Puataunofo workshop request form

Fill out this form if you are requesting a Puataunofo workshop at your workplace.

Currently due to demand we are scheduling workshops approximately 6 weeks out from the date a request is received.

1. Contact information

Name of person requesting this workshop: (required)

Job Title:

Company and location: (required)

Describe the industry you're in: (required)

Email address: (required)

Phone number:

2. Workshop information

Approximately how many people will be attending? (required)

Describe the audience of the workshop: (required)

For example: what is their approximate age range, what is their ethnic background, what languages do the speak and what is their level of health and safety knowledge.

What would you like to gain from this workshop? (required)