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