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Training Request Form
Training Request Form
Company Name
Existing Customer
Yes
No
Contact Person
Contact Phone Number
Contact Email
Training Details
Course(s) Required
10440NAT Course in On-site Drug and Alcohol Testing
Reasonable Cause Training
Alcohol Breathalyser Training (nominate device in comments below)
Employee Awareness & Education ("How Drugs Affect Your Health & Safety")
Other Training (identify in comments below)
Drug testing education focus
Oral Fluid
Urine
Venue Details
Venue Address
Number of Attendees
Preferred Date
Preferred Time
Venue Address 2 (if required)
Number of Attendees
Preferred Date
Preferred Time
Venue Technology (check all available)
Mains Power
Laptop
Projection Screen
Digital Projector
VGA Connection
HDMI Connection
Venue Facilities (check all available)
Adequate lighting
Air conditioning/climate control
Catering - provision of refreshments available
Toilet access - male, female and disabled
Emergency plans & clearly marked fire exits
Disabled access
Parking
Seated break areas
Comments
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