{"id":707,"date":"2019-09-09T13:59:51","date_gmt":"2019-09-09T03:59:51","guid":{"rendered":"https:\/\/simerr.une.edu.au\/quicksmart\/?page_id=707"},"modified":"2025-08-28T14:09:42","modified_gmt":"2025-08-28T04:09:42","slug":"registration-forms","status":"publish","type":"page","link":"https:\/\/simerr.une.edu.au\/quicksmart\/registration-forms\/","title":{"rendered":"Registration Forms"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\"><em>QuickSmart <\/em>Registration Form: New Schools \/ Programs<\/h2>\n\n\n\n<p><strong>Use this form if:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>your school is new to <em>QuickSmart<\/em> and would like to register for either the <em>QuickSmart<\/em> Numeracy program or the <em>QuickSmart<\/em> Literacy program (if you would like to register for both programs, please fill out a separate form for each); <strong>OR<\/strong><\/li>\n\n\n\n<li>your school already has one <em>QuickSmart<\/em> program and would like to register for the other.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-theme-color-color has-text-color has-huge-font-size\"><span class=\"collapseomatic \" id=\"id69e0362c4b486\"  tabindex=\"0\" title=\"<strong>Click here to show form<\/strong>\"    ><strong>Click here to show form<\/strong><\/span><span id='swap-id69e0362c4b486'  class='colomat-swap' style='display:none;'><strong>Click here to hide form<\/strong><\/span><div id=\"target-id69e0362c4b486\" class=\"collapseomatic_content \">\n\n\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-716\"><form id=\"wpforms-form-716\" class=\"wpforms-validate wpforms-form\" data-formid=\"716\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/quicksmart\/wp-json\/wp\/v2\/pages\/707\" data-token=\"8fc8b0cb49903a5b17db0a5e6f2ace4c\" data-token-time=\"1776301612\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-716-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_1\">School Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" placeholder=\"please use full and official school name\" required><\/div><div id=\"wpforms-716-field_3-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_3\">School ABN<\/label><input type=\"number\" id=\"wpforms-716-field_3\" class=\"wpforms-field-small\" name=\"wpforms[fields][3]\" placeholder=\"no spaces allowed\" ><\/div><div id=\"wpforms-716-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_4\">School Postal Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-716-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_5\">Suburb <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-716-field_7-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_7\">Postcode <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-716-field_7\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-716-field_8-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_8\">State <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-716-field_8\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'> <\/option><option value=\"ACT\" >ACT<\/option><option value=\"NSW\" >NSW<\/option><option value=\"NT\" >NT<\/option><option value=\"QLD\" >QLD<\/option><option value=\"SA\" >SA<\/option><option value=\"TAS\" >TAS<\/option><option value=\"VIC\" >VIC<\/option><option value=\"WA\" >WA<\/option><\/select><\/div><div id=\"wpforms-716-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\">School Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_9\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][9][primary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_9\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_9-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-716-field_9\" name=\"wpforms[fields][9][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_9-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_58-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_58\">School Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-716-field_58\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][58]\" required><\/div><div id=\"wpforms-716-field_10-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_10\">Please indicate School System and Level <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-716-field_10\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'> <\/option><option value=\"Government Primary\" >Government Primary<\/option><option value=\"Government Central\" >Government Central<\/option><option value=\"Government High\" >Government High<\/option><option value=\"Catholic Primary\" >Catholic Primary<\/option><option value=\"Catholic Central\" >Catholic Central<\/option><option value=\"Catholic High\" >Catholic High<\/option><option value=\"Independent Primary\" >Independent Primary<\/option><option value=\"Independent Central\" >Independent Central<\/option><option value=\"Independent High\" >Independent High<\/option><\/select><\/div><div id=\"wpforms-716-field_14-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_14\">Total enrolments in school <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-716-field_14\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][14]\" required><div class=\"wpforms-field-description\">Please use <a href=\"https:\/\/www.myschool.edu.au\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.myschool.edu.au\/<\/a> if you are unsure of your total enrolment number<\/div><\/div><div id=\"wpforms-716-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_6\">Principal Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-716-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Principal Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_12\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][12][primary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_12\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_12-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-716-field_12\" name=\"wpforms[fields][12][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_12-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_11\">QuickSmart Coordinator Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-716-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\">QuickSmart Coordinator Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_13\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][13][primary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_13\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_13-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-716-field_13\" name=\"wpforms[fields][13][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_13-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_45-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"45\"><label class=\"wpforms-field-label\">Please indicate the program you would like to purchase <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-716-field_45\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_45_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Numeracy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_45_1\">Numeracy<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_45_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Literacy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_45_2\">Literacy<\/label><\/li><\/ul><\/div><div id=\"wpforms-716-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_17\">Preferred Workshop Group Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><div class=\"wpforms-field-description\">Please see <a href=\"\/quicksmart\/workshop-calendar\/\" target=\"_blank\"> https:\/\/simerr.une.edu.au\/quicksmart\/workshop-calendar\/<\/a> for current locations and dates<\/div><\/div><div id=\"wpforms-716-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_42\">Preferred Workshop Dates <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" required><div class=\"wpforms-field-description\">Please see <a href=\"\/quicksmart\/workshop-calendar\/\" target=\"_blank\"> https:\/\/simerr.une.edu.au\/quicksmart\/workshop-calendar\/<\/a> for current locations and dates<\/div><\/div><div id=\"wpforms-716-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_18\">Any comments?<\/label><textarea id=\"wpforms-716-field_18\" class=\"wpforms-field-small\" name=\"wpforms[fields][18]\" ><\/textarea><\/div><div id=\"wpforms-716-field_19-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_19\">Attendee One Name (at least one attendee&#039;s details are required) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-716-field_20-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Attendee One Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_20\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][20][primary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_20\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_20-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-716-field_20\" name=\"wpforms[fields][20][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_20-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_53-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"53\"><label class=\"wpforms-field-label\">Attendee One Teacher Trained? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-716-field_53\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_53_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][53][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_53_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_53_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][53][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_53_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-716-field_22-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_22\">Attendee Two Name (TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-716-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><\/div><div id=\"wpforms-716-field_23-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"23\"><label class=\"wpforms-field-label\">Attendee Two Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_23\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][23][primary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_23\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_23-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-716-field_23\" name=\"wpforms[fields][23][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_23-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_54-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"54\"><label class=\"wpforms-field-label\">Attendee Two Teacher Trained?<\/label><ul id=\"wpforms-716-field_54\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_54_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][54][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_54_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_54_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][54][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_54_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-716-field_24-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_24\">Attendee Three Name (TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-716-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-716-field_27-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"27\"><label class=\"wpforms-field-label\">Attendee Three Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_27\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][27][primary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_27\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_27-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-716-field_27\" name=\"wpforms[fields][27][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_27-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_55-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"55\"><label class=\"wpforms-field-label\">Attendee Three Teacher Trained?<\/label><ul id=\"wpforms-716-field_55\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_55_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][55][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_55_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_55_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][55][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_55_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-716-field_25-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_25\">Attendee Four Name (TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-716-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-716-field_28-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Attendee Four Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_28\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][28][primary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_28\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_28-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-716-field_28\" name=\"wpforms[fields][28][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_28-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_56-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"56\"><label class=\"wpforms-field-label\">Attendee Four Teacher Trained?<\/label><ul id=\"wpforms-716-field_56\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_56_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][56][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_56_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_56_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][56][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_56_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-716-field_26-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_26\">Attendee Five Name (TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-716-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><\/div><div id=\"wpforms-716-field_29-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Attendee Five Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_29\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][29][primary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_29\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_29-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-716-field_29\" name=\"wpforms[fields][29][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_29-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_57-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"57\"><label class=\"wpforms-field-label\">Attendee Five Teacher Trained?<\/label><ul id=\"wpforms-716-field_57\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_57_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][57][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_57_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-716-field_57_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][57][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_57_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-716-field_32-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_32\">Executive Name (An executive from your school is permitted to attend Workshop One - TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-716-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-716-field_31-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"31\"><label class=\"wpforms-field-label\">Executive Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_31\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][31][primary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_31\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_31-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-716-field_31\" name=\"wpforms[fields][31][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-716-field_31-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_21\">Workshop Attendee Special Requirements (if any)<\/label><textarea id=\"wpforms-716-field_21\" class=\"wpforms-field-small\" name=\"wpforms[fields][21]\" placeholder=\"Please include special requirements such as dietary needs, wheelchair access, etc\" ><\/textarea><\/div><div id=\"wpforms-716-field_59-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_59\">Purchase Order Number (if required):<\/label><input type=\"text\" id=\"wpforms-716-field_59\" class=\"wpforms-field-medium\" name=\"wpforms[fields][59]\" ><div class=\"wpforms-field-description\">NSW Government Schools: Please note that as of 2021, EDConnect require a Purchase Order number before SiMERR can issue an invoice to them on behalf of your school.<\/div><\/div><div id=\"wpforms-716-field_34-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_34\">Send invoice to (name): <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/div><div id=\"wpforms-716-field_35-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"35\"><label class=\"wpforms-field-label\">Send invoice to (email): <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_35\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][35][primary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_35\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_35-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-716-field_35\" name=\"wpforms[fields][35][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_35-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_36-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_36\">Invoice-related phone number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-716-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><div class=\"wpforms-field-description\"><br>\r\n<hr>\r\n<h3>Form Items<\/h3>\r\n<h4>Principal Investigator<\/h4> \r\n<ul>\r\n<li><b>Name:<\/b> University of New England through the National Centre for Science, Information and Communication Technology, and Mathematics Education for Rural and Regional Australia (SIMERR)<\/li>\r\n<li><b>ABN:<\/b> 75 792 454 315<\/li>\r\n<li><b>Address:<\/b> Armidale NSW 2351 Australia<\/li>\r\n<li><b>Contact Person:<\/b> John Pegg, Director SIMERR<\/li>\r\n<li><b>Telephone:<\/b> 02 6773 5067<\/li>\r\n<li><b>Email:<\/b> quicksmart@une.edu.au<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Fees<\/h4> \r\n<ul>\r\n<li>- QuickSmart Program: $10,500 (plus 10% GST) per program<\/li>\r\n<li>- QuickSmart Program for small schools (less than 100 total enrolments): $7,000 (plus 10% GST) per program<\/li>\r\n<li>- Professional Development (venue hire and catering where applicable): $30 (including GST) per person per day <\/li>\r\n<li>- Travel and Accommodation: N\/A<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Professional Development<\/h4> \r\n<ul>\r\n<li> For the School to be able to take part in the <i>QuickSmart<\/i> research project and deliver the <i>QuickSmart<\/i> Program(s), the School staff instructing students are expected to complete professional development training. Registering for the <i>QuickSmart<\/i> research project obligates the school to train at least one (1) and up to five (5) staff member(s) in the first year of implementation. The registered staff member(s) are expected to attend all six days (3x2 days) of professional development in order to complete the training. Withdrawal from the program(s) is possible in line with the cancellation policy (see below). <\/li><\/ul>\r\n<br>\r\n<h4>Reporting<\/h4> \r\n<ul><li>As part of the <i>QuickSmart<\/i> research project, schools are entitled to a yearly <i>QuickSmart<\/i> school report. For the duration of the <i>Research Service Term: Reporting<\/i>, the School may request a <i>QuickSmart<\/i> school report containing a cohort analysis of the student data that the School submit to SiMERR. A report is generated when the School submits data for analysis and requests a report.<\/li><\/ul>\r\n<br>\r\n<h4>Duration of services under this Registration Form<\/h4>\r\n<ul>\r\n<li>- QuickSmart Program Licence Term: Permanent and Ongoing, starting from 01 January of the year of purchase\r\n<li>- Assessment Application Licence Term: Three years from 01 January of the year of purchase<\/li>\r\n<li>- Research Service Term: Reporting: Four years from 01 January of the year of purchase<\/li>\r\n<li>- Research Service Term: Professional Development: One year from 01 January of the year of purchase<\/li>\r\n<li>- Support Services Term: Four years from 01 January of the year of purchase<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Payment<\/h4> \r\n<ul>\r\n<li>Payment Schedule: 100% within 30 days of receipt of invoice.<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Cancellation and Termination<\/h4>\r\n<ul>\r\n<li>- Cancellation prior to 1 month before Workshop One: No penalty.<\/li>\r\n<li>- Cancellation prior to date of Workshop One (but no more than one month prior): Cost of return shipping of allocated resources (kit and games pack), if resources have already been shipped; and contribution towards the venue hire and catering for Workshop One<\/li>\r\n<li>- Termination up to one month after Workshop One: Cost of return shipping of allocated resources (kit and games pack) and contribution towards the venue hire and catering for Workshop One. An administrative fee of $500 may be payable upon cancellation after commencement of Workshop One.<\/li>\r\n<li>- Termination of agreement more than one month after Workshop One: 100% of total program fee.<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Signature \/ Submitting:<\/h4> \r\n<ul><li>By submitting this Research Registration Form you agree to the cost structure, the payment schedule, and the cancellation policy as set out in this form, and you warrant that you are authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.<\/li>\r\n<\/ul>\r\n<br>\r\n<hr>\r\n<\/div><\/div><div id=\"wpforms-716-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_37\">Your name (Person filling in form) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" required><\/div><div id=\"wpforms-716-field_44-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Your email (Person filling in form) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_44\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][44][primary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_44\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_44-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-716-field_44\" name=\"wpforms[fields][44][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_44-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_47\">Today&#039;s Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-716-field_47\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][47]\" placeholder=\"dd\/mm\/yyyy\" required><\/div><div id=\"wpforms-716-field_46-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Send order confirmation to: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-716-field_46\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][46][primary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_46\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-716-field_46-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-716-field_46\" name=\"wpforms[fields][46][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-716-field_46-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-716-field_60-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-716-field_60\">How did you find out about QuickSmart?<\/label><select id=\"wpforms-716-field_60\" class=\"wpforms-field-medium\" name=\"wpforms[fields][60]\"><option value=\"Search engine (Google, etc)\" >Search engine (Google, etc)<\/option><option value=\"Social media (Facebook, etc)\" >Social media (Facebook, etc)<\/option><option value=\"Generative AI (ChatGPT, etc)\" >Generative AI (ChatGPT, etc)<\/option><option value=\"Word of mouth\" >Word of mouth<\/option><option value=\"From another QuickSmart School\" >From another QuickSmart School<\/option><option value=\"Print publication\" >Print publication<\/option><option value=\"Online advertisement\" >Online advertisement<\/option><option value=\"We are\/were a QuickSmart School\" >We are\/were a QuickSmart School<\/option><\/select><\/div><div id=\"wpforms-716-field_41-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"41\"><label class=\"wpforms-field-label\">I have read and accept the Duration, Payment, Cancellation and Termination <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-716-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-716-field_41_1\" name=\"wpforms[fields][41]\" value=\"Yes, I have read and accept the Duration, Payment, Cancellation and Termination\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_41_1\">Yes, I have read and accept the Duration, Payment, Cancellation and Termination<\/label><\/li><\/ul><\/div><div id=\"wpforms-716-field_40-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"40\"><label class=\"wpforms-field-label\">I have read and accept the Terms and Conditions <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-716-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-716-field_40_1\" name=\"wpforms[fields][40]\" value=\"Yes, I have read and accept the &lt;a href=&quot;\/quicksmart\/terms-conditions\/&quot; target=&quot;_blank&quot;&gt;Terms &amp; Conditions&lt;\/a&gt;\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_40_1\">Yes, I have read and accept the <a href=\"\/quicksmart\/terms-conditions\/\" target=\"_blank\">Terms &amp; Conditions<\/a><\/label><\/li><\/ul><\/div><div id=\"wpforms-716-field_43-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"43\"><label class=\"wpforms-field-label\">Authorisation <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-716-field_43\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-716-field_43_1\" name=\"wpforms[fields][43]\" value=\"I warrant that I am authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-716-field_43_1\">I warrant that I am authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-716-field-hp\" class=\"wpforms-field-label\">Email<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-716-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"716\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/707\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-716\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<p class=\"has-theme-color-color has-text-color\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\"> <em>QuickSmart<\/em> Registration Form: Continuing Schools <\/h2>\n\n\n\n<p><strong>Use this form if:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>your school already has a <em>QuickSmart<\/em> program and would like to train more staff members in that program; <strong>OR<\/strong><\/li>\n\n\n\n<li>your school already has a <em>QuickSmart<\/em> program and would like to enrol staff members in a Refresher Day.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-theme-color-color has-text-color has-huge-font-size\"><span class=\"collapseomatic \" id=\"id69e0362c4cf3b\"  tabindex=\"0\" title=\"<strong>Click here to show form<\/strong>\"    ><strong>Click here to show form<\/strong><\/span><span id='swap-id69e0362c4cf3b'  class='colomat-swap' style='display:none;'><strong>Click here to hide form<\/strong><\/span><div id=\"target-id69e0362c4cf3b\" class=\"collapseomatic_content \">\n\n\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-733\"><form id=\"wpforms-form-733\" class=\"wpforms-validate wpforms-form\" data-formid=\"733\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/quicksmart\/wp-json\/wp\/v2\/pages\/707\" data-token=\"711337eddeea9a0b76845dacf4296e2e\" data-token-time=\"1776301612\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-733-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_1\">School Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" placeholder=\"please use full and official school name\" required><\/div><div id=\"wpforms-733-field_3-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_3\">School ABN<\/label><input type=\"number\" id=\"wpforms-733-field_3\" class=\"wpforms-field-small\" name=\"wpforms[fields][3]\" placeholder=\"no spaces allowed\" ><\/div><div id=\"wpforms-733-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_4\">School Postal Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-733-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_5\">Suburb <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-733-field_7-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_7\">Postcode <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-733-field_7\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-733-field_8-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_8\">State <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-733-field_8\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'> <\/option><option value=\"ACT\" >ACT<\/option><option value=\"NSW\" >NSW<\/option><option value=\"NT\" >NT<\/option><option value=\"QLD\" >QLD<\/option><option value=\"SA\" >SA<\/option><option value=\"TAS\" >TAS<\/option><option value=\"VIC\" >VIC<\/option><option value=\"WA\" >WA<\/option><\/select><\/div><div id=\"wpforms-733-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\">School Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_9\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][9][primary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_9\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_9-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-733-field_9\" name=\"wpforms[fields][9][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_9-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_63-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_63\">School Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-733-field_63\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][63]\" required><\/div><div id=\"wpforms-733-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_6\">Principal Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-733-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Principal Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_12\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][12][primary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_12\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_12-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-733-field_12\" name=\"wpforms[fields][12][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_12-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_11\">QuickSmart Coordinator Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-733-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\">QuickSmart Coordinator Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_13\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][13][primary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_13\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_13-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-733-field_13\" name=\"wpforms[fields][13][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_13-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_49-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"49\"><label class=\"wpforms-field-label\">Please indicate the course you would like to attend (your school must already have the relevant program in order for staff to attend) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-733-field_49\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_49_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][49][]\" value=\"Numeracy Basic Skills\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_49_1\">Numeracy Basic Skills<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_49_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][49][]\" value=\"Literacy Basic Skills\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_49_2\">Literacy Basic Skills<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_49_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][49][]\" value=\"Numeracy Refresher Day (attendees must have already completed Numeracy Basic Skills in a previous year to attend)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_49_4\">Numeracy Refresher Day (attendees must have already completed Numeracy Basic Skills in a previous year to attend)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_49_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][49][]\" value=\"Literacy Refresher Day (attendees must have already completed Literacy Basic Skills in a previous year to attend)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_49_5\">Literacy Refresher Day (attendees must have already completed Literacy Basic Skills in a previous year to attend)<\/label><\/li><\/ul><div class=\"wpforms-field-description\"><br>\r\nPlease see <a href=\"\/quicksmart\/workshop-calendar\/\" target=\"_blank\"> https:\/\/simerr.une.edu.au\/quicksmart\/workshop-calendar\/<\/a> for current courses, locations and dates<\/div><\/div><div id=\"wpforms-733-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_17\">Preferred Workshop Group Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><div class=\"wpforms-field-description\">Please see <a href=\"\/quicksmart\/workshop-calendar\/\" target=\"_blank\"> https:\/\/simerr.une.edu.au\/quicksmart\/workshop-calendar\/<\/a> for current courses, locations and dates<\/div><\/div><div id=\"wpforms-733-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_42\">Preferred Workshop Dates <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" required><div class=\"wpforms-field-description\">Please see <a href=\"\/quicksmart\/workshop-calendar\/\" target=\"_blank\"> https:\/\/simerr.une.edu.au\/quicksmart\/workshop-calendar\/<\/a> for current courses, locations and dates<\/div><\/div><div id=\"wpforms-733-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_18\">Any comments (completing training from previous years, etc)?<\/label><textarea id=\"wpforms-733-field_18\" class=\"wpforms-field-small\" name=\"wpforms[fields][18]\" ><\/textarea><\/div><div id=\"wpforms-733-field_19-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_19\">Attendee One Name (at least one attendee&#039;s details are required) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-733-field_20-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Attendee One Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_20\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][20][primary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_20\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_20-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-733-field_20\" name=\"wpforms[fields][20][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_20-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_58-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"58\"><label class=\"wpforms-field-label\">Attendee One Teacher Trained? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-733-field_58\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_58_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][58][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_58_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_58_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][58][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_58_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-733-field_22-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_22\">Attendee Two Name (TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-733-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><\/div><div id=\"wpforms-733-field_23-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"23\"><label class=\"wpforms-field-label\">Attendee Two Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_23\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][23][primary]\" spellcheck=\"false\" ><label for=\"wpforms-733-field_23\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_23-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-733-field_23\" name=\"wpforms[fields][23][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-733-field_23-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_59-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"59\"><label class=\"wpforms-field-label\">Attendee Two Teacher Trained?<\/label><ul id=\"wpforms-733-field_59\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_59_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][59][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_59_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_59_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][59][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_59_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-733-field_24-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_24\">Attendee Three Name (TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-733-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-733-field_27-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"27\"><label class=\"wpforms-field-label\">Attendee Three Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_27\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][27][primary]\" spellcheck=\"false\" ><label for=\"wpforms-733-field_27\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_27-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-733-field_27\" name=\"wpforms[fields][27][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-733-field_27-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_60-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"60\"><label class=\"wpforms-field-label\">Attendee Three Teacher Trained?<\/label><ul id=\"wpforms-733-field_60\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_60_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_60_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_60_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_60_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-733-field_25-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_25\">Attendee Four Name (TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-733-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-733-field_28-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Attendee Four Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_28\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][28][primary]\" spellcheck=\"false\" ><label for=\"wpforms-733-field_28\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_28-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-733-field_28\" name=\"wpforms[fields][28][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-733-field_28-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_61-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"61\"><label class=\"wpforms-field-label\">Attendee Four Teacher Trained?<\/label><ul id=\"wpforms-733-field_61\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_61_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][61][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_61_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_61_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][61][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_61_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-733-field_26-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_26\">Attendee Five Name (TBD if unknown)<\/label><input type=\"text\" id=\"wpforms-733-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><\/div><div id=\"wpforms-733-field_29-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Attendee Five Email<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_29\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][29][primary]\" spellcheck=\"false\" ><label for=\"wpforms-733-field_29\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_29-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-733-field_29\" name=\"wpforms[fields][29][secondary]\" spellcheck=\"false\" ><label for=\"wpforms-733-field_29-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_62-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"62\"><label class=\"wpforms-field-label\">Attendee Five Teacher Trained?<\/label><ul id=\"wpforms-733-field_62\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_62_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][62][]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_62_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-733-field_62_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][62][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_62_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-733-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_21\">Workshop Attendee Special Requirements (if any)<\/label><textarea id=\"wpforms-733-field_21\" class=\"wpforms-field-small\" name=\"wpforms[fields][21]\" placeholder=\"Please include special requirements such as dietary needs, wheelchair access, etc\" ><\/textarea><\/div><div id=\"wpforms-733-field_64-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_64\">Purchase Order Number (if required):<\/label><input type=\"text\" id=\"wpforms-733-field_64\" class=\"wpforms-field-medium\" name=\"wpforms[fields][64]\" ><div class=\"wpforms-field-description\">NSW Government Schools: Please note that as of 2021, EDConnect require a Purchase Order number before SiMERR can issue an invoice to them on behalf of your school.<\/div><\/div><div id=\"wpforms-733-field_34-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_34\">Send invoice to (name): <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/div><div id=\"wpforms-733-field_35-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"35\"><label class=\"wpforms-field-label\">Send invoice to (email): <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_35\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][35][primary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_35\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_35-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-733-field_35\" name=\"wpforms[fields][35][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_35-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_36-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_36\">Invoice-related phone number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-733-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><div class=\"wpforms-field-description\"><br>\r\n<hr>\r\n<h3>Form Items<\/h3>\r\n<h4>Principal Investigator<\/h4> \r\n<ul>\r\n<li><b>Name:<\/b> University of New England through the National Centre for Science, Information and Communication Technology, and Mathematics Education for Rural and Regional Australia (SIMERR)<\/li>\r\n<li><b>ABN:<\/b> 75 792 454 315<\/li>\r\n<li><b>Address:<\/b> Armidale NSW 2351 Australia<\/li>\r\n<li><b>Contact Person:<\/b> John Pegg, Director SIMERR<\/li>\r\n<li><b>Telephone:<\/b> 02 6773 5067<\/li>\r\n<li><b>Email:<\/b> quicksmart@une.edu.au<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Fees<\/h4> \r\n<b>If registered for <i>Professional Development: Basic Skills<\/i><\/b>\r\n<ul><li>- $1,500 (plus 10% GST) for one to two staff members OR<\/li>\r\n<li>- $2,500 (plus 10% GST) for three to five staff members<\/li>\r\n<li>PLUS<\/li>\r\n<li>- Venue hire and catering (where applicable): $30 (including GST) per person per day <\/li><\/ul>\r\n<br>\r\n<b>If registered for <i>Professional Development:\r\nRefresher Day<\/i><\/b>\r\n<ul><li>- $150 (plus 10% GST) per participant (up to five per school)\r\n<li>PLUS<\/li>\r\n<li>- Venue hire and catering (where applicable): $30 (including GST) per person per day <\/li><\/ul>\r\n\r\n<br>\r\n<h4>Professional Development<\/h4> \r\n<ul>\r\n<li>The registered staff member(s) are expected to attend all six days (3x2 days) of professional development in order to complete the training. Withdrawal from the program(s) is possible in line with the cancellation policy (see below). <\/li><\/ul>\r\n<br>\r\n<h4>Reporting<\/h4> \r\n<ul><li>As part of the QuickSmart research project, schools are entitled to a yearly QuickSmart school report. For the duration of the Research Service Term: Reporting, the School may request a QuickSmart school report containing a cohort analysis of the student data that the School submit to SiMERR. A report is generated when a school submits data for analysis and requests a report.<\/li><\/ul>\r\n<br>\r\n<h4>Duration of services under this Registration Form<\/h4>\r\n<ul>\r\n<li>- Research Service Term: Professional Development: One year from 01 January of the year of purchase<\/li>\r\n<br>\r\n<h4>Payment<\/h4> \r\n<ul><li>Payment Schedule: 100% within 30 days of receipt of invoice<\/li><\/ul>\r\n<br>\r\n<h4>Cancellation and Termination<\/h4>\r\n<ul>\r\n<li>- Cancellation prior to 2 weeks before Workshop One: No penalty.<\/li>\r\n<li>- Cancellation prior to date of Workshop One (but no more than two weeks prior): Contribution towards the venue hire and catering for Workshop One.<\/li>\r\n<li>- Termination up to one month after Workshop One: A contribution towards the venue hire and catering for Workshop One. An administrative fee of $200 may be payable upon cancellation after commencement of Workshop One.<\/li>\r\n<li>- Termination of agreement more than one month after Workshop One: 100% of total fee.\r\n<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Signature \/ Submitting:<\/h4> \r\n<ul><li>By submitting this Order Form you agree to the fees, the payment schedule, and the cancellation policy as indicated on this form, and you warrant that you are authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it<\/li><\/ul>\r\n<br>\r\n<hr><\/div><\/div><div id=\"wpforms-733-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_37\">Your name (Person filling in form) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" required><\/div><div id=\"wpforms-733-field_48-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"48\"><label class=\"wpforms-field-label\">Your Email (person filling in form) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_48\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][48][primary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_48\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_48-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-733-field_48\" name=\"wpforms[fields][48][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_48-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_51-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-733-field_51\">Today&#039;s Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-733-field_51\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][51]\" placeholder=\"dd\/mm\/yyyy\" required><\/div><div id=\"wpforms-733-field_50-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"50\"><label class=\"wpforms-field-label\">Send order confirmation to: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-733-field_50\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][50][primary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_50\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-733-field_50-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-733-field_50\" name=\"wpforms[fields][50][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-733-field_50-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-733-field_41-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"41\"><label class=\"wpforms-field-label\">I have read and accept the Duration, Payment, Cancellation and Termination <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-733-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-733-field_41_1\" name=\"wpforms[fields][41]\" value=\"Yes, I have read and accept the Duration, Payment, Cancellation and Termination\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_41_1\">Yes, I have read and accept the Duration, Payment, Cancellation and Termination<\/label><\/li><\/ul><\/div><div id=\"wpforms-733-field_40-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"40\"><label class=\"wpforms-field-label\">I have read and accept the Terms and Conditions <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-733-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-733-field_40_1\" name=\"wpforms[fields][40]\" value=\"Yes, I have read and accept the &lt;a href=&quot;\/quicksmart\/terms-conditions\/&quot; target=&quot;_blank&quot;&gt;Terms &amp; Conditions&lt;\/a&gt;\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_40_1\">Yes, I have read and accept the <a href=\"\/quicksmart\/terms-conditions\/\" target=\"_blank\">Terms &amp; Conditions<\/a><\/label><\/li><\/ul><\/div><div id=\"wpforms-733-field_45-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"45\"><label class=\"wpforms-field-label\">Authorisation <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-733-field_45\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-733-field_45_1\" name=\"wpforms[fields][45]\" value=\"I warrant that I am authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-733-field_45_1\">I warrant that I am authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-733-field-hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-733-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"733\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/707\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-733\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\"> <em>QuickSmart<\/em> Registration Form: New schools with an already-trained staff member<\/h2>\n\n\n\n<p><strong>Use this form if:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>your school has a currently-employed staff member who has already completed six out of six days of relevant <em>QuickSmart<\/em> training at their previous school (this will be verified once SiMERR receives the completed registration form).<\/li>\n\n\n\n<li>Please contact\u00a0<a href=\"mailto:%20quicksmart@une.edu.au\">quicksmart@une.edu.au<\/a>\u00a0for more details, or to check the staff members training before submitting the registration form.<\/li>\n\n\n\n<li>Please note that the schools will be required to send at least one new additional staff member for training in the following year.<\/li>\n\n\n\n<li>This purchase only includes physical and online materials, plus a three-year assessment tool (QBSA) and digital resources licence. It does not include any professional development.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-theme-color-color has-text-color has-huge-font-size\"><span class=\"collapseomatic \" id=\"id69e0362c4e56c\"  tabindex=\"0\" title=\"<strong>Click here to show form<\/strong>\"    ><strong>Click here to show form<\/strong><\/span><span id='swap-id69e0362c4e56c'  class='colomat-swap' style='display:none;'><strong>Click here to hide form<\/strong><\/span><div id=\"target-id69e0362c4e56c\" class=\"collapseomatic_content \">\n\n\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2815\"><form id=\"wpforms-form-2815\" class=\"wpforms-validate wpforms-form\" data-formid=\"2815\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/quicksmart\/wp-json\/wp\/v2\/pages\/707\" data-token=\"647e79aab1fe88cd122a35c178ffdcd1\" data-token-time=\"1776301612\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2815-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_1\">School Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" placeholder=\"please use full and official school name\" required><\/div><div id=\"wpforms-2815-field_3-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_3\">School ABN<\/label><input type=\"number\" id=\"wpforms-2815-field_3\" class=\"wpforms-field-small\" name=\"wpforms[fields][3]\" placeholder=\"no spaces allowed\" ><\/div><div id=\"wpforms-2815-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_4\">School Postal Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-2815-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_5\">Suburb <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-2815-field_7-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_7\">Postcode <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2815-field_7\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-2815-field_8-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_8\">State <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2815-field_8\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"ACT\" >ACT<\/option><option value=\"NSW\" >NSW<\/option><option value=\"NT\" >NT<\/option><option value=\"QLD\" >QLD<\/option><option value=\"SA\" >SA<\/option><option value=\"TAS\" >TAS<\/option><option value=\"VIC\" >VIC<\/option><option value=\"WA\" >WA<\/option><\/select><\/div><div id=\"wpforms-2815-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\">School Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-2815-field_9\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][9][primary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_9\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-2815-field_9-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-2815-field_9\" name=\"wpforms[fields][9][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_9-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-2815-field_58-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_58\">School Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2815-field_58\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][58]\" required><\/div><div id=\"wpforms-2815-field_10-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_10\">Please indicate School System and Level <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2815-field_10\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"Government Primary\" >Government Primary<\/option><option value=\"Government Central\" >Government Central<\/option><option value=\"Government High\" >Government High<\/option><option value=\"Catholic Primary\" >Catholic Primary<\/option><option value=\"Catholic Central\" >Catholic Central<\/option><option value=\"Catholic High\" >Catholic High<\/option><option value=\"Independent Primary\" >Independent Primary<\/option><option value=\"Independent Central\" >Independent Central<\/option><option value=\"Independent High\" >Independent High<\/option><\/select><\/div><div id=\"wpforms-2815-field_14-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_14\">Total enrolments in school <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2815-field_14\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][14]\" required><div class=\"wpforms-field-description\">Please use https:\/\/www.myschool.edu.au\/ if you are unsure of your total enrolment number<\/div><\/div><div id=\"wpforms-2815-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_6\">Principal Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-2815-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Principal Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-2815-field_12\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][12][primary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_12\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-2815-field_12-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-2815-field_12\" name=\"wpforms[fields][12][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_12-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-2815-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_11\">QuickSmart Coordinator Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-2815-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\">QuickSmart Coordinator Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-2815-field_13\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][13][primary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_13\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-2815-field_13-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-2815-field_13\" name=\"wpforms[fields][13][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_13-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-2815-field_59-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_59\">Please fill in the name of your staff member previously trained in QuickSmart <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_59\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][59]\" required><\/div><div id=\"wpforms-2815-field_60-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"60\"><label class=\"wpforms-field-label\">Please fill in the email of your staff member previously trained in QuickSmart <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-2815-field_60\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][60][primary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_60\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-2815-field_60-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-2815-field_60\" name=\"wpforms[fields][60][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_60-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-2815-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_17\">Please indicate the approximate year that your staff member originally trained in QuickSmart <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_17\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-2815-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_42\">Please indicate the approximate workshop location that your staff member originally trained in QuickSmart <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" required><\/div><div id=\"wpforms-2815-field_61-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_61\">Please indicate the approximate number of years your staff member has instructed QuickSmart in <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_61\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][61]\" required><\/div><div id=\"wpforms-2815-field_45-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"45\"><label class=\"wpforms-field-label\">Please indicate the program your staff member originally trained in and that you would like to purchase <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2815-field_45\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2815-field_45_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Numeracy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2815-field_45_1\">Numeracy<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2815-field_45_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][45][]\" value=\"Literacy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2815-field_45_2\">Literacy<\/label><\/li><\/ul><\/div><div id=\"wpforms-2815-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_18\">Any other comments?<\/label><textarea id=\"wpforms-2815-field_18\" class=\"wpforms-field-small\" name=\"wpforms[fields][18]\" ><\/textarea><\/div><div id=\"wpforms-2815-field_62-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_62\">Purchase Order Number (if required):<\/label><input type=\"text\" id=\"wpforms-2815-field_62\" class=\"wpforms-field-medium\" name=\"wpforms[fields][62]\" ><div class=\"wpforms-field-description\">NSW Government Schools: Please note that as of 2021, EDConnect require a Purchase Order number before SiMERR can issue an invoice to them on behalf of your school.<\/div><\/div><div id=\"wpforms-2815-field_34-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_34\">Send invoice to (name): <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required><\/div><div id=\"wpforms-2815-field_35-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"35\"><label class=\"wpforms-field-label\">Send invoice to (email): <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-2815-field_35\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][35][primary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_35\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-2815-field_35-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-2815-field_35\" name=\"wpforms[fields][35][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_35-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-2815-field_36-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_36\">Invoice-related phone number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2815-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><div class=\"wpforms-field-description\"><br>\r\n<hr>\r\n<h3>Form Items<\/h3>\r\n<h4>Principal Investigator<\/h4> \r\n<ul>\r\n<li><b>Name:<\/b> University of New England through the National Centre for Science, Information and Communication Technology, and Mathematics Education for Rural and Regional Australia (SIMERR)<\/li>\r\n<li><b>ABN:<\/b> 75 792 454 315<\/li>\r\n<li><b>Address:<\/b> Armidale NSW 2351 Australia<\/li>\r\n<li><b>Contact Person:<\/b>Professor John Pegg, Director SIMERR<\/li>\r\n<li><b>Telephone:<\/b> 02 6773 5067<\/li>\r\n<li><b>Email:<\/b> quicksmart@une.edu.au<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Fees<\/h4> \r\n<ul>\r\n<li>- QuickSmart Program for schools with an already-trained staff member: $5,500 (plus 10% GST) per program<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Professional Development<\/h4> \r\n<ul><li>There is no professional development associated with this purchase, however schools are required to send at least one staff member for training in the following year.<\/li><\/ul>\r\n<br>\r\n<h4>Reporting<\/h4> \r\n<ul><li>As part of the <i>QuickSmart<\/i> research project, schools are entitled to a yearly <i>QuickSmart<\/i> school report. For the duration of the <i>Research Service Term: Reporting<\/i>, the School may request a <i>QuickSmart<\/i> school report containing a cohort analysis of the student data that the School submit to SiMERR. A report is generated when the School submits data for analysis and requests a report.<\/li><\/ul>\r\n<br>\r\n<h4>Duration of services under this Registration Form<\/h4>\r\n<ul>\r\n<li>- QuickSmart Program Licence Term: Permanent and Ongoing, starting from 01 January of the year of purchase<\/li> \r\n<li>- Digital Resources Licence Term: Three years from 01 January of the year of purchase<\/li>\r\n<li>- Research Service Term: Reporting: Four years from 01 January of the year of purchase<\/li>\r\n<li>- Support Services Term: Four years from 01 January of the year of purchase<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Payment<\/h4> \r\n<ul>\r\n<li>Payment Schedule: 100% within 30 days of receipt of invoice.<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Cancellation and Termination<\/h4>\r\n<ul>\r\n<li>- Cancellation prior to materials being sent by post: No penalty.<\/li>\r\n<li>- Cancellation after materials have been sent by post: Cost of return shipping of allocated resources (kit and games pack)<\/li>\r\n<\/ul>\r\n<br>\r\n<h4>Signature \/ Submitting:<\/h4> \r\n<ul><li>By submitting this Research Registration Form you agree to the cost structure, the payment schedule, and the cancellation policy as set out in this form, and you warrant that you are authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.<\/li>\r\n<\/ul>\r\n<br>\r\n<hr><\/div><\/div><div id=\"wpforms-2815-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_37\">Your name (Person filling in form) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" required><\/div><div id=\"wpforms-2815-field_44-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Your email (Person filling in form) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-2815-field_44\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][44][primary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_44\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-2815-field_44-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-2815-field_44\" name=\"wpforms[fields][44][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_44-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-2815-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-2815-field_47\">Today&#039;s Date <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2815-field_47\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][47]\" placeholder=\"dd\/mm\/yyyy\" required><\/div><div id=\"wpforms-2815-field_46-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Send order confirmation to: <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-2815-field_46\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][46][primary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_46\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-2815-field_46-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-2815-field_46\" name=\"wpforms[fields][46][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-2815-field_46-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-2815-field_41-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"41\"><label class=\"wpforms-field-label\">I have read and accept the Duration, Payment, Cancellation and Termination <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2815-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2815-field_41_1\" name=\"wpforms[fields][41]\" value=\"Yes, I have read and accept the Duration, Payment, Cancellation and Termination\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2815-field_41_1\">Yes, I have read and accept the Duration, Payment, Cancellation and Termination<\/label><\/li><\/ul><\/div><div id=\"wpforms-2815-field_40-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"40\"><label class=\"wpforms-field-label\">I have read and accept the Terms and Conditions <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2815-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2815-field_40_1\" name=\"wpforms[fields][40]\" value=\"Yes, I have read and accept the Terms &amp; Conditions\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2815-field_40_1\">Yes, I have read and accept the Terms &amp; Conditions<\/label><\/li><\/ul><\/div><div id=\"wpforms-2815-field_43-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"43\"><label class=\"wpforms-field-label\">Authorisation <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2815-field_43\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2815-field_43_1\" name=\"wpforms[fields][43]\" value=\"I warrant that I am authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2815-field_43_1\">I warrant that I am authorised to enter this Agreement and that this Agreement has been duly executed by the School and is a legal, valid and binding agreement enforceable against it.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-2815-field-hp\" class=\"wpforms-field-label\">Phone<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-2815-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2815\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/707\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2815\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<p class=\"has-theme-color-color has-text-color\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>QuickSmart Registration Form: New Schools \/ Programs Use this form if: QuickSmart Registration Form: Continuing Schools Use this form if: QuickSmart Registration Form: New schools with an already-trained staff member&#8230; <a href=\"https:\/\/simerr.une.edu.au\/quicksmart\/registration-forms\/\">Read more &raquo;<\/a><\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"footnotes":""},"class_list":["post-707","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/707","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/comments?post=707"}],"version-history":[{"count":50,"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/707\/revisions"}],"predecessor-version":[{"id":4966,"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/pages\/707\/revisions\/4966"}],"wp:attachment":[{"href":"https:\/\/simerr.une.edu.au\/quicksmart\/wp-json\/wp\/v2\/media?parent=707"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}