Community Awareness Session Request Form

Community Awareness Session Request Form
Diabetes Victoria offers community information and awareness sessions to help people better understand diabetes and connect with relevant programs, services and resources.

If your organisation, community group or workplace would like us to deliver a session, please complete this request form. A member of our Community Awareness Working Group will review your request and contact you if we need more information.

Depending on your needs, we may deliver a presentation, host a stall at your event, provide educational resources or recommend other suitable support. Diabetes Victoria also offers diabetes prevention information sessions, which can be requested here.
- Name
  
  First NameLast Name
- Mobile Number
  Please enter a valid phone number.Format: 0000 000 000.
- Email
- Organisation
  Enter the name of your organisation
- Department / Team
  Enter your department, team or area (if applicable).
- Organisation Type
- Online Summary ID
- Please specify organisation type
- Does your audience include people living with diabetes? (This information helps us tailor the most appropriate presenter, content and resources for your audience.)
- Priority Groups (please select all that apply)
- Other priority groups
- Approximate Number of Participants
  Enter the expected number of attendees.
- Language Requirements
  
  Please provide additional information on language requirements for your session
- Do you require this session to be delivered in-language (by an interpreter or bi-lingual facilitator)
- In what language/s?
- Do you require translated materials and resources
- In what language/s?
- Type of Session/ request (you may select more than one)
- Other session
- Which health professional training
- What would you like attendees to learn from this session?
- Other learning
- Is this event
- Is there a cost associated? (Fee for stall holders)
- Session Location
  Please include venue name, suburb/town, and local government area.
- Venue details - Please provide information about the equipment available at your venue
- Other details
- Preferred Date(s) and Time
  
  Preferred Date(s) and Time - Please provide your preferred date(s) and time. If you have flexibility, include alternative options.
- Enter dates
- Anything else we should know?
  Please include any additional information that may assist us in planning your session (e.g. accessibility needs, parking, event theme, special requests).
- Upload any relevant documents to support your request (optional).
  
  Cancelof
- - Maximum file size: 10 MB
  - Accepted file types: Word, Excel, PowerPoint, PDF, image, video, audio
  - Expo registration form, event flyers, your organisations website link
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Community Awareness Session Request Form

Language Requirements

Preferred Date(s) and Time