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* 1. What is your name?

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* 2. What is your organisation?

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* 3. What is your mobile number?

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* 4. What is your landline phone number?

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* 5. Please provide your email address

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* 6. Please repeat your email address

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* 7. What learning experiences do you want to share or exchange?

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* 8. Does your organisation have training events planned that you can open up to other agencies?  If yes, please provide details including the topic, trainers, location, cost etc.

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* 9. What is the location of your shared training or learning opportunity?

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* 10. Please indicate the region you prefer training events to be located in:

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* 11. Please indicate if you have permission from your organisation to offer and advertise this opportunity?

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