headspace Griffith Event / Info Session Request Form

headspace Griffith Event / Info Session Request Form
headspace Griffith receives alot of requests and we will do our best to attend whenever possible. Please give at least three weeks notice for any event to ensure we have enough time to prepare and secure adequate resources. You will be contacted shortly after headspace receives your request.
Name of Organisation / Group / School
Name of Contact Person

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Location of event
Date headspace will be required

DayMonthYear
Start Time

:HourMinutesAM/PM Option
Finish Time

:HourMinutesAM/PM Option
What is the purpose of this event?
Group Size
Age Group / Year Level
Type of involvement you would like (tick all applicable boxes)

Information/Merchandise BoothPresentationOther
If other please provide a brief outline
Topic or issue you would like the presentation to be about (tick all applicable boxes)

Meet headspace (What headspace is and how to access our services)Mental Health (What is mental health and how to recognise the signs and symptoms)Other i.e. Tips for a Healthy headspace
Other
Equipment Available (tick all applicable boxes)

LaptopProjectorMicrophoneTableChairs
Anything else we may need to know?
Please upload any relevant files here e.g. event flyer

Upload a File

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Thank you for completing this form. headspace Griffith will be in touch shortly. Please contact us on 02 6962 3277 or email headspacegriffith@mphn.org.au if you would like to speak to our Community Engagement Officer.
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