DV-alert Men Who Use Violence Virtual: 872 8782 4058 CSELIF07465

This form requires a Unique Student Identifier (USI). Click here to find yours or set one up in just a few minutes.

Have you completed and gained competency in either
1. DV-alert 2-Day workshop (prior to July 2023) OR
2. DV-alert eLearning (General or Working with Women with Disabilities) OR
3. Foundations 2-Day OR
4. First Nations 2-Day?

Yes

Not yet completed

Not yet issued

Completion date

You must complete an accredited DV-alert workshop or eLearning course before you can enrol in a 1-day specialist workshop. Find a nationally recognised workshop near you, or enrol in our eLearning courses.

This form requires a Unique Student Identifier (USI). Click here to find yours or set one up in just a few minutes.

Which answer best describes your current employment status?

What is your primary occupation or volunteer role?

The course is designed for health, allied health or community frontline workers to apply.
If you are unsure of your Occupation category, please view our Occupation category guide.

If 'Other' please enter.

If you have selected 'other' for your Occupation.

Organisation: What is the name of the organisation you work for?

Must be spelt out and should be within the health, allied health, education, childcare and community sectors.

Organisation location: What is the location of where you work?

Suburb then State (example: Sydney, NSW)

Do you have any dietary requirements?

Do you have any participatory requirements?

How did you hear about us?

I declare that the information I have provided is true and correct to the best of my knowledge.

I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice.

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DV-alert 1-Day Men Who Use Violence Focused Workshop

TIME

VIRTUAL DELIVERY

IMPORTANT

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Student declaration and consent

DV-alert 1-Day Men Who Use Violence Focused Workshop

TIME

VIRTUAL DELIVERY

IMPORTANT