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"*" indicates required fields

Student Details

Name*

Preferred Name

Preferred Pronouns

Date of Birth*

Email*

Mobile Number*

Address*

Year Level*

School*

Are you of Aboriginal or Torres Strait Islander origin?*

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

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?*

Please provide details*

Do you have any dietary requirements?*

Career Teacher Details

Careers Teacher Full Name*

Careers Teacher Email*

Teacher Awareness*

I have spoken with my Careers Teacher (named above) and they have given me permission to apply for this program.

I have received permission from my school to apply.

Program Details

Why would you like to participate in this program?*

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*

Parent/Guardian Mobile*

Parent/Guardian Email*

Alternate emergency contact*

Alternate emergency contact Mobile*

Media Consent

I give Skilling the Bay and the Geelong Tech School permission to photograph and/or interview my child for use in a range of print, electronic and other media for communication and promotional purposes.

I agree

Program Permission*

I give permission for my child to attend the WOW Digital Technology Program on the 28th April, 5th May and 11th May 2026. I understand that my child will adhere to the dress code, and behave in alignment with their school's code of conduct. I commit to organise transportation to and from The Gordon for my student at the beginning and the conclusion of each program day. I agree to meet any medical expenses and/or transport costs incurred in the event of sickness or injury. In the event of an emergency, I agree to the designated supervising teacher seeking medical attention for my child. I agree to meet any transport costs should my child be sent home as a result of misbehaviour or inappropriate conduct. I authorise The Gordon to contact my child via email and/or phone regarding ongoing program information, or in the event of a cancellation.

I agree

Parent/Guardian Signature*

Privacy Statement
Skilling the Bay is a joint partnership between the Victorian Government, The Gordon and Deakin University. Skilling the Bay provides students in Years 9, 10 and 11 with an opportunity to participate in the World of Work programs. The program aims to increase knowledge of career opportunities for young people in the Geelong region. For administration purposes we need to collect your name, address, phone number(s), gender, date of birth, emergency contact details and school so that we know who you are and how to contact you. Information supplied in this Application Form will be entered into a computer database managed by Skilling the Bay. The information will not be provided in identifiable form to any other person or organisation without the consent of the individual student or guardian unless required by law or other regulation to do so. It is important that this information is accurate and up to date. If you think that any information requires correction or updating following submission, please contact: skillingthebay@gordontafe.edu.au

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Student Details

Career Teacher Details

Program Details

Parent/Guardian Details

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