2023 ACT Aboriginal and Torres Strait Islander Health Academy Expression of Interest Application

Unique ID

Student Details

Name(Required)

Given Name(s) Surname

Date of Birth(Required)

Phone

Mobile Phone

Email Address(Required)

Enter Email Confirm Email

Home Address(Required)

Street Address Address Line 2 Suburb State / Territory Post Code

Do you identify as Aboriginal and/or Torres Strait Islander?(Required)

Yes

Gender(Required)

Male

Female

Other

Name of School(Required)

Current Year Level(Required)

Unique Student Identified (USI – if known)

Parent Details

Parent or Guardian Name(Required)

Relationship(Required)

Phone

Mobile Phone

Email Address(Required)

Enter Email Confirm Email

Home Address(Required)

Street Address Address Line 2 Suburb State / Territory Post Code

Please answer the following questions

Have you applied for, participated in or completed any VET in school or Australian School-based Apprenticeship qualification?(Required)

Yes

Please advise the name of any course/Australian School-based Apprenticeship and training organisation(Required)

Why are you applying for IAHA’s National Aboriginal and Torres Strait Islander Health Academy?(Required)

What areas of health are you interested in?(Required)

Do you have any experience (personal or professional) in the health industry?(Required)

What do you like to do for fun? (Hobbies, sports, etc.)(Required)

Do you have any family members or role models who either are currently or have previously worked in Health?(Required)

Do you have any preference for a work placement?(Required)

Yes

First Preference

Second Preference

Third Preference

The Academy will be held two days per week during the school term. Successful completion of the Academy requires a school attendance level of at least 80%. Any absences will be reported to the School and IAHA. (Please note – attendance at the Academy counts towards school attendance rates).

Do you commit to attending every training session?(Required)

Yes

If successful in obtaining a placement with IAHA Group Training, you will be required to complete and return the below list of paperwork by the date specified in your Welcome Letter.
• Trainee Employment Agreement,
• Trainee Details Form,
• Talent Release Form,
• ATO Tax File Number Declaration,
• Superannuation Choice Form, and
• CIT Enrolment Form.

Depending on the on your work placement, your Host Employer may require further paperwork be completed prior to your on-site commencement.
We also require you to send through:
• Medicare Immunisation History,
• COVID-19 Certificate, and
• 100 Points of ID (for a National Police History Check)

For further information around ACT clinical pre-placement requirements, please see this link: Preparing for placements | Health (act.gov.au)

Accessibility

IAHA tailor and deliver services and experiences that are safe, inclusive and accessible to our members. If you have any information about yourself on how we can best support you, please provide us with what you feel comfortable in sharing. Any information that is shared is kept private and confidential.

Do you have any access or disability related requirements you would like IAHA to be aware of? (eg: allergies, any impairments or health concerns)(Required)

Yes

Please tell us how we may be able to assist you.(Required)

This field is for validation purposes and should be left unchanged.

2024 ACT Aboriginal and Torres Strait Islander Health Academy Expression of Interest Application

Student Details

Parent Details

Please answer the following questions

The Academy will be held two days per week during the school term. Successful completion of the Academy requires a school attendance level of at least 80%. Any absences will be reported to the School and IAHA. (Please note – attendance at the Academy counts towards school attendance rates).

Accessibility

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