Registration

To register your interest in the Smoking Cessation Programme, please complete the following form:

Name:
Designation:
Address:
Phone:
Fax:
Email:

Courses available:

Workshop required:

Approximate numbers
who may attend:

Cessation Practitioner Training - Stage 1 Yes
No
Cessation Practitioner Training - Stage 2 Yes
No
Cessation Practitioner Training - Stage 3 Yes
No
Effective Brief Intervention Yes
No
Programme Design Yes
No
Specialised / Customised Training Yes
No
Group Faciliation Skills Yes
No


   

For further information contact:

Jenny Ansley
Cessation Training Co-ordinator 
Ph:      (03) 366 2112
Fax:     (03) 365 3758 		Denise Barlow
National Facilitator
Mob:   (027) 475 9754

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