Opening Doors Registration of Interest
Once you have submitted your form, a member of Tantrum staff will be in contact with you to communicate the next steps in terms of organising Opening Doors in your School/Organisation.
Contact Person
Please provide details of the staff member who we should contact in relation to organising Opening Doors in your School/Organisation.
Name
*
First Name
Last Name
Position
*
Email
*
example@example.com
Contact Phone Number
*
School/Organisation Details
Please provide your School/Organisation's details.
School/Organisation Name
*
School/Organisation Address
*
Street Address
Street Address Line 2
City
State
Post Code
School/Organisation Phone Number
*
Accounts Email (for invoicing purposes)
*
example@example.com
Opening Doors in your School/Organisation
Please let us know your preferences for when you would like Opening Doors in your School/Organisation, participating Year group(s), number of students and options for payment/funding. Please use the notes at the end of the form to provide any other relevant information about your request.
When - Preference for school Term (please select all that apply)
Term 2 2020
Term 3 2020
Term 4 2020
When - Options for school Week (please list a few different options for each Term you selected above)
When - Any preferences regarding day of the week and/or specific times (i.e., morning/afternoon, particular periods, etc.). N.B: Opening Doors is a 90-minute program.
Please include any additional information regarding the above. N.B: Given the scheduling of Opening Doors can depend on a variety of logistical factors, it helps to give us a broad sense of your availability.
Year groups(s) - please select the Year group(s) at your School/Organisation that you would like to participate in the Opening Doors program
Year 9
Year 10
Year 11
Year 12
Other
Estimate of the number of participating students:
*
Payment/funding options - please select all viable options for your School/Organisation (N.B: The standard fee for Opening Doors is $3000 + GST, i.e., $10 - $30 per student for 100-300 students)
Fee-based (full fee paid by school)
Subsidised (subsidised fee paid by school - reliant on additional funding)
Fully-funded (no fee for school - reliant on significant additional funding with a focus on disadvantaged schools with a demonstrated need for the program)
Please include any other additional information regarding the above
Is there any other information about your request that you would like us to know?
Terms & Conditions
I confirm that I hold a position of staff with the authority to authorise the presentation of
Opening Doors
at the stated School/Organisation.
I understand that this form represents a registration of interest only and that confirmation of this request will depend on various factors, including but not limited to interest from other Schools/Organisations, scheduling and any necessary funding.
I have read and accept the Terms & Conditions:
Yes
Submit
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