Provider Submission Form (SAMC-01A)
MQA requires the Stand-alone Micro-credential (SAMC) provider to furnish the following information for quality verification.
General Information of the Provider
Provider Name
*
Provider Status
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Please Select
Company
Public Agency
Higher Education Institution (HEI)
Company Registration Number
*
Establishment Information
*
Establishment Date, legal basis, and mandate/mission
Registration Type with Regulating or Funding Body
*
Please Select
Verification Number
Certificate
Verification Number
*
Registration Certificate
*
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Scope / Type of Business
*
Chief Executive Officer Details
Name & Title of Chief Executive Officer
*
Designation of Chief Executive Officer
*
Chief Executive Officer's Email
*
example@example.com
Liaison Officer Details
Name & Title of Liaison Officer
*
Designation of Liaison Officer
*
Liaison Contact Number
*
-
Country Code
-
Area Code
Phone Number
Liaison Email Address
*
example@example.com
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Proof that Provider has Completed at Least 1 Cohort of Learners
Samples of different assessments, rubrics, and grading from a cohort
*
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The SAMC provider must append at least one sample of each type of assessment (such as answer scripts, assignments, projects, presentation artifacts) that were conducted on a cohort of learners. These samples must be provided along with the corresponding assessment criteria, rubrics, marking schemes, and the marks/grades/outcomes achieved by that cohort. This requirement is a direct link to having delivered the SAMC and assessed a group of learners.
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Learner Data & Records Management
*
Describe how you are securely maintaining records on learner application, progression, performance, attrition, and completion.
Digital Credential
Provide information on the nature of the MC provided to successful learners.
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Explain how the digital credential addresses all the requirements as stated in the GGP.
Will the credential be issued by a third party?
*
Please Select
Yes
No
Proof of Collaboration
*
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Upload any relevant documents to be used as proof, e.g. Memorandum of Agreement (MoA). Multiple files are allowed.
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Sample of Digital Credential
*
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Location(s) where SAMC will be conducted (if applicable)
*
Separate each address with a semicolon (;), or enter N/A if not applicable.
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Quality Management System
Provide a concise but accurate description of the following elements as it relates to the SAMC with related evidence - flowcharts, diagrams, documents or picture. Evidences are to be added at the end.
Development Policy and Design Processes
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Describe and provide evidence for all of the following: a) SAMC development policy, b) Course design SOP, c) Learning outcomes development guideline, and d)Version control/course revision records.
Evidence for Development Policy and Design Processes
*
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Delivery Policy and Processes
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Describe and provide evidence for all the following: a) Curriculum design template, b) Course development checklist, and c) Approval minutes for new SAMC
Evidence for Delivery Policy & Processes
*
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Management of SAMC Delivery
*
Describe and provide evidence for any (or all) of the following: A) Delivery SOP, B) Teaching schedule / learning plan, C) Learner support procedures, or D) Delivery platform SOP (LMS Guidelines).
Evidence for Management of Delivery
*
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Assessment of Learning
*
Describe and provide evidence for any (or all) of the following: A) Assessment policy, B) Assessment blueprint/mapping to CLOs, C) Marking rubrics, D) Moderation & verification reports.
Evidence for Assessment of Learning
*
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Systems & Resources
*
Describe and provide evidence for any (or all) of the following: A) QMS manual / organizational structure, B) Document control procedure, C) ICT system SOPs, D) Data protection policy.
Evidence for Systems & Resources
*
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Financial Resources
*
Describe and provide evidence for any (or all) of the following: A) Budget allocation document for SAMC, B) Financial sustainability statement, C) HRD / funding documentation (if applicable).
Evidence for Financial Resources
*
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Training & Educational Resources
*
Describe and provide evidence for any (or all) of the following: A) Staff development plan, B) Training attendance records for instructors, C) Evidence of OBE/MQF training.
Evidence for Training& Educational Resources
*
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Physical & Virtual Resources
*
Describe and provide evidence for any (or all) of the following: A) Inventory list (equipment, facilities), B) LMS access evidence, C) Platform audit / health reports.
Evidence for Physical & Virtual Resources
*
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Instructor(s) Management Policies and Processes
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Describe and provide evidence for any (or all) of the following: A) Instructor recruitment / selection policy, B) CVs & qualifications of instructors, C) TOR / appointment letters, D) Performance appraisal records.
Evidence for Instructor(s) Management Policies and Processes
*
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Learner Experience
*
Describe and provide evidence for any (or all) of the following: A) Learner support services SOP, B) Learner feedback form & analysis, C) Grievance/redress mechanism.
Evidence for Learner Experience
*
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Credential Management System
*
Describe and provide evidence for any (or all) of the following: A) Digital credential issuance SOP, B) Sample digital certificate / MMS compliance, C) Security & authentication process.
Evidence for Credential Management System
*
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Monitoring, Review and Improvement
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Describe and provide evidence for any (or all) of the following: A) Monitoring & review of SOP, B) Internal audit reports, CQI plan & records of improvements, D) Review meeting minutes.
Evidence for Monitoring, Review and Improvement
*
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Remarks
Provide a brief justification for not attaching documents related to any applicable QMS checks.
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