Actsafe Gives Back - Nomination Form

Actsafe Gives Back - Nomination Form

Nominate yourself or someone else for the chance to receive one of our training packages!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Who are you nominating?*

MyselfAnother Person
If 'Another Person', please provide their name
Please also provide their email address
Do you (or the applicant) have a current Union affiliation?*
Please select one of our training packages*

Maureen Kaake Welcome to the Industry Training Package: Motion PictureMaureen Kaake Welcome to the Industry Training Package: Performing ArtsThe Basics for Security WorkersWhat Technicians Need to Know: Motion PictureWhat Technicians Need to Know: Performing ArtsExperienced Worker: Motion PictureMiles Muir Experienced Worker Performing Arts
Please provide the reason for nomination.*
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