Trainer nomination form

Earth Works organisers' guide
Appendix 2
Trainer nomination form
Use this nomination form if you are applying to become a registered Earth Works Trainer.
Contact details
Name..............................................................................................................................................
Address...........................................................................................................................................
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Phone (home)................................................... (work)......................................................................
Training/Education
Teaching/training qualifications (attach copies of qualifications).............................................................
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Other qualifications.............................................................................................................................
Earth Works course/outreach completed (location, dates)......................................................................
Experience in education delivery (include length of service)....................................................................
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Waste management knowledge and skills
Demonstrate your knowledge in the following areas:
Waste policy issues at local and state levels.........................................................................................
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Relevant environmental issues and contexts for waste management.........................................................
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Waste minimisation issues, models and practices..................................................................................
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Composting theory and practice............................................................................................................
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Demonstrate your skills in the following areas:
Waste minimisation practices................................................................................................................
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Composting and worm farming...............................................................................................................
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Community skills
Describe your experience in the following areas:
Working for change within communities..................................................................................................
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Communication and interpersonal relationships........................................................................................
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Other skills
Describe other skills you may have that are relevant to the Earth Works program:
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Signed: .................................................................................................. Date ....................................
ENDORSEMENTS
Please note: This application requires the endorsement of your local council and community college or other ACE provider.
Community College/ACE provider:.......................................................................................................
Name ........................................................................ Signature ...........................................................
Position/title................................................................................... Date................................................
Council:.................................................................................................................................................
Name ................................................................Signature............................................................................
Position/title.................................................................................... Date...............................................................
Forward this nomination form with attachments requested to the Manager Education, EPA, PO Box A290, Sydney South 1232. If you have any questions about your application, please contact the Manager on (02) 9995 5000.
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Page last updated: 27 February 2011