Learner Session Details for Tech Mates You are completing this form on behalf of your learner. Please enter their details. Existing learner or new learner?(Required)Please Select …Existing LearnerNew LearnerPlease let us know if this learner has registered with us or is a brand new first time learner.Please provide phone number of new learner(Required) Learners Name(Required) First Last Hours(Required) 30 minutes – 0.50 1 hour – 1.00 1.5 hours – 1.50 2 hours – 2.00 Other DM SessionSession Date(Required) DD dot MM dot YYYY Area(Required)Please Select…Central WestNepeanOrana/Far WestWestern SydneyOther NSW, AustraliaTech Mate Name(Required) First Last Techmate Email Main Device Used(Required)Please Select…iPhoneAndroid SmartphoneOther mobile phoneiPadOther TabletLaptop PCLaptop MacThey don't have a deviceOtherCategory(Required)CommunicatingBasic InternetSocial MediaFiles and photos managementOnline Banking and shoppingGovernment services online (eg MyGov, E-Tax)Apps (e.g. Maps, iBook) or other Applications or GamesOnline Security (e.g. antivirus, scams)OtherSession Type(Required)Please Select…Face to FaceRemoteVenue(Required)Please Select…Anglicare Retirement Village, Castle HillBuckland Retirement VillageHawkesbury Hubs – Bowen Mountain Community HallHawkesbury Central Library – Windsor BranchHawkesbury Central Library – Richmond BranchHawkesbury Hubs – Colo Heights Hall (Hawkesbury Hubs)Hawkesbury Hubs – St Albans School of Arts (Hawkesbury Hubs)Penrith Central LibraryRiverstone Neighbourhood Centre (Senior’s Group)South Penrith Neighbourhood Centre (Golden Oldies Group)St Mary’s LibraryThe Old School, Lithgow (Nanna’s Touch Community Connections)Thornton Community CentreVillage Café – Llandilo Community Hall, LlandiloVillage Café – Robin Wiles Park, North St Mary’sVillage Café – Wainwright Park, KingswoodWilberforce School of Arts (DPI Workshops)OtherPlease Enter Other Venue Here:(Required) Learner CommentsMentor NotesDonation Is the Learner continuning?(Required)Please Select…Yes – Mentor to rebook nowYes – Learner will book over the phoneNo – This is the last sessionDid Learner access MyAgedCare?(Required)Please Select…YesNo 66022
