Apply for the AMI Montessori 3-6 Orientation Certificate

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.

Course Date

Which AMI 3-6 Orientation Certificate are you applying for?*

5 February – 24 February 2024
1 July – 24 July 2024

Personal Details

Name*

First Last

* Please use the name you would like to see on your certificate.

Prefer to be called by

Preferred name

* Please write the name by which you prefer to be called.

Email address*

Mobile number*

Date of birth*

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 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 Country

Emergency contact details

Emergency Contact*

Emergency Contact First Name Emergency Contact Last Name

Relationship*

Emergency contact's mobile*

Working with Children Check or equivalent

Working With Children Check (WWCC) or equivalent is a requirement for people who work or volunteer in child-related work in Australia and other parts of the world.

In Australia it generally involves a national criminal history check and a review of findings of workplace misconduct. There is no single national framework setting out the requirements for obtaining a Working With Children Check/Blue Card. Students must provide the relevant check details on this form or via email for the jurisdiction in which they reside prior to course commencement. Further, if a student is to undertake an observation or teaching practice in another State, Territory or country, they must also obtain the relevant check in that jurisdiction before commencing the observation or teaching practice.

Working with Children Check (or equivalent) Number:

From which state and country is your WWCC equivalent issued?

WWCC (or equivalent) Expiry Date:

Language and Cultural Diversity

Please 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 Needs

Do 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 this qualification?*

No
Yes
I am not sure

Please specify any aspects of the course you anticipate you may need assistance with

Education

Have 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:

Employment

What 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

Name of Employer (if applicable):*

Reason for study

Which 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
Facebook
Social media
Other

Please specify:

Fees and payment details

Payment options:*

I will be paying my own fees
My school/centre/employer/other will be paying my fees
My employer and I will split the 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.

If you are splitting the cost with your employer, please describe the amount being paid by the employer

Organisation name:

Organisation Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact name for invoices

First Last

Email contact for invoices

Organisation Phone

SMTC Consent

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

Hidden

Consent*

I agree to receiving the SMTC Newsletter.

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.

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.)

Email

This field is for validation purposes and should be left unchanged.

Apply for the AMI Montessori 3-6 Orientation Certificate

AMI Montessori 3-6 Orientation Certificate Application Form

Before you begin:

Course Date

Personal Details

Emergency contact details

Working with Children Check or equivalent

Language and Cultural Diversity

Individual Learning Needs

Education

Employment

Reason for study

Fees and payment details