Application Form – Individuals

Please fill out the form below if you are interested in being trained in any of our programs.

A staff member will respond to your submission soon and will be able to answer any questions, give you more information, and confirm the details of your booking.

Your Name (required)

Name of school / organisation:

Position

Address

Address 2

State

Post Code

Phone

Fax

Your Email (required)

Please provide a brief summary of your role and why you wish to receive this training:

Background: Does the community you serve identify with any of the following?

Other


Do you currently run any similar programs (e.g. resilience or social skills programs)?
 Yes No

If Yes, which program(s)?


How do you intend to use the training e.g. implement the program within your school, to inform wider school community/organisation about the programs etc?

Which program(s) would you like to be trained in and what are your preferred training dates (see News and Events on our website)?
 Fun Friends (4-7 years) Preferred dates:

 FRIENDS for Life (Child: 7-12 years) Preferred dates:

 FRIENDS for Life (Youth: 12 – 17 years) Preferred dates:

Do you wish to order morning tea and lunch for the training day? (cost is $15 per head for muffins, fruit and sandwiches).  Yes No

Would you like to: Make payment on the day (cash or eftpos) Invoice school/organisation?

Do you have any special dietary requirements? Yes No
Please specify

Why do you think your community would benefit from these programs?


Questions/comments?


Form submitted by
Date
Security, input this code: captcha