Application Form

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FORM
C
PINK PAPER
Amended April 2015
Application for Approval of Inservice for the Purpose of
Accreditation to Teach in a Catholic School
School or
Organisation
name
Australian Catholic University
Postal Address
Att: Ms Helen McLucas, Project manager, Institute for Advancing Community Engagement
School E Number
25A Barker Rd., Strathfield, NSW
Telephone
Postcode
02 9701 4176
Type of Inservice
Fax
School-Based
n/a
2135
02 9701 4096
Regional
Diocesan
Other Provider
Title of Inservice:
Pope Francis' and other Prophetic Voices: Calling Us to Reshape the Public Sphere
Venue:
St Michael's Unit Church 120 Collins Street Melbourne
Name(s) of Presenter(s):
Fr Jerry Rosario sj, also known as the Barefoot Priest from India and other
International and Australian scholarly and distinguished speakers
Date(s) of Inservice:
17-18th September 2015
Category of Inservice:
(please tick appropriate box)
Category a:
Child, adolescent and adult faith development
Category b:
The aims, objectives and rationale of Catholic schools
Category c:
Revelation and the Catholic Church: Jesus Christ, Scripture, the Church in its Liturgy, Life
and Tradition, Sacraments, Morality, Justice and Peace
In order to ensure that this activity fulfils the requirements of CECV Policy 1.6 Accreditation to Teach in a
Catholic School, and to identify the area of study, please include the following information below together
with a copy of the program:
Duration of Activity in hours:
Principal
or Director
name
10 hrs
Ms Helen McLucas
Broken down into:
Lecture
hours
Question time
hours
Workshops
hours
Signature
Date:
When form is completed and necessary documents attached, please forward to the Catholic Education
Office in the diocese in which your school is located.
ARCHDIOCESE OF
MELBOURNE
Director of Catholic Education
Catholic Education Office
Melbourne
PO Box 3
EAST MELBOURNE VIC 8002
DIOCESE OF SANDHURST
Director of Catholic Education
Att: Director of Religious Education
Sandhurst Catholic Education Office
PO Box 477
BENDIGO CENTRAL VIC 3552
DIOCESE OF SALE
Director of Catholic Education
Catholic Education Office
PO Box 322
WARRAGUL VIC 3820
DIOCESE OF BALLARAT
Deputy Director of Catholic
Education
Catholic Education Office
PO Box 576
BALLARAT VIC 3353
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