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Takai atu Takai mai - Coordinated Incident Management System (CIMS) Training Expression of Interest Form
Ngā mihi – thank you for your interest in our Takai atu, Takai mai: Coordinated Incident Management System (CIMS) Training.
This form lets you register your interest in attending one of our upcoming CIMS training sessions. Please note: submitting this form does not confirm your place on the course. The details you share will be used only to help us plan and deliver the training, and to select participants if needed. Your information will be kept private and will not be shared outside the organising team.
We will contact you within two weeks of receiving your registration to confirm whether you have a place and to share the next steps.
If you have any questions, please contact Latasha at tash@matarere.co.nz.
*
1.
Contact Information
(Required.)
Full Name
City or town you live in
Region of Aotearoa
Email Address
Phone Number
2.
What age range are you in?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Prefer not to answer
3.
Your organisation or community group (if any)
4.
Your current role or job title
5.
Your iwi / hapū affiliation (if applicable)
6.
Are you part of a CDEM group, iwi response team, or other emergency response network? If so, please state it below.
7.
Which ethnicity do you most self-identify with (e.g., Māori, Pākehā)?
*
8.
Have you previously completed any CIMS training?
(Required.)
Yes
No
9.
Have you been involved in any emergency responses (including biosecurity responses)?
Yes
No
Other (for details on the response):
10.
What are your expectations for this training? What do you hope to get out of it?
*
11.
What training session are you interested in attending? Note that you can select more than one.
(Required.)
July 22nd & 23rd, 2025 in Wellington
August 20th & 21st, 2025 in Wellington
Rangiora (date TBC)
Te Tau Ihu (date TBC)
*
12.
I am available to attend both full days of training.
(Required.)
Yes
No
13.
Do you have any accessibility needs or learning support requirements? If so, please let us know below.
14.
Do you have any dietary requirements? If so, please indicate all that apply below.
Vegetarian
Vegan
Pescatarian
Gluten free
Dairy free
Nut free
No dietary restrictions
Other (including any allergies you may have):
15.
Do you require travel assistance or accommodation to attend? If so, please let us know below.
16.
Would you like to be added to the Hono Newsletter?
Yes
No
I am already on that mailing list.
17.
Would you like to also register for the Hono Responder/Technician/Supporter Database?
If yes, we will send you a link after receiving your registration.
Yes
No
I am already on that list.
*
18.
I give permission for my information to be stored securely and used to contact me about this training.
(Required.)
Yes
No
19.
Is there anything else you'd like us to know before coming to this training?
Click '
done
' to complete your expression of interest. We will be in touch with you shortly.
