Express your Interest - DFSV Training

1.

What is the name of your practice?

* required

Maximum 255 characters

0/255

2.

Who is the best contact person at your organisation (please provide name and contact details).

* required

Please provide name, email and phone number

3.

Preferred method of contact:

* required

Phone

Email

4.

Where is your practice located?

* required

5.

How many staff does your practice have including GP's, Nurses, Admin, Allied Health?

* required

6.

Please select which training you would like Three 1.5-hour sessions cover case studies, eliminating need for Applied Practical Workshop.

Domestic Family Violence 1 hour

Sexual Violence 1 hour

Child Sexual Abuse 1 hour

Applied Practical Workshop (Case study relating to DFV, CSA & SV) 1 hour

Domestic Family Violence 1.5 hour

Sexual Violence 1.5 hour

Child Sexual Abuse 1.5 Hour

Please tick all options that apply. Keep in mind that the training is designed to be attended 1-4. If you have already completed DFV training at an earlier date please select only what you have not completed

7.

Training preference:

* required

Online

Face-to-face

8.

What Technology is available within your Practice for the trainer on the day? e.g Data projector, Smart screen, HDMI Cord.

* required

9.

Please select which days are suitable for your practice

* required

Monday

Tuesday

Wedneday

Thursday

Friday

Saturday

10.

What time of day works best

* required

Before opening time (7.30am - 9.00am)

Morning (9AM - 12.00pm)

Lunch time (12.00pm - 2.30pm)

Afternoon (2.30pm - 5.30pm)

After Hours (5.30pm-8.30pm)

Other (please specify)

11.

Do you have a specific date or month you would like to begin training?

* required