Organisation Model Application Form

Organisation Model Application

1. Name of person completing this form(Required)

First Last

2. Role of person completing this form(Required)

3. Name of organisation(Required)

4. Organisation ABN(Required)

5. Organisation mailing address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

6. Name of contact person within organisation(Required)

First Last

7. Role of contact person(Required)

8. Email address of contact person(Required)

9. Phone number of contact person(Required)

10. Names of all KWS presenter within organisation(Required)

Please write each presenter's name separated by a comma.

11. Are all presenters current members of Key Word Sign Australia?(Required)

Yes

Unsure

Other

12. Who are the participants of your KWS workshops?(Required)

E.g. Staff, clients / customers of your organisation

13. How many people do you anticipate training in KWS, in total, within a 12 month period?(Required)

A minimum of 50 participants must be trained to be eligible for this model.

14. How many people do you anticipate training using the 'Blended Workshop' format?(Required)

These workshops include access to a self-paced elearning module and a 5 hr practical session that can be delivered online or face to face.

15. How many people do you anticipate training using the 'Full Day Workshop' format?(Required)

These workshops are 7 hrs in duration and can be delivered online or face to face, in a single day or over split sessions.

16. Will you be charging participants any amount to attend the the KWS workshops delivered by your organisation?(Required)

Yes

Other

Workshops delivered under an Organisation Model should be free (or cost recovery only).

17. If you will be charging participants, what will this cost cover?

18. Add further details about KWS workshops in your organisation.

This question is optional.