LGBTIQA+ Training: Organisation Booking Request Form

Contact name:*

First Last

Name of organisation/community group:*

Please select which pricing tier best suits your organisation*

Address:*

Street Address Address Line 2 City State Postcode

Contact phone:*

Email:*

Enter Email Confirm Email

What has prompted you to request this training?*

What key learning outcomes or topics have been highlighted as high priority for your training?*

Has your organisation received LGBTIQA+ training previously?

Number of participants:*

Roles of participants:

Date for service requested - Preferred Option*

*Please note that due to high demand for this training and availability the facilitator may be required to negotiate an alternative date

Start & Finish Time - Preferred Option*

Date for service requested - Second Option*

Start & Finish Time - Second Option*

Training venue address

Street Address Address Line 2 City State Postcode

If you would like this training held at a venue outside of SHINE SA Woodville, please provide a training address. Please provide any further information regarding this venue such as IT set up, parking or sign-in/security requirements.

Any further comment

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LGBTIQA+ Training: Organisation Booking Request Form

LGBTIQA+ Training: Organisation Booking Request Form

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