Health and Community Services

This program is run over five modules.

Module 1 - Thursday 30^th April (Full day)
Module 2 - Wednesday 20^th May (Online for 1 hour)
Module 3 - Tuesday 21^st July (10am to 1pm)
Module 4 - Thursday 10^th September (Full day)
Module 5 - Wednesday 7^th October (10am to 1pm)

• Students must be in years 9, 10, or 11 to apply.
• Students must first get permission from both their Parent/Guardian and their school Careers Teacher before applying.
• Students must commit to attending all days of the program.

• There is a limited number of places available, and early registrations will take priority.
• Students will need to make their own transport arrangements to and from The Gordon each day. We will organise transportation to and from the industry visits.
• The Geelong Region Learning & Employment Network (GRLLEN) will take on the duty-of-care of all participants during the program.

Please complete the form below to apply for the program. We’ll be in touch in late March 2026 to confirm your place.

"*" indicates required fields

Student Details

Name*

First Last

School*

Click to selectArmstrong CreekBarwon Valley SchoolBellarine Secondary CollegeBelmont High SchoolChristian CollegeClonard CollegeCovenant CollegeGeelong Baptist CollegeGeelong Grammar SchoolGeelong High SchoolGeelong Lutheran CollegeGrovedale CollegeGordon VCEHamlyn Views SchoolIona College GeelongIndie SchoolKardinia International CollegeLara Secondary CollegeMatthew Flinders Girls Secondary CollegeMacKillop Family ServicesNelson ParkNewcomb Secondary CollegeNorth Geelong Secondary CollegeNorthern Bay P-12 CollegeOberon High SchoolSacred Heart CollegeSaint Ignatius College GeelongSaints CollegeSEDA College VictoriaSt Joseph’s College GeelongSurf Coast Secondary CollegeThe Geelong CollegeWestern Heights Secondary College

Year Level*

Click to selectYear 9Year 10Year 11

Date of Birth*

Day

Month

Year

Gender*

Mobile Number*

Postcode*

Do you have any dietary requirements?*

School Email Address*

Are you of Aboriginal or Torres Strait Islander origin?*

Click to selectYesNo

Do you have a disability or medical condition that we need to be aware of in order to maximise your health and wellbeing during the program?*

Click to selectYesNo

Please provide details*

Does your family speak a language other than English at home?*

Click to selectYesNo

Which language?*

School Endorsement

Teacher's Full Name*

First Last

Teacher's Position*

Teacher's Email*

School Endorsement*

I have spoken with my Teacher (named above) and they support this application for me to be part of the World of Work Health & Community Services Program.

I have my schools support to apply.

Program Details

Why have you applied for the World of Work: Health and Community Services Program?*

Eg. Being a part of this program would help me understand the different jobs and career choices in the areas of Health and Community Services. I am interested in studying Health and Human Development, Biology, VET Allied Health, VET Community Services.

What are your current career goals? What do you hope to do in the future?*

Name two occupations that interest you in the Health and Community Services Industry.*

For example:
Health - General Practitioner, Enrolled Nurse, Physiotherapist, Occupational Therapist, Dentist, Surgeon, SpeechTherapist, Optometrist, Paramedic.
Community Services - Youth Worker, Mental Health Worker, Support Worker, Social Worker, Counsellor, Aged CareWorker, Pharmacy assistant, Hospital Orderly

Student Agreement*

If I am successful in gaining a place in the program, I will participate to the best of my ability in all activities.

I agree

Student Signature*

Parent/Guardian Details

Parent/Guardian Full Name*

First Last

Parent/Guardian Email*

Parent/Guardian Mobile*

Alternate emergency contact*

First Last

Alternate emergency contact Mobile*

Media Consent

I give the Geelong Region LLEN and all partner organisations permission to photograph and/or interview my son/daughter for use in a range of print, electronic and other media forcommunication and promotional purposes.

I agree

Program Permission*

I support my daughter/son’s application to be part of the World of Work Health and Community Services Program. I am aware that they will be participating in fully supervised modules away from their home school.

I agree

Parent/Guardian Signature*

Privacy Statement
Geelong Region Local Learning & Employment Network (GRLLEN) provide students with an opportunity to participate in the Worldof Work: Health and Community Services program. The information supplied in this application will be made available to all partners, your school and GRLLEN forthe purposes of application, selection and tracking for the World of Work: Health and Community Services program. By signing this application you consent to theinformation contained in this application being provided to the above mentioned organisations for the purposes stated.