WORKSHOP REQUEST / CONSULTATION FORM
Contact Date
*
/
Day
/
Month
Year
Date
Workshop / Course / Qualification
Business name
*
Workshop location (address)
*
Primary contact
*
Position
Email
*
Contact phone number
*
Client status
*
New
Existing
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WORKSHOP PREFERENCES
Times most suited to meet your needs
*
Normal business hours session
After-hours session
Saturday session
*
Full day
Half day
Time preference
*
Month/s looking to hold session
*
Layout preference
*
One off session
Sessions held once per week for a number of weeks
Sessions clustered together / Round Robin
Other
Topics you would like covered
*
Certificate
*
Nationally Recognised Unit of Competency
Statement of attendance
Approx. number of attendees
*
5-9
10-19
20-29
30+
Payment options
*
Attendee pays
Employer pays
LDCPDP (employer)
Unsure
If you were to send staff to a full day conference style PD event what day would be most suitable?
*
Weekday
Saturday
Sunday
I would not send any staff to this
Notes
Would you like to receive a quote based on this information?
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Yes
No
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