Training request form

Please complete the following form to submit a training request:

Has your training request been confirmed by your service’s training coordinator/manager?

Yes No

Details

Name of requester

Job role

Organisation/service

Organisation address

State

Email

Mobile

Client/consumer age group

Is your service a Victorian Area Mental Health & Wellbeing Service?

Yes No

Please note there may be a fee for the delivery of training, if you are not a Victorian Area Mental Health & Wellbeing Service

What services does your organisation provide?

What is your main mode of service delivery?

In Person Video conferencing Telephone Web-based (e.g. online forums/ chats, online counselling?)

Training requirements

What prompted your organisation/service to request the training?

What are your training requirements? I.e., is there a particular topic?

Are there specific questions/issues that you would like the training to address?

What are the disciplines of your staff requiring the training? (E.g., Social workers, psychologists, occupational therapists, psychiatrists, support workers etc.):

Have your staff had any previous training or experience with working with people living with BPD? (Please tick all that apply):

Basic Intermediate Advanced Various

Training delivery details

Mode of deliver

Online Face to face Don't mind

Preferred duration of the training

Preferred day of the week

Preferred time of year

Location of training (if face to face)

Likely number of participants (minimum of 20)

If you have less than 20 participants, please view our education and training calendar, to register your team for a workshop.