Futures Program EOI

1
Before you begin* This field is required.For ease of completion for you, please ensure you have the below-listed information and evidence documents available PRIOR to commencing this Expression of Interest. It is advisable that you have photos of any documents saved onto the device you are using to complete the form. This will make it easier for you to upload the evidence securely when requested to do so.
Parent Guardian details (name, email, phone)
Careers Advisor details (name, email, phone)
COVID-19 vaccination evidence
Headshot/Passport (or similar) photo
Details of at least 3 workplaces you would like to consider for work placement
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Participant name* This field is required.
First Name
Last Name
3
Participant email* This field is required.
example@example.com
Confirm Email
4
Phone number* This field is required.
5
Name of School attending* This field is required.
eg. ACME High School
6
Careers Advisor Name* This field is required.
eg. Mr John Smith
7
Career Advisor Email* This field is required.Please note: a notification will be sent to your nominated Careers Advisor
example@example.com
Confirm Email
8
Careers Advisor phone number* This field is required.
9
I am applying for the following program* This field is required.
Educators of the Future
Carers of the Future
Leaders of the Future
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I would like undertake this program because:* This field is required.
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Do you receive any additional support at school?* This field is required.
YESNO
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If you receive any additional support at school, please describe how this is provided or what we can do to assist you:* This field is required.
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Ok
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What (if any) is your experience within this field to date?* This field is required.
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Tell us about any work experience that you have in this field (e.g. casual job etc):* This field is required.
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15
Preferred class day* This field is required.
Tuesday
Wednesday
Thursday
16
My preferred age group of children to work with is:* This field is required.Age group
0-6 years of age (Early Childhood)
6-12 years of age (OOSHC)
6-12 years of age (Teacher’s Aide)
I am unsure
17
My preferred school for attending a Kindergarten work experience day is:* This field is required.
Name of school
Suburb/Town
Phone number
18
My preferred Community Services setting is:* This field is required.Industry setting
Aged Care Facility
Disability Services
Health Facility
I am unsure
19
My first preference for undertaking work experience is:* This field is required.Please include the details of the host employer you would like to consider for work experience
Name of Business
Suburb/Town
Phone number
20
My second preference for undertaking work experience is:* This field is required.Please include the details of the host employer you would like to consider for work experience
Name of Business
Suburb/Town
Phone number
21
My third preference for undertaking work experience is:* This field is required.Please include the details of the host employer you would like to consider for work experience
Name of Business
Suburb/Town
Phone number
22
COVID-19 vaccination certificate upload* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 24.4MB
Cancelof
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Headshot/Passport (or similar) image of participant* This field is required.Provide an appropriate head shot to be displayed at placement
Drag and drop files here
Select files to upload
Max. file size: 24.4MB
Cancelof
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Parent/Guardian details* This field is required.Please note: a notification will be sent to your nominated Parent/Guardian
Parent / guardian full name
Parent / guardian email
Parent / guardian contact number
25
I declare the following:

1. I have read the material supplied by KARBEN Training Solutions including the program outline.
2. I understand the commitment I would be making for the program both in and out of school.
3. I will be able to maintain my class commitments to my subjects during this time.
4. I understand the program is to see whether I would like to participate in an SBAT or post school employment opportunity in my preferred field, however it does not mean I would secure an SBAT or employment outcome.
5. I agree to participate in regular evaluations and marketing activities and understand that photos and videos may form part of the program evaluation.
6. I understand that, as part of the program, I will be responsible for approaching industry employers to obtain work placement opportunities with the support of KARBEN Training Solutions
7. I understand transportation to and from work placement sessions are my responsibility.
8. I agree to provide evidence of my vaccination status with this EOI in line with current regulatory requirements.
9. I understand that should I undertake an SBAT, I will need to discuss my intent of obtaining an ATAR prior to enrolling onto the qualification.

Please note: More information and permission will be required if accepted into the program, however until then please familiarise yourself with the following sites and ensure you check your emails regularly.
www.kts.edu.au (KARBEN Training Solutions) | www.sbatinnsw.info (SBAT’s in NSW)

Student Name * Signature * Date * Time *
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