Training Request Form

Company Name

Existing Customer

Yes

Contact Person

Contact Phone Number

Contact Email

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)

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