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1. Name (Required.)

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3. Phone (optional)

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4. Organisation name (Required.)

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6. Where is your organisation based? (Required.)

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7. Are you interested in running the self advocacy training within your own community?

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8. How would you prefer to access training (tick all that apply?)

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9. Would you require funding to access the train the trainer course?

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10. Approximately how many service users would access the training once your organisation had received Train the Trainer training?

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12. Any additional comments?

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