Online Enrolment 1 of 2

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Course
IMPORTANT - you are required to provide certified copies of identification (eg licence), previous qualifications and transcripts. Attach now or mail/email/fax later. Please note that learning materials will not be sent until this documentation is received (100Mb Limit)
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Please create a username and password as this will give you access to ECTARC Live. Username and password can be any word you like and must be six digits and contain one number eg flower3.
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Date of Birth (dd/mm/yyyy) *
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Name of Service
Director's Name
Work Address
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Current employment status of person enrolling	Full-time Part-time Casual Self employed Unemployed
Are you of Aboriginal or Torres Strait Islander decent?	Yes No
Do you have a permanent and/or significant disability?	Yes No
If yes, please specify type:
Are you an Australian citizen?	Yes No
If no, please specify the country of citizenship
Highest Completed School Level:	Year 12 Year 11 Year 10 Year 9 or lower
Since leaving school have you completed any further qualifications?	Yes No
If yes, please specify the level of qualification completed	Certificate Diploma Associate Diploma Advanced Diploma Degree or Post Graduate
How did you find out about ECTARC?	Other staff member or friend has studied/is studying with ECTARC Advertisement – which one? From an ECTARC workshop Internet I have previously studied ECTARC I visited ECTARC stand at a conference Other

Online Enrolment 2 of 2

LEARNING NEEDS ASSESSMENT QUESTIONNAIRE

The information given in this Learning Needs Assessment questionnaire will be used to provide you with the best level of support throughout your studies. Your Training and Development Officer will be able to assist you with feedback and resources if you do require support in any particular area. Please be honest with your answers and rest assured the information will remain strictly confidential.

This document is to be completed prior to enrolment. Once completed, the document is to be returned to ECTARC, with your enrolment form, so if necessary we can contact you to discuss how we can help you achieve success with your studies.

Skills you will need to be able to demonstrate throughout your training:

Certificate III in Children’s Services (CHC30708)

Reading	Writing	Oral communication	Numeracy
Children’s details Locate name on arrival/departure lists Children’s books Medication forms Weekly program Safety signs Notice board Follow Instructions Emergency instructions Staff roster	Children’s names Record messages Posters Accurate spelling Incident reports Record observations Staff timesheet	Greet parents on arrival and departure Interact with children Communicate with supervisor / team Clear friendly speech Polite, courteous manner Relay messages Sing songs / rhymes Read books to children	Count Calculate child / staff ratios Measure and weigh ingredients Tell time Time frames Simple addition Mix chemicals in correct ratios

Certificate IV in Children’s Services (Outside school hours care) (CHC41208) Diploma of Children’s Services (Early childhood education and care) (CHC50908) Diploma of Children’s Services (Outside school hours care) (CHC51008)

Reading	Writing	Oral communication	Numeracy
Children / family details Childcare regulations, codes of practice Policies and procedures Medical reports / requirements Children’s books Medication forms Weekly program Correspondence / reports Notice board Follow instructions Emergency instructions Staff roster Proofreading	Program and routine Reports Child development profiles Record messages Posters Accurate spelling Incident reports Record observations Staff timesheet Meeting minutes Newsletters Notes to parents	Communicate with parents to support care of child Interact with children Communicate with supervisor / team Instruct others Clear friendly speech Polite, courteous manner Relay messages Sing songs / rhymes Read books to children Respond to complaints Liaise with professionals / support networks	Count Calculate child / staff ratios Measure and weigh ingredients Tell time Time frames Simple addition Mix chemicals in correct ratios Calculate change from petty cash Calculate and compare costs of similar items

Please answer all the questions honestly, as it is in your best interests to receive the appropriate assistance during your studies. If you have any concerns, please contact an ECTARC Training and Development Officer for clarification.

* Required

Reading/Writing
What level English did you achieve in school?
Have you recently completed a form requiring sentence answers?	Yes  No
Do you send emails or letters to friends?	Yes  No
Do you enjoy reading novels/printed literature?	Yes  No
Numeracy
What level of maths did you achieve at school
Can you undertake simple mathematical tasks, such as addition, subtraction, multiplication and division	Yes  No
Can you measure medicines and volumes for recipes etc?	Yes  No
Oral Communication
What language do you speak at home?
If not English, please rate your fluency in English	Good Fair Poor
Do you watch and understand TV and movies presented in English?	Yes  No
Have you successfully studied by distance previously?	Yes  No
Payment Details
Name on Card *
Card Number *
Card Expiry *	01 02 03 04 05 06 07 08 09 10 11 12 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Card Type *	Visa Master Card
	if you require to pay with a different credit card or by cheque please contact ECTARC
CCV Number *
Amount *
PRIVACY STATEMENT The information requested in this form will be used by IACC/ECTARC for research, statistical information to the relevant government departments and internal management purposes only. In supplying the requested information, the participant is deemed to have consented to the use of the information for those purposes.
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