Referral Database Annual Update SPELD NSW Referral Database Annual Update Step 1 of 3 33% Thank you for your continued membership of the SPELD NSW Referral Database. We greatly appreciate your support of SPELD NSW and your students with learning difficulties. We appreciate you taking the time to complete this annual update. Please use this form to let us know of any changes to your services. (Please refer to SPELD NSW Referral Database Information Pack for more information about being a member of the SPELD NSW Referral Database.) Your First Name(Required) Your Last Name(Required) Organisation Name (ie, name of practice, service, centre etc) if applicable Your email address(Required) Child Safety Members of the SPELD NSW Referral Database must maintain a current Working with Children Check at all times. (Please refer to the Kids Guardian for more information.)I confirm that I am committed to child safety and to maintaining a current Working with Children Check at all times(Required) Yes, I confirm Australian Business Number Members of the SPELD NSW Referral Database must hold a current Australian Business Number (ABN).Your Australian Business Number(Required) SPELD NSW Referral Database Code of Conduct Members of the SPELD NSW Referral Database must confirm that they are willing able able to comply with the Referral Database Code of Conduct. (Please click here for a copy of the SPELD NSW Referral Database Code of Conduct.)I confirm that I am willing and able to comply with the SPELD NSW Referral Database Code of Conduct.(Required) Yes, I confirm Professional Learning Each year SPELD NSW Tutor and Professional Members must complete at least 6 hours of professional learning related to: - high quality, evidence-based literacy and/or numeracy programs, strategies and approaches; and - supporting individuals with specific learning difficulties and disorders. Please describe the relevant professional learning that you have completed in the past calendar year.(Required)Documentation (eg, Certificates) for Professional Learning CompletedMax. file size: 128 MB.If you would like to send more than one file / attachment, please email to referraldatabase@speldnsw.org.auSuggestions Box! We would love to hear any suggestions that you have for the Referral Database and support that SPELD NSW can provide to its members.Suggestions Box! Changes to your Services Please complete this section ONLY if you would like to make any changes to the Services you have registered with the SPELD NSW Referral Database. We will use the information you complete below to update the record with the Referral Database.What Services Do You Provide? Literacy Instruction Numeracy Instruction Written Expression Instruction Handwriting Instruction Educational Assessment Psycho-Educational Assessment Speech and Language Therapy Oral Language Development Occupational Therapy Other Other What Educational Programs or Approaches do you have experience with and/or use? Ants in the Apple Cracking the ABC Code Get Reading Write Jolly Phonics Learnersaurus Little Learners Love Literacy Maths Mastery Mini-Lit/ Macq-Lit Orton-Gillingham / MSL Phonic Book Readers and Workbooks PLD Literacy and Learning Read Write Inc Sounds-Write Spalding SPELD NSW Teachers' Certificate Course Spelfabet Materials Spelling Mastery Talk for Writing Other Other What age students do you work with? Pre-school Kindergarten to Year 2 Years 3 to 6 Years 7 to 8 Years 9 to 10 Years 11 to 12 University / Tafe Adults Do you have specialist experience in any of these areas? ADHD Assistive Technology Autism Spectrum Disorder Dyscalculia Dysgraphia Dyslexia English as an additional language Graphic organisers / mind-mapping ODD Speech & Language Disorders Study / exam preparation / essay writing Twice-exceptional students Other Other Where do you provide services? My Home / Office Student's Home / School Virtual (e.g. Zoom) Please list the postcodes where you provide services (that is the postcode where your office is based and those postcodes which you travel to) Updated Information about your Service to provide to Individuals and Families Please complete this section ONLY if you would like to update the contact details that we provide to families we refer your services to. Contact Name Contact Phone Number Contact Email Address Service Website Service Address / Suburb & Post Code Short description of your practice or service. This description will be provided to families along with your contact details when SPELD NSW refers them to you. Additional questions for practices and businesses with more than one team member Please answer these questions if you have more than one team member in your practice or business.How many team members does your practice or business have? It is a condition of membership of the SPELD NSW Referral Database that all team members who provide tutoring, intervention, assessment or other services to clients referred by SPELD NSW meet the SPELD NSW Referral Database membership requirements.Please confirm that all team members who provide services to clients referred by SPELD NSW meet the following conditions: They have an applicable degree (eg, teaching, speech pathology, linguistics, psychology) They have at least 2 years' experience in a classroom or providing services to students with learning difficulties They have completed professional learning in evidence-based literacy or numeracy and supporting students with specific learning difficulties They will complete at least 6 hours of relevant professional learning each year to continue to develop their skills and expertise They have a current Working with Children Check They have confirmed that they will comply with the SPELD NSW Referral Database Code of Conduct Please confirm that your practice or business has a system in place to ensure that all team members are aware of the requirements of the SPELD NSW Referral Database Code of Conduct Yes, I confirm Please confirm that your practice or business has a system in place to ensure that all team members have current Working with Children Checks and that Working with Children Checks are renewed when they are due to expire Yes, I confirm CAPTCHA
