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*

Select the courses you’d like to register for

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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