Expression of Interest

Expression of Interest

Please complete the following Expression of Interest Form on your preferred Connect 'n' Grow program offering(s) and one of our staff will be in contact with you to discuss available options.

Your Details

Name

School Name

Contact Telephone Number

Contact Email

School Address

Trainer Human Resource Details

Teacher Name The name of the Teacher/Trainer that will be delivering the qualification

Teacher Email

Telephone

1. Proposed VET Offering
HLT23215 Certificate II in Health Support Services
HLT23215 Certificate II in Health Support Services
HLT20113 Certificate II in Aboriginal and/or Torres Strait Islander Primary Healthcare
CHC32015 Certificate III in Community Services
HLT33115 Certificate III in Health Services Assistance
2. When would you like to begin?
ASAP
2017
2018
2019
3. Please select the Qualifications/Documentation that your Teachers currently have:
TAE40110/TAE40116 Certificate IV in Training and Assessment
HLT23215: Certificate II in Health Support Services
CHC22015: Certificate II in Community Services
CHC32015: Certificate III in Community Services
HLT33115: Certificate III in Health Services Assistance
Teacher Registration or Blue Card (Working with Children)
HLTAID003: Provide First Aid NOTE: To deliver HLTAID003 Provide First Aid Certificate must be within 3 years. Current CPR certificate must be within 12 months.

Facilities and Equipment

4. Do you have computers that are accessible to your students, including relevant software, internet and printer access?
Yes
No
5. Do you have access to a sink with running water (hand washing)?
Yes
No
6. Do you have access to a First Aid Kit?
Yes
No
7. Do you have the following cleaning materials: sodium hypochlorite, dual bucket with roller system, and detachable mop head?
Yes
No
8. Do you have access to a health centre or facility?
Yes
Yes