Expression of Interest to bring the Nuts and Bolts of Sexual Health training to your community
Dates: 21–23 June 2016 OR 28–30 June 2016
Late opportunity - Please submit this EOI as soon as possible!
Please see here for more information about Nuts and Bolts. (Note: The fee for this training will be heavily discounted.)
Please fill in this form with as much detail as you can, to help us to assess how feasible it is to bring Nuts and Bolts to you.
You will need to consult with other key people and organisations in your region. Fill in the whole form (as a Word document or
hard copy) after consulting with the other key agencies in your region, OR fill in the information for your organisation, then
send it on to another key person to add to, and so on, until all agencies have contributed.
If you are not the best person to complete this EOI, please pass it on to someone you think is more appropriate.
If you wish to discuss this further or would like help with your application, please contact Robyn Wansbrough, Manager of
Education and Training, on 08 9227 6177 or [email protected]
Contact person (person applying): _______________________________________________________________________
Organisation: _________________________________________ Position: ______________________________________
Work phone: _______________________ Mobile: _______________________ Email: _____________________________
1. Briefly, why is important for Nuts and Bolts training to come to your region?
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2. Likely participants (Minimum of 12 participants needed for training to go ahead)
Organisation
Participant Name
Role
Phone
Email
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3. Venue: Where could this training take place? A training room large enough for 18-20 people to sit comfortably in a
horseshoe format and move around to work in small groups is required. A second break out room may be required so that
the group can split into male and female groups to discuss specific men’s and women’s business.
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4. Organisational / community support for training
We aim to keep the fee for this training to $100 (usually $395 in Perth).
This training is part-funded by the WA Department of Health. Please consider carefully how much you and your partner
organisations could contribute towards the training (e.g. venue, catering, accommodation) and enter in the table below.
Organisation
Contact Person &
Role
Phone
Email
Send in this Expression of Interest to:
SRHWA Education and Training - Attention: Sonya Arcidiacono
Email: [email protected]
Phone: 9227 6177 Fax: 9227 6871
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Potential contribution to training
Office use only
Date received
___/___/___
Entered on register
___/___/___
Date responded
___/___/___
You will be notified by email or telephone that the EOI has been received
We will contact you within 2 weeks to update you on the progress of this EOI.
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