Individual Support Sponsorship

Aged Care Sponsorship 2022

First Name *

Last Name *

Preferred Name

Gender *

Indeterminate/Intersex/Unspecified

Email *

Mobile number *

Residential Address

Number and Street name *

Suburb *

State *

Postcode *

I am an Australian citizen or permanent resident *

Yes

Why would you like to study and work in the aged care sector? *

Do you have any experience in aged care, home care, community sector or other areas related to this study? *

Are you a current St John Ambulance Volunteer? *

Yes

Are you or have you previously completed another tertiary qualification? *

Yes

If yes, what qualification?

Please rate your current technology skills: 1 (not at all comfortable) – 5 (extremely comfortable) *

1 Not at all comfortable

5 Extremely comfortable

To undertake this course, you are required to attend 1 day per week on week days. Are you able to commit to 1 week day per week for the next 12 months to complete this course? *

Yes

Please indicate which days you can commit to (you can choose more than 1)

Monday

Tuesday

Wednesday

Thursday

Friday

This sponsorship aims to help those students who because of some hardship, disability or other form of disadvantage, might not otherwise enjoy the benefits that flow from participation in tertiary education. Do you agree with the any of the below statements: *

I have been unemployed for 6 months or longer

I am a service veteran

I am an Aboriginal or Torres Strait Islander

I am over 45 years of age

I am a refugee/from a refugee background

I am from a non-English speaking background

None of the above

Are you willing to be fully vaccinated against COVID-19, current Influenza (within the last 12 months), Hepatitis B, Varicella, Pertussis, Measles/Mumps/Rubella and provide a serology report? *

Yes

Are you prepared to undertake a police check? *

Yes

Are you prepared to provide a Working With Children Check (WWCC)? *

Yes

Do you hold a current drivers license? *

Yes

Have you got any health conditions that will prevent you from lifting a stretcher, carrying equipment up to 20 kilos or kneeling for at least 5 minutes to provide CPR? *

Yes

Can you commit to attending the course 1 day per week, completing all coursework and attending placement of 120 hours within 12 months? *

Yes

Please provide a Referee who can provide a reference on your behalf:

First Name *

Last Name *

Referee email *

Contact number *

Occupation *

Relation to applicant *

I am willing to participate in promotional material, including video and still imagery, and provide testimonials for St John Ambulance Victoria. *

Yes