Carnarvon Horticulture FBRP Expression of Interest

EXPRESSION OF INTEREST FORM

Farm Business Resilience Planning program
Carnarvon:

Register your Expression of Interest below and dates that suit your schedule. The in-person workshops are delivered in two blocks of 2 days. If both dates suit, please select both.

If these dates don’t suit, we invite you to complete the form below to express your interest in potential future Farm Business Resilience Programs.

This program is supported by the Department of Primary Industries and Regional Development, through funding from the Australian Government Future Drought Fund.
Which delivery dates suit you (please select, one or both):

Option 1: 28-29 July and 27-28 AugustOption 2: 6-7 August and 3-4 September
Contact Name*

First NameLast Name
Email*
example@example.com
Phone*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Number of participants from your business who would attend the 2025 FBRP program specifically designed for horticulture, which will be delivered in Carnarvon (venue to be confirmed):
Participant fee is $500 per participant with claimable travel of up to $1000 per participant, based on ATO km travel rates. Both costings are inclusive of GST. CONDITIONS APPLY.
Name- second participant (if applicable)

First NameLast Name
Email- second participant (if applicable)
example@example.com
Phone Number- second participant (if applicable)
Please enter a valid phone number.
Address- second participant (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Describe your current business operation: (e.g. products produced, size of business)
How did you hear about the Farm Business Resilience Planning program?

Industry AssociationValue CreatorsDepartment of Primary Industries and Regional DevelopmentSocial Media (Facebook, Instagram, LinkedIn)Print Media or RadioWord of MouthOther
Value Creators Data Collection Statement

Value Creators respects and is committed to safeguarding the confidentiality and privacy of the information that it collects and handles, in accordance with the Western Australian Privacy and Responsible Information Sharing Act 2024 (PRIS Act).

You have been asked to provide personal information, which is necessary for us to contact you, so that we can provide important information relating to the program delivery, logistics, mentoring and any urgent messaging. You do not have to provide your personal information but if you choose not to, we will not be able to contact you about the Farm Business Resilience Program and other programs.

The information you provide will be accessible to Value Creators and will be treated with the utmost confidence and will only be used to provide a service or program. We will not disclose your personal information to third parties unless:
- authorised or required by law to do so
- you have given us your consent to share your personal information for a specific purpose
- you may request access to the personal information we hold about you
If you want more information about the Western Australia's privacy laws, please refer to the Western Australian Privacy and Responsible Information Sharing Act 2024 via Western Australian Government website https://www.wa.gov.au/government/privacy-and-responsible-information-sharing.
Thank you for expressing interest in the upcoming Horticulture Farm Business Resilience Planning program, organised and delivered by Value Creators.

The Value Creators Team will be in contact with further information.
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EXPRESSION OF INTEREST FORM