Prevent men’s violence against women

Breaking the Silence Registration

White Ribbon Breaking the Silence schools program

Breaking the Silence registration form

Thank you for taking the next step in your school's journey to becoming a recognised White Ribbon School!

The following information will enable the Children & Youth Team to process your registration for White Ribbon Australia's Breaking the Silence Schools Program. After submission of this form, the Principal will receive a confirmation email and the Children & Youth Team will confirm your registration (including posting a Welcome Pack). Please note the following:
  • This form is intended to be filled out by an authorised representative with approval to act on behalf of the school
  • You may nominate between between one and four staff members (optionally including the Principal) to participate in the program
  • To include the Principal as a participant, please tick the box beside the statement 'Will the Principal be participating in the Program?' (in the 'Principal details' section')
  • Participants undertake 10 hours of professional learning, including a one hour eLearning and two face-to-face workshops, across two school years
For queries, please email schools@whiteribbon.org.au or call the White Ribbon Children & Youth team on 02 9045 8444 (option 7)
Institution
(Including area code)
Street Address
Postal Address

Program participants

Program participants complete approximately 10 hours of professional training, including a 1-hour eLearning and two half-day workshops, across two school years. At least 3 staff members, including the Principal, are recommended to ensure program effectiveness and sustainability (pending school size and context). To include the Principal as a participant, please tick the box which says 'Will the Principal be participating in the Program'?
Principal's details
 (including area code)
Participating staff member 1
(including area code)
Participating staff member 2
 (including area code)
Participating staff member 3
 (including area code)
 
Authorisation
Press 'Submit' to complete registration. If you experience any problems submitting the form, please contact the White Ribbon Schools Team on 02 9045 8444 (option 7) or email schools@whiteribbon.org.au.


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