A4L Workshop Registration Form
Practice Development Workshop Session
Practitioner Name
*
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Practitioner E-mail
*
example@example.com
Mobile Number
Format: (000) 000-0000.
Organisation Name
Current Job Title
Choose a Course
Please Select
February Workshop
March Workshop
April Workshop
May Workshop
June Workshop
July Workshop
August Workshop
September Workshop
December Workshop
Are you from an SHS Provider
Please Select
Yes
No
Do you have any expectations/goals for the session
Additional Comments
Workshop Agreement
By signing up to the workshop you are agreeing to be on the mailing list for Homelessness Queenslands Events and Newsletters correspondence. You will also allow HQ staff to email you the link for the session you are attending and know that there will be no recording accessible after the session occurs. If you wish to opt out of this at any time, you can email us on info@homelessnessqld.au to advise of change.
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