Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Living with Cancer Education Program LWCEP 2015 Facilitator Training Course - Information Sheet & Registration Form. The Living With Cancer Education Program – LWCEP. The Living with Cancer Education Program provides people with cancer, their families and friends with information and strategies to help make sense of cancer and treatment. It is a group based program that covers a series of topics delivered by health professionals in a relaxed environment which encourages participation, questions and group interaction. Facilitator Training Overview. The training aims to equip health professionals to deliver the LWCEP in their organisation through: Facilitation skills Adult learning principles, managing small groups and presentation skills practice. LWCEP program content and delivery Resources, power-point presentations and DVD Networking and peer support with other health professionals and CCV staff Recruitment, marketing skills, development of a promotion and program plan Access to the LWCEP Facilitator portal on the website Participant Selection Criteria. 1. Current knowledge and experience in working with people with a cancer diagnosis 2. Completion of professional training or relevant work experience in a field such as social work, nursing, occupational therapy or other allied health 3. Applicability of the training and program to current workplace practice/duties/role 4. Ability to facilitate at least one LWCEP across 1 – 2 years 5. Capacity to facilitate the program with a co-facilitator - CCV may be able to assist if requested LWCEP Facilitator Requirements. 1. Attend the two day training course 2. Have a proposed date to deliver a program within 12 months of completing the training 3. Submit an evaluation after each program. 4. Participate in a professional development session every two years (VC or face to face) 5. Is supported by their organisation in the delivery of the LWCEP. Registration Cost: $250.00 2015 Training Dates @ CCV: 14 / 15 May; 2015 Training Regional Bendigo – June 23 / 24; Hume region – August 4th / 5th 20 / 21 August; “I became a facilitator because as a social worker in oncology, I had heard good feedback on how helpful the program was from patients who had participated in the past. I am a big believer in peer support so apart from the fabulous information people get, they have an opportunity to talk to people in the same boat.” Julie P. 2014 The Living With Cancer Education Program is a confidential program which complies with current Federal and State Privacy Legislation. Non-identifying information may be used for statistical purposes. LWCEP Facilitator Training Registration /2015 Living with Cancer Education Program LWCEP 2015 Facilitator Training Course - Information Sheet & Registration Form. REGISTRATION Form Name: Qualifications: __________________________________________________________ Current role: Years spent working in oncology: Organisation: Street address: Postal address: Postcode: _________________________________________ Work telephone: Email Address: Are you willing to present LWCEP in any language other than English? Yes / No Language: _______________________________________________________________________ How did you find out about the LWCEP facilitator training? Colleague Training flyer Cancer News Publication Other Cancer Council Victoria website Cancer Council Victoria staff Group Work Experience / Training Please list experience you have in running group programs and any training you have undertaken in group facilitation. Please list what your expectations are of the Living with Cancer Education Program Facilitator training The Living With Cancer Education Program is a confidential program which complies with current Federal and State Privacy Legislation. Non-identifying information may be used for statistical purposes. LWCEP Facilitator Training Registration /2015 Living with Cancer Education Program LWCEP 2015 Facilitator Training Course - Information Sheet & Registration Form. Agreement between Cancer Council Victoria, Auspicing Organisations and LWCEP Facilitators. The facilitator has the agreement of their workplace to conduct the Living with Cancer Education Program as collaboration between themselves and Cancer Council Victoria. The facilitator agrees to facilitate a Living with Cancer Education Program within 12 months of the training. If this is not possible they will contact the LWCEP Coordinator. That the name "The Living With Cancer Education Program" is not altered in any way and that the contents and name of the Living With Cancer Education Program including the manual, brochures, posters, etc. are the intellectual property of Cancer Council of Victoria. Cancer Council Victoria is to be acknowledged in all publicity of the Program. The Living With Cancer Education Program Coordinator will be advised in writing if the Living with Cancer or Cancer Council Victoria logo is to be used. Facilitators will have (where possible) a proposed date for their first program prior to attending the training and will discuss any proposed changes to the program with the LWCEP coordinator. Facilitators will register their program with Cancer Council Victoria at least three weeks prior to conducting a Living with Cancer Education Program and will notify the coordinator of any cancellations. Cancer Council Victoria will support LWCEP delivery with resources, information and catering. Facilitator’s Name: Signature: Date: Managers Name: Job Title: Organisation: Phone number: Email: Signature: Date: The Living With Cancer Education Program is a confidential program which complies with current Federal and State Privacy Legislation. Non-identifying information may be used for statistical purposes. LWCEP Facilitator Training Registration /2015 Living with Cancer Education Program LWCEP 2015 Facilitator Training Course - Information Sheet & Registration Form. Payment Form Cancer Council Victoria ABN 61 426 486 715 A receipt will be mailed to you within four weeks of payment. Registration is GST free. Cancer Council Victoria is a charity and is permitted by GST legislation to treat this course as a GST free supply. Name of applicant: ____________________________ Organisation ______________________ Payment options please complete: Please debit my/Organisation credit card for $___________ Name on Card: __________________________________________ Type (please circle): Visa MasterCard Amex Bankcard Number on Card: ___ ___ ___ ___ ___ ___ ___ ___ Expiry Date: _____ _____ / ____ ____ Diners Other: ________________________ ___ ___ ___ ___ ___ ___ ___ ___ CCV: ___ ___ ___ Signature: _____________________________________ Please tick if your organisation is to be invoiced for your training fee Name of organisation _____________________________________________________________ Attention (contact person) __________________________________________________________ Email address ___________________________________________________________________ Phone number ___________________________________________________________________ ____________________________________________________________________________ Please find cheque enclosed made out to Cancer Council Victoria Please sign the Application Form and Agreement and return with Payment to: Jane Auchettl LWCEP Program Coordinator CISS Cancer Council Victoria, 615 St Kilda Road Melbourne 3004 Phone: 9514 6348 Fax: 9514 6750 Email: [email protected] . The Living With Cancer Education Program is a confidential program which complies with current Federal and State Privacy Legislation. Non-identifying information may be used for statistical purposes. LWCEP Facilitator Training Registration /2015