Professional Development Workshop Topic | Expression of Interest Form

1
Contact name* This field is required.
First Name
Last Name
2
Organisation name* This field is required.
3
Location of organisation* This field is required.
Suburb
4
Contact number* This field is required.
5
E-mail* This field is required.
6
What industry do you represent?* This field is required.
7
I would like to attend a workshop on the following topic(s)* This field is required.
8
Date EOI form received
Date
Day
Month
Year
9
Is the workshop/s available?
Yes
No
10
Date registration link/s sent
Date
Day
Month
Year
11
Does the client/employer need to be contacted to arrange PD workshop
Yes
No
12
If workshop/s not available; has there been further interest in this topic/s? If so, by how many others? Should we look to add workshop/s?
13
Is any follow up required?
Yes
No
14
Notes / action required / method / staff member to action
15
Last Edit date & time* This field is required.
16
Form status* This field is required.
Open
Closed
17

19.1.0 I 8 July 2019 | Uncontrolled when printed

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