Apply for the AMI Montessori 0-3 Orientation Certificate >Courses>AMI Montessori 0-3 Orientation Certificate>Apply for the AMI Montessori 0-3 Orientation Certificate AMI Montessori 0-3 Orientation Certificate Application Form Before you begin:Please make sure you have read through all the application requirements before you fill in the form. If you have any questions, please don’t hesitate to contact the administrative team at SMTC.Personal DetailsWhich AMI 0-3 Orientation Certificate are you applying for?* 30 April – 28 May 2025 with Sara Brady Personal DetailsName* First Last * Please use the name you would like to see on your certificate.Prefer to be called by Email address* Mobile number*Date of birth* DD slash MM slash YYYY Country of birth* Country of Nationality* Please list all that apply. Gender* Female Male Other Prefer not to say Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is your postal address different to your residential address?* Yes No Postal Address (if different from residential address) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Emergency contact detailsEmergency Contact* Emergency Contact First Name Emergency Contact Last Name Relationship* Emergency contact's mobile*Working with Children CheckFor Australian residents only.Working with Children Check Number: WWCC Expiry Date: DD slash MM slash YYYY Language and Cultural DiversityPlease select which applies.Residency status* Australia Citizen Permanent Resident in Australia Neither Is English your second language?* No, English is my first language Yes, English is my second language Please specify your first language If more than one language, select the language most spoken.Are you of Aboriginal or Torres Strait origin?* No Yes, Aboriginal Yes, Torres Strait Yes, Both Aboriginal and Torres Strait Individual Learning NeedsDo you consider yourself as having a disability, impairment or long-term medical condition that might affect your participation in this qualification?* No Yes Prefer not to say All personal information will be handled confidentially. The questions in this section are only asked for the purposes of SMTC being able to offer support and arrange reasonable adjustments to support the student’s course participation. This is an invitation for disclosure, not a requirement. Students with disability, impairment or condition do not have to disclose their circumstances unless they would like to arrange adjustments or their disability, impairment or condition poses a risk to themselves or others. Please specify:*If you selected Yes above, please indicate the nature of your individual learning needs/s. Cognitive Physical Please specify:Are there adjustments you believe we may need to make in order for you to be successful in obtaining the qualification?* No Yes Please specify:EducationHave you successfully completed any of the following qualifications listed?* Bachelor or Higher degree in: Advanced Diploma/Associates degree in: Diploma/Associates Diploma in: Certification (specify level) in: Other: Select all that applies.Please specify Bachelor or higher degree: Please specify Advanced Diploma/Associates degree: Please specify Diploma/Associates Diploma: Please specify Certification and level: Please specify your other qualifications: EmploymentWhat best describes your employment situation?* Employed: Full-time/ part-time/casual Self-employed – not employing others Employed – unpaid in family business Unemployed – seeking full-time employment Unemployed – seeking part-time employment Not employed – not seeking work What is your role with your organisation (if applicable): Name of Employer (if applicable): Reason for studyWhich of the following best describes the reason for wanting to enrol in this qualification?* Embark on a career in Montessori Education Extend my own knowledge and understanding of Montessori Education It is a requirement of my job To get a better job or promotion To gain extra skills for my current job To start or develop a business Please select all that applies.How did you hear about this course?* Word of mouth SMTC website Promotion from another Montessori organisation Google or internet search engine Social media Other Please specify: Fees and payment detailsPayment options:* I will be paying my own fees My school/centre/employer/other will be paying my fees How would you like to pay?* I would like to receive an invoice to pay via electronic funds transfer (EFT). I will make payment online via credit card. An online payment link is available after submitting the application form.Organisation name: Organisation Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact name for invoices First Last Email contact for invoices Organisation PhoneConsent* I agree to the SMTC Terms and Conditions and consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice.Terms & Conditions Privacy Notice AMI Disclosure Consent* I hereby provide my consent to SMTC for it to transmit to Association Montessori Internationale (AMI) my student information, including contact details and other personal details, details regarding my participation in the course and training and assessment results, with the purpose of record-keeping by AMI, issuing and maintaining records for AMI Diplomas and/or AMI certificates if relevant, contacting students in relation to the course, AMI membership (for AMI Diploma courses), and other reasonable purposes, consistent with the AMI Privacy Policy.AMI Privacy Policy PHOTOGRAPHY CONSENT YES I authorise Sydney Montessori Training Centre to take and use any photographs and/or media including me or reference to me on its website or any other digital platform. NO I do not give permission for photographs to be taken and/or used by Sydney Montessori Training Centre on its website or any other digital platform. SMTC values the opportunity to share the fantastic work that happens at our Training Centre via various media platforms. This enables our Montessori community to keep abreast of our news and also helps us to spread the positive word of Montessori to the wider community. It also enables us to encourage others to undertake AMI training and to promote our courses to our community and others who may be interested. This consent form will authorise Sydney Montessori Training Centre to use and print photographs taken by SMTC, or shared with SMTC, in any form of media, including electronic, for educational, informational and promotional purposes that include my image or reference to me. In addition, photographs of my work that is shared with other participants on the course may from time to time also be publicly shared on media platforms to provide others with a sense of what is involved in the course. Individual work submitted privately and not shared with the course group is never shared in media. In all cases, names and personal details about an individual or the organisation they work for would not be disclosed with the photograph. This photo consent form will be kept on file by Sydney Montessori Training Centre as reference for individual approval.Would you like to join SMTC's mailing list?* Yes No I’m already subscribed The SMTC Newsletter is sent out eight times per year with news from our local and global community as well as the latest updates on courses and workshops. You may unsubscribe at a later date if you no longer wish to receive it. Signature*I declare that the information I have provided above, to the best of my knowledge, is true and correct. (Please note that supplying false information may lead to dismissal from the course and a forfeit of fees.)Untitled First Choice Second Choice Third Choice NameThis field is for validation purposes and should be left unchanged.