PVET (Peninsula Vocational Education & Training)
Expression of Interest form 2025
This is an ‘Expression of Interest’ form only. Final enrolment will depend on required
student numbers to offer each VET program. [To be completed and returned to the host school
offering the VET program)] Student Details:
Name: Nyawarga Bor Date of 28.02.2009 Female / Male /other
Birth:
Students School: USIDEQMYWF3UP
Number: 0447186482
Home Address: 34 Malcolm Post code:
3910
[email protected]Email: Mobile: 0447186482
[email protected]
Parent Email
Year level in (2025): Year 10 Year 11 Year 12 (please circle)
Do you ever speak a language other than English at home? Yes /No
If so, what language? Nuer, Amharic
Do you have any disabilities or medical conditions that might impact on your program? Yes /No
If so what is your disability?
No
Do you see yourself taking up a career in this area? Yes / No
If so in what area:
Cooking
I consent to the use of any photo taken of this activity to be used for promotional purposes. (e.g.: in Yes /
No newsletters, newspapers and pamphlets)
VET Program details:
Certificate Name: Cookery
Host school contact:
?
Phone:
Delivery Location: ? Delivery Day & ?
Time:
1st year 2nd year (please circle)
Student Commitment:
As a student in the VET program, I understand and accept the level of commitment that will be
required of me and to abide by the following conditions:
• I shall meet the attendance and participation requirements of this program and arrive on time and
appropriately dressed.
• I acknowledge that my absence from VET sessions may have a significant effect on my ability to meet the
learning outcomes of the program.
• In the event of any unavoidable absence I will notify the relevant training provider.
• I will abide by the rules of this training provider, particularly in regard to occupational health and safety. I
understand and accept the commitment my participation in the program requires of me.
• I understand I may be removed from the VET Program if I break any of the above conditions.
Name of Student: Nyawarga Bor
Sign & Date
11.12.2024
Name of Parent/Guardian Martha Rial
Sign & Date: 11.12.2024 Martha
Produced by FMPLLEN Inc. for PVET Association 2025
PARENTAL consent and CONFIDENTIAL Medical
Report for VET in Schools Programs 2025
I give consent for my
son/daughter
(parent name) (Student name)
to enrol in VDSS
Program at
(course name) (course location)
The following information is intended to assist the school in case of any medical emergency with your
child. All information is held in confidence.
Student Name:
Date of Birth: School attending:
Current Year Level:
Parent's / Guardian's:
Full Name:
Address & Postcode:
Emergency phone:
Name of Family Doctor:
Address:
Medicare Number:
Number:
Medical / Hospital Insurance Fund:
Ambulance Subscription: Yes No Membership Number:
(please circle)
Health care card holder: Yes No Membership Number:
(please circle)
Medication
Is your child presently taking any medication? Yes / No (please circle)
If YES, please state name of medication, dosage and possible side effects if known etc.:
Does your child have allergies? Yes / No (please
circle) If YES – please state name of medication and
dosage.
The teachers in charge of the class will expect the student to retain control of medication and will leave
responsibility with the individual student. (Please label all medication with the student's name, dose to be
taken and when it should be taken.)
Consent to Medical Attention
I authorise staff at the Registered Training Organisation to administer first aid to my child, and for the teacher
in charge of the VET in Schools program to consent, where it is impracticable to communicate with me, to the
student receiving such medical or surgical treatment as may be deemed necessary by a medical practitioner
and I agree to meet any costs or expense thereby incurred.
Parent Name:
Sign & Date:
Produced by FMPLLEN Inc. for PVET Association 2025
