School Holiday Program

Please fill out the form to receive more information. We will be in touch shortly.

First Name *

Last Name *

Date of birth *

School Email *

Personal Email *

Phone Number *

Name of School *

Suburb *

Year level *

Briefly describe why you would like to undertake the school-holiday program *

To be able to be eligible to complete the school holiday program you must be able to commit to the following: *

You must be able to work independently through online course material over 10 weeks, of 4 hours of study per week

You must be able to attend 2 x one week blocks of compulsory training at a health hub. 8th to 12th April and 24th to 28th June

You must have a reliable laptop and access to wifi to complete online learning.

Other Location *

Parent / caregiver name *

Parent / caregiver email *

Parent / caregiver phone number *

VET Coordinator Name *

VET Coordinator Email *

VET Coordinator Phone Number *

Will you be accessing VETiS funding: *

Yes

No

Unsure

If no, please provide details of person who will be paying your student fees of $998.00 below

Name and email of person who will be paying your student fees **If appplicable