Course Application Form - SHS

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TogetherForKids offers free courses to those employed in the Specialised Homelessness Sector and Domestic and Family Violence Safety Alliance.

Personal Details

Title:
Entity Data - Profile - Title
First Name:
Entity Data - Profile - First Name
Surname:
Entity Data - Profile - Surname
Preferred Name:
Entity Data - Profile - Known By
Date of Birth:
Entity Data - Profile - Birth Date
E-mail Address:
Entity Data - Contact - Home - E-mail Address
Mobile Number:
Entity Data - Contact - Work - Mobile Number
Home Phone:
Entity Data - Contact - Home - Phone Number
Address
What is the address of your usual residence:

Address 1:
Entity Data - Address - Home - Street Address 1
Address 2:
Entity Data - Address - Home - Street Address 2|These fields have been deprecated as they didn't properly feed the address information. Please use the newly added fields: Unit/Flat Number, Street/Lot Number and Street Name.
Unit/Flat Number:
Entity Data - Address - Home - Unit/Flat Number
Street/Lot Number:
Entity Data - Address - Home - Street/Lot Number
Street Name:
Entity Data - Address - Home - Street Name
Suburb:
Entity Data - Address - Home - Suburb
State:
Entity Data - Address - Home - State
Post Code:
Entity Data - Address - Home - Post Code
Country:
Entity Data - Address - Home - Country
Where were you born?
Entity Data - Profile - Country of Birth
Are you of Aboriginal or Torres Strait Islander Origin?
Entity Data - AVETMISS - Indigenous Status

Employment Information

Please indicate which Specialised Homelessness Sector (SHS) and Domestic and Family Violence Safety Alliance you work in?
Basic - Dropdown
Which if the following best describes your role?
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Please provide the name and email of your immediate supervisor/team leader? To help us maintain and improve the quality of our workforce training and delivery to the SHS sector, we would like to strengthen partnership with your organisation.
Basic - Text

Terms and Conditions & Privacy Statement

I will let the Australian Institute of Social Relations know if I can no longer attend the session.

The information contained on my enrolment form may be used by the Australian Institute of Social Relations for the following third parties for administrative, regulatory and/or research purposes:

- Employer, if I am enrolled in training paid by my employer.

- Government departments and authorised agencies.

- Researchers

Basic - Checkboxes
Signature:
Basic - Digital Signature
Subscribe me to the Australian Institute of Social Relations e-newsletter to receive information on upcoming courses and promotions.
Entity Data - Profile - Tags
How did you hear about us?
Basic - Checkboxes