Caregiver Training - Application Form

Apply online for a training course by completing the following information and selecting the submit button at the end of the form.

We also provide the option to download an application form and return your details by post.

Select or change course details on the course calendar.

Please complete one application form per course per person four weeks before the course commencement. We will confirm course availability upon receipt of your application form.

Course details ^* Indicates mandatory text field

Course title: ^*

Course location: ^*

Course date/s: ^*

Applicants details

First name: ^*

Last name: ^*

Address for correspondence: ^*

Contact phone:

Mobile:

Email:

Ethnicity:

Iwi:

Care details

Are you a caregiver?:

Yes No

Number of years caregiving:

Caregiver type:

Name of care organisation / agency:

Area:

Special requirements

Assistance required for:
(Claim forms are available at completion of course)

Childcare Travel

Do you have any special requirements (eg disability, transport, childcare etc):

Note

Morning and afernoon tea and biscuits will be provided. Meals will not be provided
An attendance certificate will only be issued on completion of the full course
Attendance at the course does not constitue approval as a caregiver

National Caregiver training programme