Advancing Clinical Education       

La Trobe University            Monash University

LEVEL 2  REGISTRATION 
Required**
Title**                          
First Name**   
Family Name**
Profession**
Organisation**
Address Line 1**
Address Line 2
Suburb/City** 
State**           Postal Code**    
Phone**    Business Fax   
E-Mail Address **   all correspondence will go to this address
 Is this your Work Address?
Special Dietary Requirements
Send Correspondence E-Mail     

Prerequisites for Enrolment


I confirm I meet the following prerequisites for enrolment :

  • at least five years experience as an educator in clinical settings.

  • a desire to improve my practice as an educator.

  • attendance at an ACE or Quality Supervision course or equivalent experience/prior learning.

Program dates: Thursday 31 May, Friday 1 June, and Friday 26 October 2012

(3 day program - Please note program runs over two days May/June and one day in October)


Venue: Metropole Conference Centre Fitzroy.

 

Please confirm you meet the course requirements from the following dropdown

 

 

Registration Information

All prices are GST inclusive. Course fee $650.

 

($AUD) 

   
Total Registration Amount Due ($AUD)         

Payment Method - please indicate your preference

 

Cheque

 

Make payable to: AST Management

 

Mail to:

AST MANAGEMENT Pty Ltd, 

PO Box 29 Nerang, Gold Coast, Queensland Australia

Ph: 07 5502 2068  Fax: 07 5527 3298

Credit Card 

 

You will be sent the link to the payment gateway with your tax invoice.

 

 

 

 

If your organisation will be paying your registration please forward a copy of the Tax Invoice to the relevant person.  Once payment has been received, a receipt and confirmation will be emailed to you.

 

Please note: Your registration will be processed in the next 8 business hours.  You will receive a tax invoice by email which will include the link to the payment gateway if you wish to pay by credit card.  If you do not receive any correspondence, contact  the secretariat