Copy of Organising to Win Registration Survey Please complete this survey to register for the 2019 Organising to Win course. Registration deadline: Friday 19 July 2019. Your feedback will feed into our design of the workshop, so we can make the training as relevant to your needs as possible. If you have any queries get in touch with Rachel Deans: Rachel (AT) plantowin.net.au Question Title * 1. Please let us know your contact info for follow up. Name: Organisation/Action Group: State: Email Address: Phone Number: Question Title * 2. Which role best describes your current involvement in organising? I am in a paid role as a community, issue or workplace organiser I am a volunteer organiser working to build power in the community I am a convenor or leader of an action group I am an active member of an action group None of the above but still keen to attend If 'none of the above' please let us know your involvement in social change. Keep it brief! Question Title * 3. What experience have you had in organising? I have experience in having one to one conversations I have experience in managing volunteers and developing their leadership skills I have built an action group I have led an organising campaign I have trained others or mentored them on a one-to-one basis I haven't done these things but I might in the future! If you have trained others what kinds of topics have you covered? Question Title * 4. Have you attended other training about organising? Yes No If Yes, please let us know what training you've attended, and the topics covered. Question Title * 5. What would you like to get out of the course? What would be most useful for your work or activism? Question Title * 6. Can you attend the whole course?Workshop 1: Saturday 17 and Sunday 18 August 2019 Workshop 2: Saturday 14 and Sunday 15 September 2019 Workshop 3: Saturday 19 and Sunday 20 October 2019 Yes No If no, please let us know your movements and we will be in touch to discuss. Question Title * 7. FeesFees are on a sliding scale of $800-$2400 per person for the full course ie $800 for low income individuals/unfunded organisations; $1600 for average waged individuals/medium sized organisations; $2400 for well waged individuals/larger organisations with a solid financial base. We will issue an invoice for your fee or be in touch to discuss options. I will pay the following fee (include amount in the box below) I'd like a Pay the Rent space (free attendance for Aboriginal and Torres Strait Islander participants) Money is a barrier to me attending - please contact me to discuss options I'd like to donate to support attendance by low income activists (include amount in the box below) Fee and donation details Question Title * 8. FoodPlease let us know your food needs (tick as many as apply). Vegetarian Vegan Dairy free Gluten free Please include meat options for me Other (please specify) Question Title * 9. Is there anything else you would like to add, or ask the trainers? Please include any accessibility issues we should be aware of. Thanks for your input! We'll be in touch to confirm your registration soon. No payment needed at this stage, we'll send you an invoice. Done
