Member Protection Information Officer (MPIO) Course Expression of Interest

South West Sport is looking to run Member Protection Information Officer (MPIO) courses for clubs in the coming months. To enable South West Sport to plan and market locations to present the courses; we will require the below information.

Thank you for your time in completing this Expression of Interest.

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* 1. What sporting club are you representing?

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* 2. Which Local Government Area (LGA) area are you located in?

Corangamite

Glenelg

Moyne

Southern Grampians

Warrnambool

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* 3. From the options listed below, which location would you attend?

Camperdown

Hamilton

Portland

Warrnambool

Other (please specify)

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* 4. During the listed times below, when are you available to attend a course?

Early mornings (9:00 am - 12:00 noon)

Midday (12:00 noon – 5:00 pm)

Early evening (5:00 pm - 8:00pm)

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* 5. What day of the week is most preferable?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 6. I am interested in the Member Protection Information Officer (MPIO) course.

Yes

If Yes, please add your contact details below i.e. name, mobile and email to enable the South West Sport team to contact you.