headspace Armadale Event Request Form

headspace Armadale Event / Workshop Session Request Form
headspace Armadale recieves lots of requests and we will do our best to attend whenever possible. Please give at least three weeks notice for any event so we have enough time to prepare and secure adequate resources. You will be contacted soon after headspace has recieved your request.
Name of Organisation / Group / School

Name of organisation
Contact

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Date headspace will be required

MonthDayYear
Start Time

:HourMinutesAM/PM Option
Finish Time

:HourMinutesAM/PM Option
Address Of Event

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address of the Event
Tell us a bit more about your event...
Type of involvement you would like (tick all applicable boxes)

Information BoothPresentationOther
If Other Please Provide a Brief Outline:
Tell us a bit more about your event
Approximate group size (workshop/presentation max = 30 students)
Age Group / Year Level
Is there anything else we should know about the audience? (e.g. LGBTIQA+, CaLD, Aboriginal and Torres Strait Islander, young parents, disability...)
Equipment YOU can supply ( tick all that apply)

ScreenLaptop/ ComputerTableMarqueeChairs
Equipment WE need to supply (tick all that apply)

LaptopTableMarqueeBean bagsInformation including brochuresMerchandiseBannersSpeakers for Presentation
Any topics you would like us to bring information & resources on? (tick all that apply)

Mental HealthMeet headspaceTips for a healthy mindAnxietyDepressionBullyingStressExam StressHealthy Relationships & Conflict
Please describe parking options at the event location (e.g. visitor bays, paid street parking, overflow parking)
Anything else we need to know?
Rules of Engagement
To carry out successful facilitation of workshops, presentations and engagement activities headspace Armadale require the following protocols to be agreed upon and enacted prior to engagement.

1. Clinical and OSH risk lies with the hosted organisation. Any matters relating to risk are referred to the onsite teacher/psychologist for follow up with the young person and their organisational protocols.

2. Behaviour management is the sole responsibility of the onsite teachers or staff member within the class, while the presentation/workshop/program is being delivered.

3. At least one organisation staff member must be present at all times. The staff member is to be visible at all times and be available for the entire facilitation process and proactive in addressing behaviour management concerns.

4. If this event is occuring at a school, a staff member will be required to walk the headspace staff to and from the appropriate building

5. All participants must have consented to photos/videos being posted on social media. If this is not the case please inform us PRIOR to the event.

If you have any questions about the Rules of Engagement, please do not hesitate to contact us by emailing reception@heasdspacearmadale.com.au or giving us a call on 9393 0300.
I have read and agreed to the Rules of Engagement

YesNo
Please upload any relevant files here

Upload a File

Cancelof
Thank you for completing this form. headspace Armadale will be in touch soon.

Please contact us on 9393 0300 or email reception@headspacearmadale.com.au if you would like to speak to one of our Community Engagement Team
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headspace Armadale Event / Workshop Session Request Form