Foot Forward
National Diabetes Services Scheme

The NDSS is
administered by

Diabetes Australia

NDSS Helpline
1800 637 700

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AHW Expression of Interest

ORGANISATION DETAILS

Do you employee Aboriginal and/or Torres Strait Islander Healthcare Workers?

ORGANISATION MANAGER / CLINCIAL LEAD TO COMPLETE

Please outline your reasons for applying to run the Foot Forward Diabetes Foot Check Training
Please provide an outline of how your organisation intends to deliver and support the running of the Foot Forward Diabetes Foot Check Training

PROPOSED FOOT FORWARD DIABETES FOOT CHECK FACILITATOR DETAILS

Trainer 1

Aboriginal or Torres Strait Islander origin?
Cultural Training Completed or Recognition of Prior Learning/Experience eligible
Do you want to add another trainer (yes/no)?

Trainer 2

Aboriginal or Torres Strait Islander origin?
Cultural Training Completed or Recognition of Prior Learning/Experience eligible
Do you want to add another trainer (yes/no)?

Trainer 3

Aboriginal or Torres Strait Islander origin?
Cultural Training Completed or Recognition of Prior Learning/Experience eligible
Do you want to add another trainer (yes/no)?

Trainer 4

Aboriginal or Torres Strait Islander origin?
Cultural Training Completed or Recognition of Prior Learning/Experience eligible
Do you want to add another trainer (yes/no)?

Trainer 5

Aboriginal or Torres Strait Islander origin?
Cultural Training Completed or Recognition of Prior Learning/Experience eligible

Foot Forward
National Diabetes Services Scheme
Australian Diabetes Society
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