VCE Study Support Program - Student Application Form

The VCE Study Support program aims to provide online VCE learning support to students who do not have access to learning support outside of school, including students from refugee and migrant backgrounds.

The Program is a partnership between the Centre for Multicultural Youth and Edmund Rice Community and Refugee Services.

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First Name

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Surname

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Email Address

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Home Address

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Gender

Male

Female

Non binary

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Date of Birth

(enter below)

Date

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Languages other than English:

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Preferred study session time:

Tuesday afternoon 4-6pm

Thursday afternoon 4-6pm

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VCE subjects you require support in:

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Name of current school:

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Year level

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Why do you want to join this program?

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How confident do you feel about your upcoming exams and assessments?

Not Confident

Somewhat confident

Confident

Very confident

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If you think about the skills and/or knowledge you will need for your upcoming exams, how prepared do you feel?

Not prepared

Somewhat prepared

Prepared

Very Prepared

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Do you have access to your own device? (e.g. laptop, computer, iPad)

Yes

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Do you have access to an internet connection?

Yes

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Do you have access to headphones for your device?

Yes

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Do you have a quite space to study?

Yes

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Parent or Guardian Contact Details

Full name

Relationship to child

Address

State

Postal code

Email address

Phone number

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Does your parent or guardian require an interpreter?

Yes

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If yes, what language?

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Emergency Contact Details

Full name

Relationship to child

Email address

Mobile number

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Student Agreements

In registering for this program I will do my best to attend at least one study support session per week

I will do my best to make sure I have access to an appropriate learning space and the technology needed to participate in weekly online study support sessions

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Expectations of Student Behaviours

I will be respectful of volunteer tutors, facilitators and participants in the program at all times

I will ensure I am dressed in appropriate clothing as would be accepted by a school

I will ensure there is no inappropriate background or material present in my video

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I understand that I must not engage in any of the following
prohibited behaviours:

Any form of cyberbullying, harassment or discrimination

Distribute inappropriate sexual or graphic material

Record or take photos of any online communication, including screen shots

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Parent or Guardian Agreement

I acknowledge that my child is registering for this program and that I will do my best to provide an
appropriate learning space including the technology required for my child to participate in weekly online study support sessions.

VCE Study Support Program - Student Application Form

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* First Name

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* Surname

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* Email Address

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* Home Address

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* Gender

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* Date of Birth

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* Languages other than English:

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* Preferred study session time:

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* VCE subjects you require support in:

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* Name of current school:

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* Year level

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* Why do you want to join this program?

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* How confident do you feel about your upcoming exams and assessments?

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* If you think about the skills and/or knowledge you will need for your upcoming exams, how prepared do you feel?

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* Do you have access to your own device? (e.g. laptop, computer, iPad)

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* Do you have access to an internet connection?

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* Do you have access to headphones for your device?

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* Do you have a quite space to study?

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* Parent or Guardian Contact Details

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* Does your parent or guardian require an interpreter?

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* If yes, what language?

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* Emergency Contact Details

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* Student Agreements

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* Expectations of Student Behaviours

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* I understand that I must not engage in any of the following prohibited behaviours:

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* Parent or Guardian Agreement

First Name

Surname

Email Address

Home Address

Gender

Date of Birth

Languages other than English:

Preferred study session time:

VCE subjects you require support in:

Name of current school:

Year level

Why do you want to join this program?

How confident do you feel about your upcoming exams and assessments?

If you think about the skills and/or knowledge you will need for your upcoming exams, how prepared do you feel?

Do you have access to your own device? (e.g. laptop, computer, iPad)

Do you have access to an internet connection?

Do you have access to headphones for your device?

Do you have a quite space to study?

Parent or Guardian Contact Details

Does your parent or guardian require an interpreter?

If yes, what language?

Emergency Contact Details

Student Agreements

Expectations of Student Behaviours

I understand that I must not engage in any of the following
prohibited behaviours:

Parent or Guardian Agreement