WIRES Mange Treatment Course

Enrolment form for WIRES Community Mange Treatment Course

For 2024 only, this course is available in two formats. Both formats cover the same learning material and objectives. The formats available are:

• 100% Online - This is a self-paced course with a 4 week enrolment period. The online course includes video content and quizzes and is expected to take under 2 hours to complete. There is no face to face component included for this option.
• Face to face workshop - Offered in specific locations around NSW as listed at the end of the enrolment form below, the workshop option takes roughly 3-4 hours to complete. There is no online theory component included for this option. 

Please note: Students do not need to complete both of the format options in order to complete this training. Please choose one of the two format options, at the end of this enrolment form. 

Please follow the 5 steps below to book into WIRES Community Mange Treatment Course.

If you experience any difficulties completing the form we recommend switching to the Safari, IE or Firefox browser before filling in the form.

You must be a resident of New South Wales, Australia to enrol into this course.

There are some areas of NSW where wombats are not found or mange is not known to be affecting the local wombat populations. If you cannot see your suburb in the dropdown list, please proceed to fill in the enquiry form and you will be added to an expression of interest register should an opportunity to treat mange in your suburb becomes available in the future.

Step 1

You must be over 18 to complete the course *

Please tick this box to confirm you are over 18 *

Please select which most applies to you:

I am a landholder who has mange affected wombats on my property that I would like to treat

I am a community member who would like to help treat mange affected wombats in my area

Both of the above apply to me

Please confirm your residential location *

-- Please select --ACTNSWVICSANTTASQLDWAInternational

1. Do you currently hold a valid wildlife licence/authority to rescue and care for wildlife, or are you a current member of an organisation that does similar work to WIRES (not including WIRES)? *

Yes

No

2. If not valid currently, have you previously held a licence/authority to rescue and care for wildlife or been a member of an organisation that does similar work to WIRES (not including WIRES)? *

Yes

No

Please specify

3. Have you ever had a membership terminated, suspended or refused renewal by WIRES or any Organisation that does similar work to WIRES? *

Yes

No

4. Have you ever been convicted of an offence under the NSW National Parks and Wildlife Act 1974, the Prevention of Cruelty to Animals Act 1979 or other similar legislation? *

Yes

No

5. Have you ever been convicted of an offence punishable by imprisonment for 12 months or more? *

Yes

No

6. Do you currently hold any authorisation or licence from National Parks and Wildlife Service? *

Yes

No

Please specify

Correct Details *

By proceeding I declare the details provided above are true

Privacy Laws *

Under the current Privacy Laws, we are required to seek permission

To ensure any appropriate assistance can be provided, please confirm if you have disability, impairment or dependency? *

Yes

No

If yes, please select from the following (tick all that apply):

Vision

Hearing

Physical

Learning/Intellectual

Medical Condition

Mental Illness

Other

Will you require help to complete the course, or to undertake volunteering activities due to your disability, impairment or long-term condition? If you are unsure please tick Yes and our Training Team will contact you to discuss options.

Yes

No

First Name *

Last Name *

Email Address *

Date of Birth *

Occupation

Primary Contact Number *

Secondary Contact Number

Street Number/Unit Number *

Street Address *

Suburb *

Postcode *

How did you find out about WIRES Mange Treatment Volunteer Programme? *

WIRES websiteWIRES email/e-newsRICC PosterFacebookGoogleReferred by friends/familyLocal AdvertisingRadioNewspaperOther

Other

Are you intending on completing this course in person at a half day face to face workshop, or via 100% online? Please tick the relevant box below:

Online

Face to Face Workshop

Select the face to face workshop you'd like to book in to:

Dooralong (Central Coast) - 18th May 2024Illawarra - 15th June 2024Mudgee (Central West) - 22nd JuneWollondilly - 20th JulyMid South Coast (Tuross Head) 17th AugustPlease select this option if none of the above workshops suit so that we can still collect your interest in attending a workshop.

Submit