Order Number Thank you for your interest in the SPELD NSW Teachers' Certificate Course for 2021. To make an application to participate in the course please complete this form. (To learn more about the Teachers' Certificate Course please refer to the Information Pack.) This SPELD NSW Certificate Course is not an Australian Qualification Framework qualification. I wish to apply for admission to the SPELD NSW Certificate Course for Teachers of Students with Specific Learning Difficulties. Select your course: * Webinar Course starting April 2021 - FULLY BOOKED Blended Course starting July 2021 I confirm that: * I have reviewed the course dates and I am able to commit to all live sessions I have regular, reliable access to high-speed internet to view multimedia material and engage in the online learning modules I am aware that I must complete all compulsory online learning tasks to successfully complete the course and be credited the professional learning hours I have a student(s) who can complete the practical application tasks. (This student should be a young learner in K-1, or a student who is not achieving grade level expectation in reading and/or writing) Your First Name * Your Last Name * Your email address * Your Mobile Number * Your Work Number (optional) Your Home Number (optional) Street Address * Suburb/Town * Post Code * Occupation * Place of Work * Working With Children Check Number * Date of Birth (to allow us to confirm currency of WWCC) * Dietary Requirements (if you nominate the Blended Course) Please outline your professional training and experience to date: * What is your motivation to complete this course? *
