CD EOI

The Benchmarque Group have created this form to capture interest from organisations to support the work-shop components of the following programs for delivery in 2022:

Chronic Disease Care Planning
Chronic Disease Conditions and Nutrition
Chronic Conditions of the Foot

Applicant Details

First Name*

Last Name*

Position*

Organisation Name*

Email Address:*

Postcode*

On behalf of my organisation, I would like to apply for the following allocation of workshops to be delivered:*

1 x Chronic Disease Care Planning, 1 x Chronic Disease Conditions and Nutrition, 1 x Chronic Conditions of the Foot 2 x Chronic Disease Care Planning, 2 x Chronic Disease Conditions and Nutrition, 2 x Chronic Conditions of the Foot 3 x Chronic Disease Care Planning, 3 x Chronic Disease Conditions and Nutrition, 3 x Chronic Conditions of the Foot 4 x Chronic Disease Care Planning, 4 x Chronic Disease Conditions and Nutrition, 4 x Chronic Conditions of the Foot

Other:

Please select one

Our organisation is able to support workshop delivery through the provision of the following: (CHECK BOXES)*

Venue and Catering Venue only None of the above

Please select one

Promotion

The booking organisation will be responsible for promotion of the course and ensuring that minimum enrolment numbers are met. The Benchmarque Group will provide promotional support in form of a registration flyer and, if requested, public listing of the program(s) on its website and mailing list. All students must register directly with accessIQ, The Benchmarque Group’s preferred online registration system.

I agree*

Yes No

Cancellation

To deliver these workshops a minimum of 12 registrations are required. If the booking organisation does not meet the minimum attendance numbers 4 weeks prior to the program(s), the program(s) will be cancelled. It is an expectation that the program(s) reaches the agreed minimum at 4 weeks.

I agree*

Yes No

Registration is not reliant on your agreement to share this information.