Nexus Workforce Enhancement Form Question Title * 1. Your details Name of requester Job role Organisation Email Phone Whilst our work is mainly with state funded mental health services and alcohol and other drug services, we do provide fee based services to other organisations. Question Title * Are you working in a state funded mental health service or alcohol and other drug service? Yes No If Yes, what is the name and location of your service Question Title * What is the key issue you want to address? 2. Type of Workforce Enhancement Question Title * Brief description of the workforce enhancement required and the learning outcomes. Question Title * Preferred delivery parameters mode of delivery duration - hours / days time of day day of the week time of year number of participants disciplines previous Dual Diagnosis training Please note that there may be a fee for the delivery of some Nexus work. Done