Individual Supervision Application Form

We’d love to hear from you! Please fill out the form below and our team will get in touch shortly.

For Further Information

Please Contact
Lyndall Briggs
Phone Number: 0402 223 350
Email: info@sydneysupervisiontraining.com

Applicant Details

First

Last

Address

Phone

Confirm Email

Professional Memberships: ACA / PACFA / OTHER

ACA
PACFA
OTHER

If you selected 'ACA,' 'PACFA,' or 'Other,' please provide your membership number.

Current Employer or Self-Employed:

Current Employer
Self-Employed

If you selected 'Current Employer' or 'Self-Employed,' please provide your business name.

Qualifications:

Notes for invoicing or payment details (the invoice will be issued once the completed registration form has been received).

Refund Policy and Information:

A refund of 75% of your payment if requested 14 days before the booked workshop. 50% of payment for refund requests prior to 24 hours before the workshop with no refunds within 24 hours or after the workshop. If you foresee an issue with your attendance, get in touch early so something can be negotiated. Further details: spaces for each workshop are limited and will be allocated on a first-come, first- served basis, subject to the discretion of the course provider. If in the event that a course needs to be rescheduled (e.g., due to facilitator illness or fewer than three attendees), we will communicate with all participants to find a mutually respectful solution that considers everyone’s time and circumstances We are thrilled to have you join us for this training! Venue: 64 Shaw Street, Kingsgrove, Sydney, NSW 2208 For more information, please contact: Lyndall Briggs 0402 223 350 info@sydneysupervisiontraining.com https://www.sydneysupervisiontraining.com

Information details Qualifications:

Information

Requests to reschedule will be accommodated where possible, subject to availability and course scheduling. While we will make every effort to support reasonable request, changes cannot be guaranteed.