Suicide Program - Booking Request

WORKSHOP REQUEST
Organisation Name:
If applicable
Organisations Physical Address:
If applicable
Organisations Phone Numbers:*

LandlineMobile
Workshop Requested:*

1-Day CALM Suicide Intervention1/2-Day CALM Care Suicide Safety & Awareness1-Day CALM Yarn1-Day Accidental Counsellor1-Day Motivational Interviewing Foundation1-Day Motivational Interviewing Advanced1-Day Psychological First Aid1-Day Heart of Grief1/2-Day Be Well-Stay Well5-Day CALM and CALM Care Train the Trainer4-Day Accidental Counsellor Train the Trainer
FORMAT REQUESTED: (Please Select)*

VirtualFace to FaceSelf-paced Online
PLEASE NOTE:

a) Virtual trainings are best presented over two half days to prevent virtual fatigue.

b) Self-paced online courses are only available for CALM Care, Accidental Counsellor and Motivational Interviewing programs.
Date Requested:*

DayMonthYear
Date
Second date if requesting two half days:

DayMonthYear
Start Time

:HourMinutesAM/PM Option
Finish Time

:HourMinutesAM/PM Option
Anticipated number of participants: *
Special Requests:
Please type any special requests or considerations for your participants
Quotation required:*

YESNO
ABN
If applicable
Your Full Name:*

First NameLast Name
Your Direct Email:*
example@example.com
Todays Date*

DayMonthYear
Date
How did you find us*

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Terms & Conditions: Cancellations must received in writing. Tax invoices will include our refund terms, and payment is due prior to the training date. Overdue invoices will be subject to a 10% surcharge. Participants attending a virtual training are required to have their videos on at all times to ensure participant safety. A list of participant names and email addresses will be required a minimum of 4 working days prior to the training date.
Should be Empty:

WORKSHOP REQUEST