Training Application

First Name*

Surname*

Preferred name

Member Number*

Mobile phone

Work Email*

Enter Email Confirm Email

Personal Email

Enter Email Confirm Email

Your department/employer*

Your workplace

Your role*

Have you attended previous union training*

Are you currently a workplace delegate*

Are you a HSR?

Courses Available

Please select course(s) you would like to attend

What language do you speak at home? English or other (specify)

Do you need any special assistance to complete the training?:

If yes, do you have a disability?

If yes, what type of disability do you have?

What support do you need to complete the training?:

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