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Start your DV-alert enrolment here. Simply log in (if you’ve registered with us previously) or fill out the form below to get underway.

Personal details
Educational info
Additional info

Title

First name

First name (not preferred name)

Last name

Family name (surname)

Email address

Password

Confirm password

Birth date

Gender

Mobile number

Phone number: (home/work)

Address

Are you Aboriginal and/or Torres Strait Islander?

Which country were you born in?

Are you an Australian or New Zealand Citizen?

Australian Citizen

New Zealand Citizen

Permanent Resident

Permanent Humanitarian Visa Holder

What is the main language you speak at home?

How well do you speak English?

Do you consider yourself to have a disability?

Yes No

If Yes, please select

Hearing / Deaf

Physical

Intellectual

Learning

Mental Illness

Acquired Brain Impairment

Vision

Medical Condition

Other

What is your highest completed school level?

Year completed

Are you currently enrolled in Secondary education?

Yes No

Secondary Education is High School

Have you successfully attained any tertiary qualifications?

Yes No

If Yes, please select

Bachelor Degree or Higher Degree Level Advanced Diploma or Associate Degree Diploma Certificate IV Certificate III Certificate II Certificate I Miscellaneous Education

Which answer best describes your current employment status?

What is your primary occupation or volunteer role?

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.

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?

Student declaration and consent

Declaration of true and correct information

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.

2-Hour DV-aware Workshop

04 December 2024

TIME

9:00am - 11:00am

VENUE

Northam Recreation Centre (Room 3), 44 Peel Terrace, Northam, WA 6401
View in Google maps

Training is delivered on behalf of Lifeline Australia RTO 88036

IMPORTANT

If you are eligible to attend a workshop, when your enrolment is approved you will receive a confirmation email within 10 working days.

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FullStreetName

DobString

PartyIdentifier

PhoneNumber

MobileNumber

IsNewParty

true

Honeypot

Flat / Unit number

Street Type

Street number

(example: 205)

Street name

(Residential addresses only. No PO Boxes or business addresses).

Suburb

State

Postcode

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DV-alert would like to acknowledge all Aboriginal and Torres Strait Islander Traditional Owners and Custodians of Country and pay respect to Elders, both past and present, and extend our respect to all Aboriginal and Torres Strait Islander people.

Please be aware that this website may contain the names, images and voices of Aboriginal and Torres Strait Islander people who may now be deceased.

DV-alert is committed to embracing diversity. We welcome all people irrespective of ethnicity, lifestyle choice, faith, sexual orientation, gender, and gender identity.

Please be aware that this website may contain the names, images and voices of Aboriginal and Torres Strait Islander people who may now be deceased.

DV-alert is committed to embracing diversity. We welcome all people irrespective of ethnicity, lifestyle choice, faith, sexual orientation, gender, and gender identity.

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eLearning
1-Day focused workshops
Public awareness workshops

Disclaimer

Delivery of training and assessment on behalf of Lifeline Australia RTO 88036. Funded by the Australian Government Department of Social Services.
Go to www.dss.gov.au for more information.

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