INA Niversiry Wider Professional Experience Consent Form Community Organisations StudentNumber: S26.20947 StudentName: Amanda Wilkinson Program Details RY Graduate Diploma of Education - Early Childhood Proposed days and hours to be negotiated need to be listed below. The Community Organisation must approve preservice teachers to work with early childhood or school aged children involved in their organisation. The preservice teacher will be covered by the university's insurance policy once this consent form has been approved and signed by a duly constituted signatory for the organisation. Please return form to the preservice teacher for submission to the University with all other supporting documentation Preservice teachers must submit this form with wider professional experience logbook, WPE documentation and certificates by due date as per assessment details. NB: On completion, please provide to the preservice teacher a statement of completion on the organisation's letterhead detailing the number of hours in total completed and description of activity/event/program. Community Organisation: Nevang Early Years Centre Datels & approx hours | Description of Activity/Event/Program oe, 274,05, 15, rs Me tees Foundations for Learning 3-Syr olds -Prep keadimest. ‘aeisy ZH. = Tg HRS. B30 Eby [Link up fo School playgroup (0-Syr1) Focus Prep readiness a4 20-4 6-5, 19-5 205/275, 3b, 0-8, ee 2) Greatisatin coordinator name! ago MORTENSEN organisation coordinator signature: pees Datel) 7 1 2015 ‘ Datel 7 12015 Student signature: