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Department of Education and Early Childhood Development Proforma
Documentation of Staff Qualifications and Experience
or Expertise in Lieu of Certification/Accreditation
Staff details
Staff name
School/Organisation
Activity
Venue
Season
Describe where the activity will take place: be specific.
Include season and program dates.
Student group
Year Level(s)
Age Range
Prior Experience
Special Considerations
Previously held qualification relevant to the activity
Title
Organisation
Date Received
Expiry Date
Training (Include formal courses, on the job training, and any other relevant training.)
Host Organisation
Date(s)
Description
Personal experience with the activity
Location
Season
Activity Description
Instructional activity experience
Location
Season
Activity Description
Experience in this or similar venue and seasons:
Location
Season
Activity Description
Experience working with this age group/year level in this and/or other activities:
Age Range & Year Level
Date(s)
Activity
Location
Signed by above-named staff member:
Copyright Department of Education and Early Childhood Development
Date:
Published October 2010
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Note: This proforma is a suggested way of documenting staff qualifications and experience or expertise.
Copyright Department of Education and Early Childhood Development
Published October 2010