Rail Awareness & Safety Education Application

Face to Face or Online bookings are available*

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

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

If you have any specific requirements for the group, please specify

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 in order of preference and insert desired start times.

Sessions available between 8.30am to 3.30pm Monday to Thursday. We can arrange concurrent sessions (2x Education Officers) for schools requiring more than three sessions.

Sessions available between 8.30am to 3.30pm Monday to Thursday.

Nominate three preferred dates in order of preference

Date One*

Date Two*

Date Three*

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:*

Tell us when your forth session needs to start:*

Tell us when your fifth session needs to start:*

Tell us when your sixth session needs to start:*

Tell us when your seventh session needs to start:*

Tell us when your eighth session needs to start:*

Tell us when your ninth session needs to start:*

Can you provide a single room for each presenter with access to a digital display or projector?*

How did you hear about us?*

Please specify*

Please specify which educator*

Please specify which event*

Please specify who referred you*

Acknowledgement*

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