Follow the steps to complete the form accurately and efficiently.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editing tool.
2. Fill in the 'Early Childhood Service - Program Information' section with the relevant details about the service, including the service name, phone number, and address.
3. Provide your email address and the names of early childhood teachers and educators involved in the program.
4. In the 'Child's Details' section, include the child's name, gender, address, date of birth, country of birth, cultural background, and preferred language. Indicate if an interpreter is required.
5. List the children's siblings' names and ages, if applicable.
6. Complete the 'History' section by checking if the child's hearing and vision have been evaluated, and indicate if the MCH 3½ year check has been performed.
7. In the 'Service Agencies/Specialists Involved or Waiting for Service' section, enter the names and contact details for any relevant service providers.
8. Provide the current early childhood education timetable including the days and attendance for the three-year-old and funded four-year-old kindergarten programs.
9. Indicate if Early ABLES has been completed and provide the required details.
10. Fill out the 'Parent/Guardian Details' for both guardians, including names, relationships to the child, phone numbers, and emails.
11. Specify any current custody arrangements or court orders relevant to the referral and attach copies if necessary.
12. Collaboratively complete the 'Teacher & Family Perspectives' section outlining the child's strengths and challenges based on the VEYLDF outcomes.
13. Describe the support requested from the PSFO Service and any strategies, successes, or discussions held with the family.
14. In the 'Referred By' section, provide the name and date, ensuring informed consent from the parent/guardian is documented with their signature.
15. Lastly, complete the 'Parent/Guardian Consent' section, review the privacy policy, and ensure at least one guardian signs the consent for referral and information exchange.
16. Once all sections are completed, make sure to save the changes, and download, print, or share the form as needed.

Complete your AU Uniting Preschool Field Officer Program Request For Service Form online today.