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Expression of Interest 2021

Business Details

Business/Individual Name *

ABN (if applicable) *

Address *

Phone: *

Email: *

Description of Service to be provided: *

Working With Children Check Details (required for all individuals to be involved in provision of service on College grounds):

Individual 1

Full Name *

Date of Birth *

WWCC *

Individual 2

Full Name

Date of Birth

WWCC

Individual 3

Full Name

Date of Birth

WWCC

Preferred Time of Service Provision (please select all that apply):

Kellyville During School Hours *

Monday 8:15am-3:15pm

Tuesday 8:15am-3:15pm

Wednesday 8:15am-3:15pm

Thursday 8:15am-3:15pm

Friday 8:15am-3:15pm

Kellyville Outside of School Hours *

Monday 3.15pm-4.15pm

Tuesday 3.15pm-4.15pm

Wednesday 3.15pm-4.15pm

Thursday 3.15pm-4.15pm

Castle Hill During School Hours *

Monday 8:15am-2:45pm

Tuesday 8:15am-2:45pm

Wednesday 8:15am-2:45pm

Thursday 8:15am-2:45pm

Friday 8:15am-2:45pm

Castle Hill Outside of School Hours *

Monday 3.00pm-4.00pm

Tuesday 3.00pm-4.00pm

Wednesday 3.00pm-4.00pm

Thursday 3.00pm-4.00pm

A copy of public liability insurance cover with a minimum value of $5 million is attached *

A copy of professional indemnity insurance cover with a minimum value of $5 million is attached (this is compulsory for sporting & higher risk activities) *

I understand that all individuals involved in provision of the service must attend an induction session prior to commencing services if this application is approved by the College *

Professional Liability Insurance Upload *

Professional Indemnity Insurance Upload *

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Castle Hill Campus
88 Cecil Avenue
Castle Hill NSW 2154

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4 Gum Nut Close
Kellyville NSW 2155

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