Onsite RISE Presentation
Please complete this form, and the RISE team will be in touch to organise an onsite presentation. Please note, all events are at no cost to the host, with free catering available at events with 50+ attendees. For any further questions, please email: rise@mbasa.com.au
Primary Contact
Contact Role
eg. Site Supervisor
Name
First Name
Last Name
Contact Details
Email
Phone
Secondary Contact (optional)
Contact Role
eg. Site Supervisor
Name
First Name
Last Name
Contact Details
Email
Phone
Site Details
Organisation / Company
Site Address
Street Address Line 1
Street Address Line 2
Suburb
State
Post Code
Will a White Card be required to attend your site/location?
*
Yes
No
Will any other certification(s) be required to access your site/location?
*
Yes
No
Please let us know which certification(s) will be required to access your site/location:
Will any Personal Protective Equipment (PPE) be required to access your site/location? (eg. Hard Hat, Hi-Vis Vest)
*
Yes
No
Please let us know which PPE will be required to access your site/location:
Please share basic descriptive information regarding your site:
*
eg. building a new sports centre; or, established office building etc.
Please let us know how the event will be setup so we can plan accordingly:
*
eg. fold-out chairs behind building site, with uneven terrain.
Event Details
Event Date
-
Day
-
Month
Year
Event duration is typically 45 minutes but can be adjusted to suit your needs. Please note- bookings shorter than two weeks notice can not be guaranteed.
Proposed Start Time
Hour Minutes
AM
PM
AM/PM Option
Proposed Finish Time
Hour Minutes
AM
PM
AM/PM Option
Number of Attendees (approx.)
*
Will catering be required? (we cannot guarantee the provision of catering if there are less than 50 attendees)
*
Yes
No
What is your preferred presentation format?
With TV/AV setup (eg. presenter with PowerPoint slides)
Without TV/AV
Other
What would you like to achieve from this presentation?
eg. promote access to a support service for your workforce
If applicable, do you have a preferred RISE Coach to present to your workforce?
Please Select
Anna-Clare Longford
Chris Blowes
Janet Doolan
Litsa Adamou
Luke Trevorrow
Marcus Rigney
Mario McDonagh
Pantelis Fridakis
Paul Campbell
Paul Rogers
Peter Burgoyne
Ray Hodge
Richard Bryant
Rino Pesaturo
Roger Zammit
Ryan Gazzard
Sue Wundenberg
Swan Gessner
*RISE Coach availability is not guaranteed
Any other general information we need to know?
eg. site access instructions, TV/AV setup for presentation
Submit
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