For ASSOCIATES

DeakinPrime Associate Application Form

Contact details
Name
First
Last
Address
Street
Suburb
State
Postcode
Phone numbers
Home
Business
Fax
Mobile
Email
Website

Business details (if applicable)
Company Name
ABN
ACN
Indicative daily rate
Facilitation
Design & Development
Coaching

Insurance details
If you currently hold insurance, please list these details below.
Professional indemnity
Amount Covered
Start date
End date
Policy number
Provider
Public liability
Amount Covered
Start date
End date
Policy number
Provider

Role type
	CoachInstructional Designer ConsultantSubject Matter Expert (SME) EditorWorkplace Assessor FacilitatorWriter
	Other

Professional experience and skills
Please indicate in which of the following areas you have expertise
Areas of expertise	AccountingInformation Management Appreciative InquiryInformation Technology Training ArchitectureInstructional Design Asset ManagementInterpersonal Skills Aviation LawJob Analysis Banking LawJournalism Behavioural InterviewingJustice of the Peace BenchmarkingLaw Brand DevelopmentLeadership BudgetingLiteracy and Numeracy Training Business AnalysisLogistics Business CommunicationManagement Business DevelopmentMarket Research Business PlanningMarketing Business Process MappingMentoring Business Process ReengineeringMortgage Broking Business WritingNegotiation Call Centre TrainingOccupational Health and Safety Career PlanningOrganisational Behaviour Change ManagementOrganisational Culture CoachingOrganisational Development Commercial LawOutdoor Education Commercial LitigationPerformance Improvement Communication SkillsPerformance Management Competency Based TrainingPolicy Development Competency frameworksPresentation Skills Conflict ManagementProblem Solving/ Decision Making Construction LawProject Management Consulting SkillsProperty Law Consumer CreditPsychology Continuous ImprovementPurchasing and Procurement Contract ManagementQuality Corporate GovernanceQuantity Surveyor CounsellingRecruitment and Selection CreativityReport Writing Credit Risk Assessment/LendingRetail Management Critical ThinkingRisk Management Cross Cultural DiversitySales/ Sales Management Cultural ChangeScheduling Curriculum DevelopmentSelf-Management Customer ServiceStrategic Business Planning Deasktop PublishingStrategic Management Decision MakingStrategic Marketing DiversityStrategic Planning Earned Value ManagementStrategic Thinking E-commerce/E-businessSuccess Profiling EconomicsSuccession Planning EditingSupply Chain Management E-learningTalent Management Emotional IntelligenceTaxation Employment Relations for Organisational EffectivenessTeam Development EngineeringTechnical Writer Enhancing Organisational LearningTechnical Writing EvaluationTenancy Law Executive DevelopmentTendering Experiential LearningTime Management Facilitation SkillsTrade Practices Law FinanceTrain the Trainer Financial AnalysisTraining Analysis and Design Financial ManagementTraining and Development Financial PlanningTraining Needs Analysis Financial ServicesVocational Education and Training Goverment TenderingWorkers Compensation Graduate DevelopmentWorkplace Assessment Human ResourcesWorkplace Law Industrial RelationsWriting Skills
	Further details
Please indicate in which of the following industries you have experience
Industry expertise	AccountingLogistics AdvertisingManufacturing AgricultureMarketing AirlineMedia ArtsMedical AutomotiveMining/Resources AvionicsNatural Resources and Mining BankingNaval Architecture Building and ConstructionNavy Building and PlanningNon Govt Organisations CommerceNot for profit CommunicationsOil Community ServicesPerforming Arts ConstructionPharmaceutical ConsultingPrinting CouncilProfessional Cleaning DefenceProfessional Services DistributionPublic Sector EducationPublishing ElectronicsReal Estate EngineeringRecruitment EntertainmentRefinery EnvironmentalResearch Financial ServicesRetail FMCGRetail, Sales, Marketing Government (all levels)Sales Government- FederalSecurity Government- LocalService industry Government- StateSporting HealthStockbroking Health and Aged CareTechnology HospitalityTelecommunications Human ResourcesTextiles Import/DistributionThe DAT Corporation InfrastructureTourism InsuranceTraining International Aid and DevelopmentTransport ITTravel LegalUtilities LocomotiveWorkers Compensation
	Further details


Profile
Please attach a 250 word (approx) profile of yourself (see template for guidelines) that includes your work and business experience as well as your qualifications. This profile will be presented to the client as an overview of yourself. It will also be sent to participants for whom you will facilitate. No specific information should be included on your previous clients. Please only include generic information regarding the sectors you have worked in. Please click here to download a template.

	Click the Browse... button to select a file. The file will be uploaded when you submit application.
Photo
A photograph is also included on consultant profiles. Please upload a digital photograph of yourself if you have one available.

	Click the Browse... button to select a file. The file will be uploaded when you submit application.
Business description
This is only a requirement if you work as an Individual with an ABN. If this applies to you, please see the attached template for details and upload a copy of your Business Description. Please click here to download a template. Please click here to download a template.

	Click the Browse... button to select a file. The file will be uploaded when you submit application.
Personal CV
Please upload a copy of your current CV.

	Click the Browse... button to select a file. The file will be uploaded when you submit application.
Qualifications
	Advanced Certificate in AccountingDiploma in Frontline Management Advanced Certificate in Business StudiesDiploma in Government Advanced Certificate in Human ResourcesDiploma in Health Science Advanced Certificate in Project ManagementDiploma in Hotel Management Advanced Certificate in Public RelationsDiploma in Human Resource Management Advanced Certificate in Training and DevelopmentDiploma in Law Advanced Certificate in Vocational Training SystemsDiploma in Logistics Advanced Diploma in Applied Science Diploma in Management Advanced Diploma in Business ManagementDiploma in Marketing Advanced Diploma in GovernmentDiploma in Marketing and Advertising Advanced Diploma in HospitalityDiploma in Marketing Management Advanced Diploma in ManagementDiploma in Mechanical Engineering Advanced Diploma in Professional Editing and WritingDiploma in Ontological Coaching Advanced Diploma in Project ManagementDiploma in Personnel Management Advanced Diploma in Solution Oriented CoachingDiploma in Professional Development Advanced Diploma in Sport and RecreationDiploma in Professional Writing and Editing Associate Diploma in AccountingDiploma in Project Management Associate Diploma in Administration StudiesDiploma in Psychotherapy Associate Diploma in Aircraft Maintenance EngineeringDiploma in Public Administration Associate Diploma in Applied ScienceDiploma in Public Relations Associate Diploma in ArtsDiploma in Quality Management Associate Diploma in BuildingDiploma in Retail Business Management Associate Diploma in CommerceDiploma in Social Planning Associate Diploma in EngineeringDiploma in Solution Oriented Group Coaching Associate Diploma in Human Resource DevelopmentDiploma in Teaching Associate Diploma in Labour StudiesDiploma in Tertiary Education Associate Diploma in ManagementDiploma in Theology Associate Diploma in Management Systems AnalysisDiploma in Training and Assessment Associate Diploma in MarketingDiploma in Training and Development Management Associate Diploma in Occupational Health and SafetyDiploma in Transport and Distribution Associate Diploma in Small Business ManagementDoctor of Business Administration Associate Diploma in Training and DevelopmentDoctor of Education Associate Diploma in Welfare StudiesDoctor of Management Assoicate Diploma in MusicDoctor of Ministry Bachelor of Science PsychologyDoctor of Philosophy Bachelor of AccountancyGraduate Certficate Marketing Bachelor of Adult and Vocational TeachingGraduate Certificate Cross Cultural Diversity Training Bachelor of Applied ScienceGraduate Certificate Education Bachelor of ArchitectureGraduate Certificate Health Management Bachelor of ArtsGraduate Certificate Human Resource Development Bachelor of Behavioural SciencesGraduate Certificate Human Resource Management Bachelor of BusinessGraduate Certificate Instructional Design Bachelor of CommerceGraduate Certificate Leadership Education and Training Bachelor of DivinityGraduate Certificate Management Bachelor of EconomicsGraduate Certificate Professional Writing Bachelor of EducationGraduate Certificate Project Management Bachelor of Education and TrainingGraduate Certificate Public Sector Management Bachelor of Electrical EngineeringGraduate Certificate Total Quality Management Bachelor of EngineeringGraduate Certificate Training and Development Bachelor of Fine ArtsGraduate Certificate Vocational Training Bachelor of Forestry ScienceGraduate Diploma Accounting Bachelor of Information TechnologyGraduate Diploma Adult Education Bachelor of Japanese StudiesGraduate Diploma Adult Education and Training Bachelor of Law