AWC Advocacy Workshops Online Nomination Form

Nomination Form

Free Advocacy Training Workshops

Presented by the Australian Women's Coalition with the support of Zonta International District 24 and the Australian Medical Association.

Workshop facilitator: Public Interest Advocacy Centre (PIAC)

* Please complete both of the sections below then submit the form to AWC by clicking on the 'nominate' button at the bottom of the form. Please note nominations close 7 days before each workshop.

SECTION 1

This part of the nomination form asks for contact information about the person nominating to attend the training. AWC will use the information to process applications and contact nominees to confirm their attendance at the preferred training session.

NOMINEE'S FIRST NAME

NOMINEE'S SURNAME

NOMINEE'S POSITION IN ORGANISATION

NOMINEE'S CONTACT DETAILS PHONE (please include area code) EMAIL

PREFERRED TRAINING DATE/LOCATION

Please nominate the preferred training date and location from the list provided

Melbourne: Sat 5 December 2009 (8:30am - 4:45pm)
AMA, 293 Royal Parade, Parkville, VIC
Melbourne: Fri 4 December 2009 (Closed)
Brisbane: Thurs 10 December 2009 (Closed)
Sydney: Sat 17 October 2009 (Closed)
Sydney: Mon 26 October 2009 (Closed)
Sydney: Fri 13 November 2009 (Closed)
Sydney: Sat 21 November 2009 (Closed)
Adelaide: Mon 9th November 2009 (Closed)
Canberra: Tues 1 December 2009 (Closed)

SPECIAL REQUIREMENTS EG DIETARY, DISABILITY

SECTION 2

This part of the nomination form asks for information about the organisation making the nomination. Please complete this section.

NAME OF NOMINATING ORGANISATION

ORGANISATION CONTACT DETAILS PHONE (please include area code) EMAIL

ORGANISATION WEBSITE ADDRESS

ORGANISATION PROFILE

Please give a short description of the work carried out by the organisation (limit 250 words)

ADVOCACY ISSUES

Please give a short description of the advocacy issues your organisation deals with (limit 250 words)

AFFILIATION

Yes No

Is your organisation a member of any of the four national women's alliances?

If yes, please indicate which one you are a member of
Australian Women’s Coalition
National Rural Women’s Coalition
S4W
WomenSpeak

Privacy Statement

If you wish to know about the use and collection of your information, please read our Privacy Statement

Do you have questions or comments about the material available on this website?

If so, please email administration@awcaus.org.au or view our Contact Us page for more options.