Bronze/Silver Award Plan
Version 10 – 01/2014
This form is designed for you to discuss your Award activities with your Award Leader (previously known as Award
Coordinator) prior to, or just after, starting your Award. Please do not send this form to the State Award Office.
PARTICIPANT’S DETAILS
PARTICIPANT NAME:
ADDRESS:
POSTCODE:
EMAIL:
PHONE:
DATE OF BIRTH:
DATE OF ENTRY:
AWARD UNIT:
PARTICIPANT ID or
BOOK NO.
Prev. known as Licensed Operator
AWARD PLAN
Please indicate Award
level:
Chosen Activity
Bronze
Silver
Assessor’s Name & Qualifications
Goals
PHYSICAL
RECREATION
SKILL
SERVICE
ADVENTUROUS
JOURNEY
PARTICIPANT SIGNATURE
DATE
AWARD LEADER SIGNATURE
DATE
YOUR PRIVACY
The Department of Education, Training and Employment is collecting your personal information to facilitate your involvement in ‘The Duke of Edinburgh’s Award’ or the ‘Bridge Award’ programs.
Your personal information will only be accessed by authorised officers who may provide the information to award volunteers and organisations associated with The Duke of Edinburgh’s Award program to facilitate the Award
programs and to update and maintain records.
Non-identifying statistical information may also be supplied to the National Award Authority of The Duke of Edinburgh's Award in Australia, a non-government organisation that oversees The Duke of Edinburgh's Award in Australia.
Your personal information will not be used for any other purpose or disclosed to any other party unless we have your consent or it is required by law. Your personal information is collected and managed in accordance with the
Information Privacy Principles described in the Information Privacy Act 2009 and, if applicable, in accordance with section 426 of the Education (General Provisions) Act 2006. You can access your own personal information by
contacting the Queensland State Award Office.
By signing this agreement I give my consent for the Department of Education, Training and Employment to provide access to my personal and/or organisational information to award volunteers and organisations to facilitate the
Award programs and maintain licensing agreements.
BLUE CARD
Under the Commission for Children and Young People and Child Guardian Act 2000 people working with children under 18 in certain categories of business or employment must undergo the Working With Children Check. The
Commission for Children and Young People and Child Guardian has determined that the Working With Children Check (blue card system) now applies to employees or volunteers associated with The Duke of
Edinburgh’s Award and the Bridge Award programs. Employers and businesses providing regulated child-related services are also required to have a written child and youth risk management strategy in place to protect children
and young people from harm.
For more information on whether you are required to hold a blue card or develop and implement a child and youth risk management strategy, please visit the Commission for Children and Young People and Child Guardian website
at www.bluecard.qld.gov.au or call The Blue Card Contact Centre on 1800 113 611 (free call).
The Duke of Edinburgh’s Award
Queensland State Award Office
www.dukesaward.qld.gov.au
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