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:*

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

Street Address

Street Address Line 2

Suburb / TownState

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

Area CodePhone 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 impairmentVision 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:

DayMonthYear
Enter date in the format dd/mm/yyyy.
Time:

:HourMinutesAM/PM Option
Preferred Date 2:

DayMonthYear
Enter date in the format dd/mm/yyyy.
Time:

:HourMinutesAM/PM Option
Preferred Date 3:

DayMonthYear
Enter date in the format dd/mm/yyyy.
Time:

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

VisAbilityOther
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