Voices Vic Training Registration

Your name and contact information

First name *
Last name *
Organisation (if applicable)
Telephone *
Email *
Confirm Email *

Your address

Address line 1 *
Address line 2
Suburb *
Postcode
State *

Training Registraion

Please select the course/s you wish to attend.
2011 Training & Events *
 19 JUL & 23 AUG: Transforming Lived Experience into Expertise. Facilitator: Indigo Daya (Waged consumers $120; Unwaged consumers $30) 
 9 AUG: Intro to the Hearing Voices Approach & Facilitating Groups. Facilitators: Voices Vic Team. (Full fee $180; Students/Carers $60; Consumers $30) 
 15 SEP: International Hearing Voices Day - Special Event (Full fee $20; Students/Carers $10; Consumers $5) 
 17 OCT: Working with Spirituality and Voices. Facilitator: Brendan Burton (Full fee $180; Students/Carers $60; Consumers $30) 
Payment rate
Please select the option
that applies to you
 Full fee 
 Student or Carer 
 Waged consumer / voice hearer 
 Unwaged consumer / voice hearer 
Preferred Payment Method *
 EFT Direct Deposit (details below)  
 Credit card 
 Cheque 
 Cash (details below) 
 Other 

You will be sent a tax invoice by email within the next 5 working days.

EFT PAYMENTS:
Bank: National Australia Bank Account name: Prahran Mission
BSB: 083 427 Account No: 01-794-8981
Note: Voices Vic Training & your name

CASH PAYMENTS:
To confirm your place, please pay at Prahran Mission Reception, 3/211 Chapel St, Prahran, at least 7 days before course.

About You (optional section)

We are interested in knowing more about who attends our training - it helps us tailor our courses and seek funding. Please be assured that all information you give us is confidential.
Your experience
(Please select all that
apply to you.)
 Social Worker 
 Nurse 
 Counsellor 
 Psychologist 
 Key Worker 
 Welfare/Disability Worker 
 Student 
 Carer/Family 
 Psychiatrist 
 Occupational Therapist 
 Art Therapist 
 GP 
 Peer Support Worker 
 Expert by Lived Experience / Consumer 
Your location
Please tell us your goals for attending this training.

Thank You

Thank you for your registration. Please contact us if you do not receive an email confirmation within 5 working days.

If you have any enquiries, please contact us on 03 9692 9500.

BE SURE TO PRESS THE 'SUBMIT REGISTRATION' BUTTON BELOW.
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