Organisation Training Request

Organisation Training Request
Professional Development Opportunities - VisAbility’s interactive workshops provide the opportunity for participants to gain knowledge and insight into disability or vision impairment.
General information
Date of request: *

Day Month Year
Enter date in format dd/mm/yyyy.
Name of person completing the form: *
Job title:
Organisation: *
Address:

Street Address

Street Address Line 2

Suburb / Town State

Postcode
Email:
Enter your email in the form: example@example.com
Phone:

Area Code Phone Number

Training information
We offer a range of workshops - refer to descriptions on our website for more details: Professional Development.
Select as many workshops as required:

Living with vision impairment (1 hour) Living with vision impairment, and human guide experience (2 hours) Day in the life of someone with a vision impairment Vision impairment in the workplace (1 hour) Acquired Brain Injury (ABI) Supporting people with vision impairment in supported living environments (1 hour) Creating Accessible Documents
Preferred Date 1:

Day Month Year
Enter date in the format dd/mm/yyyy.
Time:

: Hour Minutes AM/PM Option
Preferred Date 2:

Day Month Year
Enter date in the format dd/mm/yyyy.
Time:

: Hour Minutes AM/PM Option
Preferred Date 3:

Day Month Year
Enter date in the format dd/mm/yyyy.
Time:

: Hour Minutes AM/PM Option
Preferred location (travel time will be charged if external to VisAbility office at 61 Kitchener Avenue, Victoria Park):

VisAbility Other
If Other, please indicate address:
If Other, please indicate facilities available at your location:
Approximate numbers:
See fees listed at https://www.visability.com.au/empathy-library/professional-development/
Audience (e.g. practitioners, support staff, therapists):
Additional comments / details (e.g. what prompted request? Any specific issues you want included):
Send copy of form to:
Enter your email in the form: example@example.com
Should be Empty:

General information