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Contact Details

First Name

Last Name

Email*

Mobile Number

Street Address

Postcode (special case form answer)

State

Tell us about you

Are you currently working in Early Childhood Education and Care?

Yes

I am currently seeking work

Where do you work?

What is your main role?

Centre Director

Assistant Director

Educational Leader

Room Leader

Educator

Other

Teacher

What is your qualification?

Cert. 3 ECE

Dip. ECE

Untrained ECE

ECT

Student or Trainee

Other

How long have you worked in ECEC?

1-3

3-5

5-10

10-15

15-20

Do you identify as First Peoples?

Aboriginal

Torres Strait Islander

I do not identify as First Peoples

What is your country of birth?

What language do you speak at home?

Tell us about your training needs

Which Phoenix Support program are you applying for?

Educator Toolkit for Behaviour Workshops

Online Foundations Package

Which Educator Toolkit for Behaviour Workshop are you applying for?

Note, these workshops run between 9:30am and 4:30pm on a Saturday.

Adelaide - 19th November, 2022

Brisbane - 5th November, 2022

How did you hear about this program?

Big Steps Website

Facebook

Flyer

Google

Organiser visited my centre

SMS

Other

Disclaimers

By submitting this form, I understand that United Workers Union will share personal data (including my name & email address) with Phoenix Support for course deliver purposes & agree to share any data gathered. United Workers Union, for research & tracking purposes. You will receive updates from Big Steps Professional Learning and Phoenix Support, with the option to opt-out at any time.

I agree to these terms and conditions

I understand that my attendance at this training will be determined on a needs basis and that submitting an application does not mean that I will be accepted to attend this program.