OfAW Information session request form

Your details

Please provide appropriate contact details so we can follow up your request.

Name *

Organisation / Community group

Role

Email *

Phone

What would you like?

Information stall to be setup and staffed for an eventDeliver a presentation / information sessionBoth an information stall and presentation session

Information Stall

An Office for Ageing Well staff member will run a stall, offering information, handouts, resources. Event organisers will be required to provide the stall.

Name of event

Start date and time of eventThe start date must be a minimum of 3 weeks from the time of submission

End date and time of event

Presentation / Information session

Office for Ageing Well will arrange a presenter and, if needed, a subject matter expert, along with presentation materials. Where the information session is in-person, the organiser must also provide any necessary audio/visual technology.

Preferred date and time 1The date must be a minimum of 3 weeks from the time of submission

Preferred date and time 2The date must be a minimum of 3 weeks from the time of submission

Other

How long would you like the information session to be?

30 minutes1 hourOther

Please advise the amount of time requiredOne of our team will contact you to confirm if the requested time is possible.

How would you like the information session to be delivered?

OnlineIn-person

Please provide a link to the online eventIf you do not have an online event link at this time, please reply 'no'. The Office for Ageing Well will contact you and collect the link when confirming your booking.

Address of event

Street address

City

State

Postcode

Is there parking available?

YesNo

Additional information

Event contact

Please provide details of the person who will be available on the day of the event.

Event contact *

Event contact email *

Event contact phone *

Pre-recorded presentation

Office for Ageing Well will arrange a presenter and, if needed, a subject matter expert, along with presentation materials. Where the information session is in-person, the organiser must also provide any necessary audio/visual technology.

What is the focus of the pre-recorded presentation?

Other

Would you like a speaker to participate in a Q&A after the pre-recorded presentation?

YesNo

Preferred date and time 1 (pre-recoreded)The date must be a minimum of 3 weeks from the time of submission

Preferred date and time 2 (pre-recoreded)The date must be a minimum of 3 weeks from the time of submission

Event participants

Please provide as much details regarding the audience of your event to help us best understand and prepare.

Approximately how many are expected to attend the event?

Please specify professionals

Please describe

Additional comments / information *