Training Course Booking

Number of Places Available: 7

Name of Course

Drug and Alcohol Family Support Program

Date & Location of Course

Monday evenings in December December Online via Zoom

Applicant Details

Name *

Phone No *

Email *

Name of Organisation *

Position Held *

Services Provided *

Profile Of Your Target Group *

Organisation Address *

Have You Previously Completed any Drug/Alcohol Training? *

If Yes Please Give Details

What Do You Hope to Learn From This Training? *

Any Other Comments

Enter The Security Code *