Training Course Registration

Asterisk * indicates a mandatory field.

Training registration form

Application Type

Course Name

Course ID

Course Location

Course Dates

About the requester

Are you sending this request on behalf of someone else?

No, it's for myself

Yes, someone else would attend the training

Your name

Your phone number

Your relationship to the person who would attend the training

About the trainee

Title

First name

Last name

Are you an Aboriginal or Torres Strait Islander person?

Yes

No

I am

Aboriginal

Torres Strait Islander

Trainee contact details

Address

Address 2

Town/Suburb

State

Postal Code

Phone

Email

Emergency contacts

Name

Phone

Your corporation

My corporation's name is

Indigenous Corporation Number (ICN)

My role in the corporation

Access and dietary requirements

Please advise us if you have any mobility issues or dietary requirements

Finally...

Do you have any other comments?

Please note that an application to register for training does not guarantee you a place.