Event Title*

Event Organising Body*

Event Start Date*

Event Finish Date*

Event Start Time*

Event Finish Time*

Proposed Duration

Event Venue*

Event Address

Event Convenor*

Event Convenor Phone*

Event Convenor Email Address*

EVENT DESCRIPTION

(please set out here what the proposed event is designed to do and how the desired outcomes will be achieved. Include knowledge and skill development and/or learning outcomes, delivery modes & assessment methods)

PRESENTERS/FACILITATORS/SPEAKERS

(please list here the people who will be presenting material at the event. Include qualifications, profession, specialisation, experience and other relevant information which are relevant to the event outcomes. Please include ATDP facilitators, assessors and other personnel):

General Comments

Please Upload Agenda

Target audience : Compensation Wellbeing Both

COMPLIANCE WITH ATDP CPD STANDARDS

This event complies with ATDP’s standards for CPD event recognition:

Yes No

PRIVACY

• As an External Event Coordinator you will have access to the Name and Email of the people who Register. Please do not use this information for any other purposes other than contacting the advocate to discuss any changes to the specific CPD External Event.

CERTIFICATION  By lodging this application, I certify that the above information and attachments are true and correct and I agree to the privacy statement