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Taronga’s Veterinary Wildlife Training Course – Subsidy Application Form
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Taronga’s Veterinary Wildlife Training Course – Subsidy Application Form
Taronga's Veterinary Wildlife Training Course - Subsidy Application Form
Step 1 of 6
16%
Application Closing Date 22 November
Name
*
First
Last
Email
*
Are you already registered with VBB's AVERT?
*
Yes
No
Phone
Occupation
*
Vet
Vet Nurse
Student Vet
Address
*
Street Address
Address Line 2
City
State
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
State
Post Code
Vet Registration Number
*
Enter your vet registration number
State
*
Registration state
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
State
Licences
Please select valid licences
Drivers
Darting
Shooters
Other
Other Licences
Vaccinations (up to date)
Please select your up to date vaccinations
Tetanus
Rabies
Other
Other Vaccinations
Authorised officer (Govt.)
Biosecurity Act
Export Control Act
Training
Tell us a bit about your training
Training courses undertaken
Biosecurity – including use of personal protective equipment, entry and exit procedures, decontamination and the importance of following correct procedures
Contemporary emergency management arrangements and structures, including arrangements for management of natural disasters and emergency animal diseases
Emergency services agencies – e.g. AIIMS (Australasian Inter-service Incident Management System) training
Information management, information flow and communications in a response (including privacy/confidentiality/reporting lines, records management)
RFS, CFA, SES, Other State based emergency services training
Stress management
Other training courses not specified
Please list other training
*
Experience
Do you have experience working in disasters?
Do you have an understanding of where vets (whether volunteers or employed) fit within the response to incidents (including the concepts of lead agency and support agencies)
Choose an option
Yes
No
Areas of expertise in veterinary practice and level of further education if applicable
Areas of special interest or expertise
Any other information/experience you have that would be of assistance in emergency situations in Australia or Overseas
In emergency situations, where would you be available to work?
In the field
Off-site eg: Triage Clinic
In a control centre
Candidate selection criteria
Name of the practice/clinic you are currently working at
Address of the practice/clinic you are currently working at
Position
Employment status
*
Has your practice/clinic already nominated you for the NSW Government's subsidy offered for this training?
This does not affect your eligibility to apply.
Yes
No
Demonstrate your plans to upskill your colleagues with the learned knowledge
*
Demonstrate your experience and/or commitment to the welfare and care for Australian wildlife
*
Will your practice publicly display your training certificate?
Yes
No
Please attach a letter of recommendation from your practice/clinic to support your application
You may submit this separately by emailing it to admin@vetsbeyondborders.org
Consent
*
Select All
I am a registered veterinarian or accredited veterinary nurse eligible to work in Australia
I authorise Vets Beyond Borders to release my information to emergency response officials in the event of an AVERT emergency situation
I will make all reasonable efforts to be available to assist in the event of a natural disaster or emergency animal disease outbreak
I acknowledge that Vets Beyond Borders and their sponsors may photograph me on the practical training session days and that this material may be used by VBB and their sponsors for promotional purposes
I am willing and able to use this acquired knowledge to upskill my colleagues and peers within my practice, as well as fellow AVERT volunteers (upon request by VBB) via face-to-face, online meetings, and/or VBB’s online forum
I acknowledge that the information provided in this application is true and correct
Please note
Applicants who are not current members of VBB are able to submit this application; however, successful candidates are required to obtain VBB membership prior to undertaking the training.
Signature
*
