-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-4487-field_12\" name=\"wpforms[fields][12][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_12-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-4487-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_11\">QuickSmart Coordinator\/Contact Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4487-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-4487-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\">QuickSmart Coordinator\/Contact Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-4487-field_13\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][13][primary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_13\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-4487-field_13-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-4487-field_13\" name=\"wpforms[fields][13][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_13-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-4487-field_60-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_60\">Any comments?<\/label><textarea id=\"wpforms-4487-field_60\" class=\"wpforms-field-small\" name=\"wpforms[fields][60]\" ><\/textarea><div class=\"wpforms-field-description\"><br \/>\n<hr \/>\n<h3>Form Items<\/h3>\n<h4>Principal Investigator<\/h4> \n<ul>\n<li><b>Name:<\/b> University of New England through the National Centre for Science, Information and Communication Technology, and Mathematics Education for Rural and Regional Australia (SIMERR)<\/li>\n<li><b>ABN:<\/b> 75 792 454 315<\/li>\n<li><b>Address:<\/b> Armidale NSW 2351 Australia<\/li>\n<li><b>Contact Person: <\/b>Professor John Pegg, Director SIMERR<\/li>\n<li><b>Telephone:<\/b> 02 6773 5067<\/li>\n<\/ul><h4>Duration of services under this Registration Form<\/h4>\n<ul>\n<li>- 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. \n<\/li><li>- Support Services Term: Two years from 01 January of the year of purchase<\/li>\n<\/ul>\n<h4>Signature \/ Submitting:<\/h4> \n<ul><li>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.<\/li>\n<\/ul><h4>Note:<\/h4> \n<ul><li>Please note that schools are entitled to one set of five (5) 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\/<\/li>\n<\/ul>\n<br \/>\n<hr \/><\/div><\/div><div id=\"wpforms-4487-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_37\">Your name (Person filling in form) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4487-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" required><\/div><div id=\"wpforms-4487-field_44-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Your email (Person filling in form) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-4487-field_44\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][44][primary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_44\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-4487-field_44-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-4487-field_44\" name=\"wpforms[fields][44][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_44-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-4487-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-4487-field_47\">Today&#039;s Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4487-field_47\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][47]\" placeholder=\"dd\/mm\/yyyy\" required><\/div><div id=\"wpforms-4487-field_46-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Send order confirmation to: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-4487-field_46\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][46][primary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_46\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-4487-field_46-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-4487-field_46\" name=\"wpforms[fields][46][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-4487-field_46-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-4487-field_41-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"41\"><label class=\"wpforms-field-label\">I have read and accept the Duration, Payment, Cancellation and Termination <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4487-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4487-field_41_1\" name=\"wpforms[fields][41]\" value=\"Yes, I have read and accept the Duration, Payment, Cancellation and Termination\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4487-field_41_1\">Yes, I have read and accept the Duration, Payment, Cancellation and Termination<\/label><\/li><\/ul><\/div><div id=\"wpforms-4487-field_40-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"40\"><label class=\"wpforms-field-label\">I have read and accept the Terms and Conditions <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4487-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4487-field_40_1\" name=\"wpforms[fields][40]\" value=\"Yes, I have read and accept the &lt;a href=&quot;\/quicksmart\/terms-conditions\/&quot; target=&quot;_blank&quot;&gt;Terms &amp; Conditions&lt;\/a&gt;\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4487-field_40_1\">Yes, I have read and accept the <a href=\"\/quicksmart\/terms-conditions\/\" target=\"_blank\">Terms &amp; Conditions<\/a><\/label><\/li><\/ul><\/div><div id=\"wpforms-4487-field_43-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"43\"><label class=\"wpforms-field-label\">Authorisation <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-4487-field_43\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-4487-field_43_1\" name=\"wpforms[fields][43]\" value=\"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.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4487-field_43_1\">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.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-4487-field-hp\" class=\"wpforms-field-label\">Message<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-4487-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4487\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/4488\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4487\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>This form is used to order 5 free trial licences for the QuickSmart Numeracy Diagnostic Assessment. Licences are only available for ordering and use by registered Australian schools. If your&#8230; <a href=\"https:\/\/simerr.une.edu.au\/quicksmart\/diagnostic-assessment-trial-form\/\">Read more &raquo;<\/a><\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"footnotes":""},"class_list":["post-4488","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/4488","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/comments?post=4488"}],"version-history":[{"count":12,"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/4488\/revisions"}],"predecessor-version":[{"id":4907,"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/4488\/revisions\/4907"}],"wp:attachment":[{"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/media?parent=4488"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}