USE | Hindmarsh Shire Council

Please complete the following booking form for your workshop taking place on the 9 & 10 October 2018.
Everything you tell us is confidential and is only collected for administration, funder reporting and to make sure you get the best experience from your program.

Your Details
Please add your title

Please add your name

Please add your surname

Please add your gender

On occasions this information is required by our funders

Date of Birth(*)
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Your Role (*)
Please add in your job role

Please add your organisation

Please give us the title of the organisation you work for

Work Address(*)
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Town or City
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Please add an active phone number so we can contact you with information about your course

Please add your email address so we can contact you with information about your course

Organisation's focus
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Organisation's Sector
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Additional Details
Additional Requirements
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For example, if you have any dietary needs, require study support or wheelchair access

Would you like to receive our e-news?
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Photograph Consent(*)
Please indicate if you are willing to give your consent to being photographed

Pre-Workshop Questions
How much experience of this subject have you had previously?
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What do you hope to gain from this workshop?
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What impact do you hope this will have on your organisation?
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Social Enterprise in Schools