Centre Based Events Form

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Supplier Details

What is your business name?(Required)

What is your ABN?(Required)

Please enter numbers only with no spaces

Please Provide Business Email Address(Required)

Website Address(Required)

Supplier Contact Name(Required)

Supplier Contact Email Address(Required)

Supplier Mobile Phone Number(Required)

Supplier Phone Number

What States / Territories do you operate in or supply to?(Required)

ACT

QLD

NSW

TAS

VIC

National

Please select all that apply

Which G8 centre(s) would you like to supply/engage with?(Required)

Business Details

Please provide a brief overview of your business. Such as a capability statement or summary of business offering(Required)

Please advise if you have a conflict of interest with providing this event.(Required)

I do not have a conflict of interest

There is a conflict of interest I would like to disclose

Please describe the details of the potential conflict of interest.(Required)

Centre Based Events Details

What type of Centre Based Events do you offer?(Required)

One Off Experience

Education and Learning Programs

What type of educational programs or activities do you provide?(Required)

Aboriginal & Torres Strait Islander Cultural Programs

Dance

Physical Development Programs

Art and Creative

Language

Multicultural

STEM

Dental Education

Health Education

Other

Other Educational Programs(Required)

Is your dental program Government-endorsed?(Required)

Yes

What is the intended age rage for this Experience or Program?(Required)

0-2 Years

2-3 Years

3-5 Years

Other

Other age group(Required)

What is the recommended frequency of your program?(Required)

One off

Daily

Weekly

Monthly

Quarterly

What is the recommended number of sessions for this program?(Required)

What is the minimum number of participants for this program?(Required)

What is the maximum number of participants for this program?(Required)

Is your program aligned with the Early Years Learning Framework (EYLF)(Required)

Yes

Please explain how your program is aligned with EYLF(Required)

Please explain how your program aligns with early learning pedagogies and practices(Required)

Please provide a description on how your program supports the capacity build of centre based educators and early childhood teachers. Please include information on how centre based team members will be involved in the delivery of your program.(Required)

Please describe how the risks are identified and managed for the equipment being used in this program.(Required)

Please detail all Qualifications held by the people delivering this program(Required)

Centre Based Events Form

New Supplier Enquiry - Centre Based Events Form

Supplier Details

Business Details

Centre Based Events Details