R U OK? Hindi Workshop - Expression of Interest

Your name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Postcode

Organisation/School/Community Group*

Position/Role *

E-mail*

Mobile Number*

e.g. 0400 111 111

Please provide details about your proposed venue? (eg are there AV facilities? Can you provide tea/coffee? Would you be interested in this workshop being held remotely or virtually)?

How will your organisation or community group benefit from an R U OK? workshop in Hindi?*

How to you plan to recruit participants for the R U OK? workshop?*

What is the English comprehension level of participants? *

Will your workshop be open to the public (open to everyone) or private (only your clients/members)?

What staff/community leaders will be present? *

What days/times are most suitable to hold the workshop? *

How many people will attend the workshop approx? (min 10 max 20)*

Do you agree to hold this workshop at no cost to participants?*