Staff Record Nominated Supervisor Name Date of birth Address Relevant qualifications/s, or attached Copies course enrolled in approved training completed attached Copies Identification number of relevant Supervisor Certificate number working with children check or working with vulnerable people check I ................................................................................. accept the designation of Nominated Supervisor of ................................................................................... (insert name) (insert name of education and care service) and understand and accept my responsibilities the Education and Care Services National Law and National Regulations Signature of Approved Provider: Date: Signature of Nominated Supervisor: Date: Designated educational leader Name
Staff Record Nominated Supervisor Name Date of birth Address Relevant qualifications/s, or course enrolled in Copies attached approved training completed Copies attached Identification number of relevant working with children check or working with vulnerable people check Supervisor Certificate number I ................................................................................. accept the designation of Nominated Supervisor of ................................................................................... (insert name) (insert name of education and care service) and understand and accept my responsibilities the Education and Care Services National Law and National Regulations Signature of Approved Provider: Date: Signature of Nominated Supervisor: Date: Designated educational leader Name
StaffRecord.docx