Certification Application Form

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Application Form for Certified EnMS Advisor, Certified EnMS Advisor at the Advanced level, CERL-CB, CERL-CB at the Advanced level, or Certified Insulation Installer

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Section 1: Candidate Details

Carefully read the Guide for Candidates and familiarise yourself with the certification requirements before completing this form.

Which certification are you applying for*

Select your level*

Prefix*

First Name*

Surname*

Personal Email*

Work Email*

Email for application correspondence*

Mobile Phone*

Other Phone

Employer Name*

Job/Position Title*

Home Address*

Street Address Address Line 2 City State Postcode Country

Work Address*

Street Address Address Line 2 City State Postcode Country

Postal address for application correspondence*

Link to your LinkedIn profile

Section 2: Certification qualification criteria to become a Certified EnMS Advisor

The certification qualification criteria are the hurdle requirements that must be cleared before an application for certification will be considered. Meeting these criteria does not mean you will be certified, it simply means that your application for certification will be assessed in detail. Candidates to become a Certified EnMS Advisor must demonstrate that they have experience working on energy efficiency and/or energy management projects. Please note that relevant degree means a bachelor's degree or higher qualification in a relevant discipline, such as commerce and business, engineering, environmental science, finance, economics, law, marketing or project management.

Experience in energy efficiency and/or energy management is required to become a Certified EnMS Advisor. Additional experience as an EnMS Advisor is required for certification at the advanced level.*

I have a relevant degree and two (2) years’ experience in energy efficiency and/or energy management

I have a relevant degree and two (2) years' experience in energy efficiency and/or energy management, and have more than two (2) years’ of experience supporting businesses with developing and delivering EnMS, including having advised on the establishment of three (3) EnMS in the last three (3) years as a lead advisor

I do not have a relevant degree but have five (5) years’ experience in energy efficiency and/or energy management

I do not have a relevant degree but have five (5) years’ experience in energy efficiency and/or energy management, and have more than two (2) years' of experience supporting businesses with developing and delivering EnMS, including having advised on the establishment of three (3) EnMS in the last three (3) years as lead advisor

Completion of the EnMS Advisor training course is required to become certified. Have you completed this training course?*

Yes

I have registered for the training course

Select the date you are registered for*

DD slash MM slash YYYY

Section 3: Certified EnMS Advisor at the Advanced level

Only Required for Advanced Level Applications

Section 3: Certified EnMS Advisor at the Advanced level

Candidates must have experience of developing and implementing the key elements of an EnMS. This should include experience of item 1 and one of item 2A, 2B or 2C:

1) convincing a business to implement key elements of an EnMS or other relevant experience of the key EnMS elements; and
2A) Implementation of all seven Key Elements of an EnMS with one business with 150+ hours of work undertaken with/for that business; or
2B) Implementation of Key Elements of and EnMS:
• with 75+ hours of work undertaken with/for that business; and
• with 75+ hours of work undertaken with/for that (one or more) other business(es)
All seven Key Elements of an EnMS must be covered across the projects; or
2C) Implementation of:
• Key Elements of an EnMS with 75+ hours of work undertaken with/for that business; and
• a management system (that isn’t an EnMS) with 75+ hours of work undertaken with/for that (one or more) business(es) noting that this could be the same business as the one with the EnMS.
All seven Key Elements of an EnMS (or their equivalent) must be covered across the projects.
The key elements of an EnMS are:
1) Gap analysis/energy diagnostic;
2) Development of an energy policy;
3) Establishment of energy performance indicators (EnPIs);
4) Establishment and/or development of an energy management team;
5) Development of an action plan which is being implemented;
6) Deployment of support mechanisms including training and engagement;
7) Incorporation of energy considerations into purchasing policies.

I can provide evidence of experience against:*

Evidence of experience

Please provide details of your experience below. Details must include your role and its relevance to the key elements of an EnMS. Please be mindful of commercially sensitive information or confidentiality obligations to your client and anonymise the details as necessary. You should include details of the dates, sector, details of the project and your role within it and the result of your engagement. Attachments can be included as evidence if referenced. Please provide a referee from one of the projects detailed. This referee will be contacted by the EEC and their response will form part of your assessment.

Referee first name*

Referee surname*

Referee work email address*

Referee mobile phone number*

Referee work phone number*

Referee employer name*

Referee job/position title*

Section 4: Qualifications, certifications and other registrations

All candidates must fill out this section.

List relevant vocational and tertiary qualifications. You must attach evidence (e.g. diploma, certificate, transcript or equivalent) for each qualification listed. You can do so at the end of the application form.

Certified Energy Efficiency Leader (CEEL)

Certified Energy Efficiency Specialist (CEES)

Certified Measurement and Verification Professional (CMVP)

Certified Measurement and Verification Professional in training (CMVP-IT)

Certified Energy Manager (CEM)

Energy Manager In-Training (EMIT)

Green Star Professional

NABERS Accredited Assesor

Other

Do you currently hold any other relevant memberships or licences?*

Yes

Please provide details*

Have any of your licences or certifications ever been suspended or revoked?*

Yes

Please provide details*

Section 5: Employment history and relevant work experience

This section must be completed by all candidates. Only list positions that allowed you to gain experience relevant to the delivery of energy efficiency and/or energy management. Please be mindful of commercially sensitive information or confidentiality obligations. You should include details of the dates, sector, details of your role within and experience gained in energy efficiency and energy management. If you need to provide information on more than three (3) roles, please attach details in the final section.

Employment #1 Job position/title

Employment #1 Organisation

Employment #1 Date commenced

DD slash MM slash YYYY

Employment #1 Date concluded

DD slash MM slash YYYY

OR - Still with this employer

Yes

Employment #1 Your role's relevance to energy efficiency and/or energy management

Employment #2 Job position/title

Employment #2 Organisation

Employment #2 Date commenced

DD slash MM slash YYYY

Employment #2 Date concluded

DD slash MM slash YYYY

OR - Still with this employer

Yes

Employment #2 Your role's relevance to energy efficiency and/or energy management

Employment #3 Job position/title

Employment #3 Organisation

Employment #3 Date commenced

DD slash MM slash YYYY

Employment #3 Date concluded

DD slash MM slash YYYY

OR - Still with this employer

Yes

Employment #3 Your role's relevance to energy efficiency and/or energy management

Alternative assessment requirements

Please set out any circumstances where you may require alternative assessment arrangements. Evidence of circumstances will be required (please add attachments if required) and reasonable adjustments to the assessment process may be made at the EEC's discretion.

Section 6: Application attachments

Please attach relevant documentation here, including proof of relevant qualifications, certifications and other registrations. Please also attach proof of any additional work experience, should it be required.

Attachments

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 10 MB, Max. files: 10.

You can upload multiple files here.

Section 7: Publicly available information

Please note that the following details will be included on the public register of certified individuals:

Your full name
Certification level
Certification expiry dates
Your current employer
A contact number - please confirm below whether you would prefer this to be a personal or work number, or both
Your certification identifier number

Please note you are required to inform the EEC should the information you have provided change.

Please confirm, should you be successful, which other information you would like to be added to the public register of certified individuals.

Work email address

Personal email address

A link to your work place website

A link to your LinkedIn account

Please confirm which contact number should be listed on the public register of certified individuals should you be successful.

Personal phone number

Work phone number

Both

Section 8: Declaration

Declaration*

Please confirm the statements below to proceed to submit your application.

- I understand that the Assessment Panel or EECS staff may take steps to verify this information by contacting current or former employers, universities or other third parties.
- I consent to the information provided in this form and any supporting documentation being used for administration, assessment and associated activities .
- I understand that if I proceed to the next stage of the application process, this information will form part of the evidence used to make a final determination regarding my eligibility for certification.
- I have read and understood the Framework Rules, the EnMS Advisor Sub-Rules and the Code of Conduct and acknowledge and agree that my participation with the Framework is conditional upon my compliance with these documents.
- I have read and understood the Privacy Policy
- By my submission of this Application Form and my participation in the Framework, I agree to be bound by the Framework Rules, the EnMS Advisor Sub-Rules and the Framework's Code of Conduct.
- The information I have provided is complete, true and correct and I wish to proceed with the application process.

Section 1B: Pre-requisites for certification

Select your qualifying status.

I am applying to become a Certified Emissions Reduction Leader - Commercial Buildings (Advanced)

I have (select which applies):*

A degree in engineering, architecture, surveying, construction management or project management, or a mechanical / electrical trade qualification AND at least three years’ experience implementing energy efficiency retrofits of commercial buildings.

No relevant qualifications AND at least five years’ experience implementing energy efficiency retrofits of commercial buildings.

Section 1C: Qualifications, certifications and other registrations

List relevant vocational and tertiary qualifications. You must attach evidence (i.e. a certificate or results history) for each qualification listed.*

Do you currently hold any of the certifications below?

Certified Measurement and Verification Professional (CMVP)

You will be asked to respond to a series of questions that address the required knowledge associated with the 10 areas of assessment. Responses to each area of assessment are expected to be between 400 and 600 words in length.

Documentation for interview

If you are invited to an interview, you are required to bring a set of documentation from an energy efficiency retrofit of a commercial building that you have worked on. You will discuss your documentation with your assessor at the start of the interview. Documentation will be referred to throughout the interview as an example of a real world project you have worked on.

Documentation must be printed. You may redact any portions of your documentation that you are unable to share due to issues associated with commercial confidentiality, such as the final dollar value of projects. Documents will be reviewed by the assessor during the interview. All documents are returned to you at the interview's conclusion.

It is not necessary for this documentation to be authored by you, however documentation you have authored is preferable. Documents (or sections of documents) you are not responsible for must be clearly identified.

Section 4: Declaration

Declaration*

I declare that the information I have provided is true and correct, and that I wish to proceed to the final interview stage of the application process.

• I understand that the Assessment Panel or EEC staff may take steps to verify this information by contacting current or former employers, universities or other third parties.
• I consent to the information provided in this form and any supporting documentation being used for administration, assessment and associated activities set out in the Scheme Rules.
• I understand that if I proceed to the next stage of the application process, this information will form part of the evidence used to make a final determination regarding my eligibility for certification.
• I understand that if I progress to the next stage of the assessment process I will be required to submit additional evidence of my skills and knowledge.
• I have read and understood the Scheme Rules and the Code of Conduct and acknowledge and agree that my participation in the Scheme is conditional upon my compliance with these documents.
• I have read and understood the Privacy Policy
• By my execution of this Application Form and my participation in the Scheme, I agree to be bound by the Scheme Rules and the Scheme's Code of Conduct, including as amended by the EEC.

Section 1B: Pre-requisites for certification

I am applying to become a Certified Emissions Reduction Leader - Commercial Buildings.

Select your qualifying status. I have:*

A degree in engineering, architecture, surveying, construction management or project management, or a mechanical / electrical trade qualification AND at least one years’ experience implementing energy efficiency retrofits of commercial buildings.

No relevant qualifications AND at least three years’ experience implementing energy efficiency retrofits of commercial buildings.

(select which applies)

How have you gained your experience leading Integrated Building Energy Retrofit (IBER) projects?*

(select which applies)

Led three or more IBER projects from start to finish. Selecting this option means you can demonstrate you have led three entire IBER projects, overseeing and coordinating each stage from scoping the project through to measurement and verification of energy savings.

Gained an equivalent amount of experience across a large number of IBER projects. Selecting this option means you can demonstrate you have gained experience equivalent to leading three IBERs, but across a large number of retrofit projects. You must also be able to show you have experience leading each discrete stage of an IBER project.

Position 3

Job position/title

Organisation

Date Commenced

DD slash MM slash YYYY

Date Concluded

DD slash MM slash YYYY

Or - Still with this employer

Yes

Describe your role and its relevance to CERL-CB projects below

Contact Person

Contact Number

Section 2: Application attachments

Upload your attachments

Drop files here or

Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, Max. file size: 10 MB, Max. files: 10.

I have attached evidence (i.e. a certificate or results history) for each qualification listed at Section 1C, Question 1.

Yes

I have attached evidence (i.e. a certificate or results history) for each qualification listed at Section 1C, Question 2.

Yes

Section 3: Next Steps

If your application is found to meet the prerequisites for certification, you will be asked to engage in an in depth assessment process as outlined below.

Reference Projects

You will be asked to submit details of a reference project, including client references, as further evidence of your experience. This document is expected to be approximately 1000 words in length.

Required knowledge

Documentation for interview

Section 4: Declaration

Declaration*

I declare that the information I have provided is true and correct, and that I wish to proceed to the final interview stage of the application process.

Section 2: Certification qualification criteria to become a Certified Insulation Installer

Completion of the insulation installer training course is required to become certified. Have you completed this training course?*

Yes

When are you booked to complete the training course?*

DD slash MM slash YYYY

If you have already completed the required training, you will be able to attatch a Statement of Attainment at the end of this application.

I am applying for the following certification:*

I am applying to be certified for insulation installation applications for:*

Section 3: Qualifications, certifications and other registrations

All candidates must fill out this section.

Do you currently hold any other relevant memberships or licences?

Yes

Provide Details*

Have any of your licences or certifications ever been suspended or revoked?

Yes

Please provide the reason*

Section 4: Employment history and relevant work experience

This section must be completed by all candidates. No previous experience is required for insulation installer certification. Only list positions that allowed you to gain experience relevant to insulation installation. Please be mindful of commercially sensitive information or confidentiality obligations. You should include details of the dates, sector, and details of your role, including types and application of insulation installed. If you need to provide information on more than three (3) roles, please attach details in the final section.

Alternative assessment requirements

Section 5: Application attachments

Please attach relevant documentation here, including job assessment forms and certificate of training completion. You may also attach proof of other relevant qualifications, certifications and other registrations, as well as any additional work experience, here.

- Job assessment forms - General Construction Induction certification (i.e. White card) - Statement of Attainment of relevant training units - ID-style photo - Public liability insurance certificate of currency

Attachments

Drop files here or

Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, Max. file size: 10 MB, Max. files: 10.

Job Forms

I am attaching job forms for:

Section 6: Demographic information

If residing and/or working in Victoria, by answering the following question, you may be eligible for a full certification fee discount. If you do not fill out this section, you will not be considered for a full certification fee discount.

Do you identify as any of the following?*

Aboriginal and/or Torres-Strait Islander
Female/woman
Long-term unemployed
Migrant, refugee and/or asylum seeker
Person with disability
Single parent
Young person (up to 25 years old)

Yes

Hidden

Do you identify as any of the following? Please select all that apply:

Aboriginal and Torres-Strait Islander

A Disengaged youth

Long-term unemployed

A recent migrant

Living in social housing

Living in a region with entrenched disadvantage

Having a disability

Refugee or asylum seeker

Returned service person

Single parent

A woman

A young person (below 25)

A worker in transition

Section 7: Publicly available information

Please note that the following details will be included on the public register of certified individuals:
1) your full name
2) certification expiry date
3) your current employer
4) region in which you work
5) A contact number - please confirm below whether you would prefer this to be a personal or work number, or both
6) your certification identifier number
Please note you are required to inform the EEC should the information you have provided change.

Please confirm, should you be successful, which other information you would like to be added to the public register of certified individuals.

Work email address

Personal email address

A link to your work place website

Please confirm which contact number should be listed on the public register of certified individuals should you be successful.

Personal phone number

Work phone number

Both

Section 8: Declaration

Declaration*

Please confirm the statements below to proceed to submit your application.

- I understand that the Assessment Panel or EECS staff may take steps to verify this information by contacting current or former employers, universities or other third parties.
- I consent to the information provided in this form and any supporting documentation being used for administration, assessment and associated activities .
- I understand that if I proceed to the next stage of the application process, this information will form part of the evidence used to make a final determination regarding my eligibility for certification.
- I have read and understood the Framework Rules, the Insulation Installer Sub-Rules and the Code of Conduct and acknowledge and agree that my participation with the Framework is conditional upon my compliance with these documents.
- I have read and understood the Privacy Policy
- By my submission of this Application Form and my participation in the Framework, I agree to be bound by the Framework Rules, the Insulation Installer Sub-Rules and the Framework's Code of Conduct.
- The information I have provided is complete, true and correct and I wish to proceed with the application process.
- I confirm that I have provided 3 job assessment forms, including one for each isulation application for which I am applying for certification.
- I confirm that I have the physical capacity to carry out safe and effective insulation installations.

Phone

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