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Add a Program
* denotes required fields
At the end of these questions you'll be able to choose how much information you make publicly available.
* Program Name
Logo
File formats allowed jpg and gif; File Size cannot exceed 2MB
* Program Address
* Program Suburb
* Program State
Select State
NSW
VIC
SA
ACT
WA
NT
TAS
QLD
* Program Postcode
* Program Telephone Number (land line) including area code
Format: (99) 9999 9999
* Program Contact Person
Contact Person's Mobile phone number
Format: 9999 999 999
Program/Contact Person's email
Program Website address
http://
* Program Target Group
Indigenous
Pregnant/Parenting
Caring for Parent/s
Juvenile Justice
Unemployed
Suspended/expelled from school
Mental health
Refugee
Homeless
New migrants
Non English Speaking Background (NESB/LOTE/CALD)
Early school leaver
Other (please specify)
* Gender
Male
Female
Both
* Age Group of Students/young people
12 years old or younger
13 years old
14 years old
15 years old
16 years old
17 years old
17-19 years old
20-24 years old
older than 24
* Time spent in program each week
less than equivalent to one day each week
Equal to one day per week
Equal to two days per week
Equal to three days per week
Equal to four days per week
Full time
* Program Duration
10 weeks or less
11-15 weeks
16-20 weeks
21-30 weeks
31-40 weeks
Full year
More than a year
* Number of students enrolled at the commencement of each program?
* How many students enrolled over the course of a year? (For example if the program takes 10 students each term, then 40 students would be enrolled over a year)
* Do you have a waiting list for enrolment?
-Select-
Yes
No
If yes, how many on the waiting list?
* Please indicate which activities are conducted as part of the program (You may choose more than one)
Formal/accredited vocational training (Please specify in following question/s)
Non accredited vocational training
Literacy/numeracy activities
English language
Mentoring
Job seeking
Parenting
Life skills
Culture (Please specify in following question/s)
Visual Arts
Music/Theatre/Performance
Outdoor Education
Environmental
Computer/IT skills
Digital/ Media skills
Homework Support
Other (please specify)
If formal vocational training is offered, please specify the industry?
If cultural activities are offered, please specify the culture
* Do students have the opportunity to complete any credential/accreditation through the program?
-Select-
Yes
No
If yes, please indicate which level they work towards?
Year 10 Certificate
Year 11 Certificate
Year 12 Certificate (HSC, VCE etc)
VCAL
Cert I
Cert II
Cert III
Other (please specify)
* Is your program part of a local, state or national network?
Yes, local
Yes, state
Yes, national
No
* As part of this project, we hope to be able to publish much of this information on our website. Please select the level of information you agree to having published
-Select-
All the information you have provided in this survey
Program Name Location and contact details ONLY
Program name and location ONLY
