Enrolment Form – South Western Sydney Recovery College

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- Frequently Asked Questions
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Resources
- Library
- Resources
News
Contact Us
- Privacy Policy
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Enrolment Form

NOTICE: ALL face to face courses and workshops are currently being delivered online.
Use this enrolment form for the short and long courses only!
For webinars, registration is VIA zoom, check online learning pages for registration links
For more info, see our Online Learning page.

First Name

Last Name

Date of Birth

Address

Suburb

Postcode

Email

Mobile

Phone

Student Type:

Person with Mental Health lived experience Carer/Support Person Service Provider/Support Worker

Do you identify as:

Aboriginal Torres Strait Islander Both Neither

Language spoken at home?

Do you identify as having a disability? If yes, we can talk to you about your support needs.

Yes No

Gender

Employment Status

Name of Course/ Workshop you wish to enrol in: (Popular courses/workshops may have a waiting list)

Taking Care of You (3 weeks, self-directed online starting 23rd November 2020) Mental Health Recovery: Using a Wellbeing Approach (Self-directed online, 10 weeks starting February 2021) Buried in Treasures (starting February 2021, location TBC)

Other - NOTE: for webinars, registration is VIA zoom, check online learning pages for registration links

Which LGA are you from? (Note: we are funded for South Western Sydney only)

Campbelltown Camden Bankstown Fairfield Liverpool Wingecarribee Wollondilly

Have you previously enrolled in a SWS Recovery College course/workshop? If yes, and your details are up to date, there is no need to complete any more of the form below.

Yes No

How did you hear about SWS Recovery College?

Macarthur Disability Services Primary Health Network One Door Mental Health Mental Health Worker Support Worker Family or Friend Brochure/Website Facebook Community College Other

Other

Someone may be in contact with you about your enrolment. When is the best time to contact you?

Emergency Contact or Extra Support Details

Personal: Name

Professional: Name

Relationship

Relationship

Phone

Phone

Electronic Signature:

By typing your name below and clicking on “I Agree” below, you acknowledge and agree that your information will be sent to the South Western Sydney Recovery College for the purpose of student enrolment.

Signature

I Agree

Are you between 12 and 18? If so, we'll need a guardian to co-sign your form so you can attend.

By typing your name below and clicking on “I Agree” below, you acknowledge and agree that you are a legal guardian of the student listed above and are giving your consent for the student to participate in this course.

Signature

I Agree

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