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Masterclass Workshop EOI Form

If you are interested in attending a workshop please register your details below.

First Name
Last Name
Email
Phone
Profession
AHPRA registration number (If relevant):
Select the workshops you are interested in attending (select all that apply) *
MASTERCLASS: Supervising for Ethical Practice in Rural and Remote Settings
MASTERCLASS: Critical Reflection and Planning for Feedback in Supervision
MASTERCLASS: Supervising Higher Degree Provisional Psychologists in a Regional, Rural and Remote Context
MASTERCLASS: Supervising Underperformance and Addressing Conduct/Professional Concerns
FULL TRAINING: Part 2 – Skills Workshop [Please note this is not available until 2020]
Please list what locations you would be interested in *
Live Video Conference (online)
Face-to-face workshop. Please list preferred location
Preferred Location (If selected)

If you are a Psychologist who is completing this workshop to meet Board requirements as a supervisor please list the date you need to complete your workshop by (provided to you by the Board):
Required Date

A Commonwealth funded Department of Rural Health
in collaboration with: