Re-assessment Application Form

Transcription

1 Re-assessment Application Form The Continuing Professional Development (CPD) Programme for Insurance Intermediaries June 2017 According to the Assessment Criteria of the Programme, approved CPD activities are subject to re-assessment on an annual basis. An annual re-assessment exercise will be instituted about 12 months after approval. This exercise is to ascertain whether the number of CPD hours of the CPD activities should remain the same. If approval is not renewed, the approval status of the activity will automatically cease after the approval period. The IFS will not return the application form and any documents received to the activity organizer regardless of the outcome. Any personal data required in this form will be used only for the purpose of applying for re-assessment. Please also note that according to the Personal Data Protection Act [Article 11 no. 1(4)], any person whose personal data is provided has the right of access to and correction of the personal data. Please complete and submit one Application Form for one CPD activity together with the required fee to:- Macau Institute of Financial Services Avenida Sidónio Pais, 1B Tung Hei Kok Building, Ground Floor, Macau Title of activity: Ref. No.: Name of activity organizer: Existing approval period Approval period applied for From: To: From: To: Number of CPD hours approved in the existing approval period: Target participants: (Please delete as appropriate.) (For Office Use Only) Fee: Date of Receipt: / / -1-

2 SECTION A RESPONSIBLE PERSONS Head of organization/department Person-in-charge Authorized contact person* (if different from person-in-charge) Name Position Organization Address Phone Fax address * The IFS will direct inquiries about the application to the authorized contact person, whose name and phone number will be put on the IFS website for approved CPD activities open to the public. Please inform the IFS when there are changes in the above information. -2-

3 SECTION B ACTIVITY STATISTIC ACTIVITY STATISTIC (During the approval period) Number of times the CPD activity has been held Total number of attendees* Total number of participants who have successfully completed the CPD activity** (1) (2) (3) [(3) : (2)]% (4) * The total number of attendees refers to the number of participants who have signed in to the CPD activity; and ** If the CPD activity adopts a modular design, please provide an attachment of the breakdown of the above figures for each of the module. -3-

4 SECTION C Activity title Category Type of activity CPD hours Target participants No. of maximum/minimum participants Activity contents*** CHANGES SINCE LAST APPROVAL Changes already made during the approval period* Changes to be approved by the IFS** Training venue**** Mode of delivery Person-in-charge Instructor(s)***** Activity assessment Others * As required by the Assessment Criteria, prior approval of the IFS should have been sought for these changes; ** Those changes, after approval by the IFS, should be effective from the next approval period; *** Lesson plan and full set of course material, seminar handouts, and/or seminar papers for the next approval period must be attached. For CPD activity adopting Modular design, an outline of all modules including module title, CPD hours and contents should be provided. If there is/are change(s) to the CPD activity, a comparison table should be submitted to report the change(s) in the lesson plan with hourly breakdown. CPD provider should also provide the rationale for the amendments; **** List of approved activity venues with full addresses and capacities for the next approval period must be attached. If there is change in training venue(s), CPD provider should provide floor plan(s), rental agreement(s) and insurance coverage for third party liability of the new activity venue(s); and ***** List of instructors, including their academic and professional qualifications, and training/industry experience, for the next approval period must be attached. -4-

5 SECTION D QUALITY ASSURANCE Please provide the following two reports: A summary report of the participants evaluation; and A brief report of the quality assurance conducted during the reporting period, such as date(s) of course evaluation meeting(s) and class observation(s), and follow-up action(s) on identified issue(s) from the participants evaluation. Please note that in case the CPD participants are required to complete any examination and/or continuous assessment, please provide the passing rate for individual assessment item. -5-

6 The Continuing Professional Development (CPD) Programme for Insurance Intermediaries SECTION E STATEMENT BY THE HEAD OF ORGANIZATION/DEPARTMENT To: The Executive Board of the Macau Institute of Financial Services I will continue to abide by the IFS Assessment Criteria, and declare that all the information provided in this application form is accurate to the best of my knowledge. I understand and accept that the IFS may approach us directly for further information regarding the re-assessment application. I also understand and accept that a nonrefundable re-assessment fee is charged for the relevant assessment work irrespective of the assessment outcome, and the fees should be made payable in advance to the Macau Institute of Financial Services. Name: Signature: Position: Date: / / -6-

7 The Continuing Professional Development (CPD) Programme for Insurance Intermediaries Checklist of Documents to be attached to Annual Re-assessment Application Please check if the following documents are completed and attached to this application form before submission. Failure to provide the following documents may delay the assessment process and affect the outcome of annual re-assessment. Attachment No. Documents Concerned Availability For official use 1. Updated lesson plan with hourly breakdown; For CPD activity adopting modular design, an outline of all modules including module title, CPD hours, content and number of modules should be clearly specified. 2. If there are any changes in the course contents, a full set of updated course materials, seminar handouts, and/or seminar papers is required. A comparison table should be submitted to report the change(s). CPD provider should also provide the rationale for the amendment(s). 3. List of approved activity venue(s) for the next approval period with full address(es) and capacity(ies). 4. Report of change in training venue(s) including floor plan(s) with capacity(ies), rental agreement(s) and insurance coverage for third party liability. 5. Profiles of all instructors or presenters including their academic and professional qualifications, and training/industry experience. 6. Summary of course evaluation results for the reporting period. 7. Report of quality assurance activities conducted during the reporting period such as date(s) of course evaluation meeting(s), class observation(s), and follow-up action(s) on identified issue(s) from the participant evaluation. 8. Passing rate(s) of examination and/or continuous assessment (where applicable). not applicable not applicable not applicable -- END