Rail Awareness & Safety Education Application

Your organisation's name*

Your organisation's address*

Name of contact person*

Contact person's telephone number*

Contact person's email address*

Your organisation type*

Select the year level(s) you'd like sessions for*

Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 6 "independent travel" Term 4 only

Can you provide access to a minimum of six laptops/tables and the PTV app/website?*

Please indicate your group type*

Please specify your group type*

Please indicate your education type?*

Please specify your education type*

Please select your session type*

More information on session types

I require remote learning sessions*

If relevant, advise any specific requirements for the group

Note: Primary school sessions have a maximum of 30 participants

Number of participants*

Select the number of sessions you require*

Nominate three preferred session dates and start times in order of preference

Nominate three preferred dates in order of preference

Date One*

Date Two*

Date Three*

Sessions available between 9:45am to 1:30pm.

Tell us when your session needs to start:*

Do you require more than one session? If so, we will contact you to confirm your requirements.*

Sessions available between 9:45am to 1:30pm. We can arrange concurrent sessions (2x Education Officers) for schools requiring more than three sessions.

Do you require concurrent sessions (more than 3 sessions)?*

Yes
No

Please record your school session times below.

Tell us when your first session needs to start:*

Tell us when your second session needs to start:*

Tell us when your third session needs to start:*

Sessions run between 50-60 minutes.

Can you provide a single room for each presenter with access to a computer and IWB/projector*

How did you hear about us?*

Please specify*

*

I acknowledge classroom teachers or organisation representatives are responsible for classroom management.

Rail Awareness & Safety Education Application

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