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Mindarma and/or QPR – Expression of Interest
Mindarma and/or QPR – Expression of Interest
The information you provide through this EOI will only be used by Healthier Work to administer your access to these training programs.
About you
First name
*
Last name
*
Telephone
*
Email
*
Job Title
*
Will you be the ongoing contact officer for this training (i.e. responsible for distributing the training information to staff and driving uptake)?
*
Yes
No
Please provide the contact officer’s details
First name
*
Last name
*
Telephone
*
Email
*
Job Title
*
About your Organisation/Business
Organisation/Business name
*
Suburb/city
*
State
*
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Please note that Healthier Work can only provide access to this training for ACT based workplaces.
Organisation/Business size
*
Organisation/Business size
Micro (1 to 5)
Small (6 to 19)
Medium (20 to 49)
Large (50 to 199)
Enterprise (200+)
Sector
*
Sector
Private
Public
Not-for-Profit, religious, or community organisation
Something else (please specify)
Sector : Something else
*
Sub Sector
*
Sub Sector
Accommodation and food services
Administrative and support services
Agriculture, forestry & fishing
Arts and recreation services
Construction
Education and training
Electricity, Gas, Water and Waste Services
Health care and social assistance
Information media and telecommunications
Mining
Manufacturing
Professional, scientific and technical services
Public administration and safety
Rental, hiring and real estate services
Retail trade
Transport, postal and warehousing
Wholesale trade
Other services
Training Interest
Please ensure you have undertaken an assessment of staff interest and likely update of this training before completing this form, as places are limited. You can choose to register for one or both training programs, noting that only non-government workplaces are eligible for Mindarma (for up to 30 employees per workplace).
What training are you interested in?
*
Mindarma (mental fitness tool)
Question, Persuade, Refer (suicide prevention training)
For the Mindarma training request, how many employees are ACT based?
*
For the Question, Persuade, Refer (suicide prevention training) training request, how many employees are ACT based?
*
How did you hear about the Mindarma training?
Healthier Work website
Healthier Work social media/e-newsletter
Internet search
Word of mouth
WorkSafe communications/event
Other
How did you hear about this QPR For Business training?
Healthier Work website
Healthier Work social media/e-newsletter
Internet search
Word of mouth
WorkSafe communications/event
Other
If ‘other’, please specify:
If ‘other’, please specify: