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Educational event support request form
Educational event support request form
NQPHN aims to provide support for educational events in alignment with the
Strategic Plan
, and the
Health Needs Assessment Key Priorities Summary 2022-24
. Requests must be in alignment with the Strategic Plan or HNA Key Priorities Summary as minimum criteria to progress further.
Please complete all sections of this form for your educational event support request to be reviewed by the NQPHN Primary Care Workforce Development (PCWD) team.
Before you complete this request, could the following information help:
Have you checked out our
training and webinar library
or our
resource library
?
To upload an event, please submit requests through NQPHN’s
events calendar
.
Contact details
First name
Last name
Organisation
Email address
Phone number
Location (Hospital and Health Service area)
-- Cairns and Hinterland HHS
-- Mackay HHS
-- Torres and Cape HHS
-- Townsville HHS
Educational event support request details
Proposed education focus/area
Proposed timeframe
-- Qtr 1 (Jan-Mar)
-- Qtr 2 (Apr-Jun)
-- Qtr 3 (Jul-Sep)
-- Qtr 4 (Oct-Dec)
Proposed location
-- Torres and Cape region
-- Cairns and Hinterland region
-- Townsville region
-- Mackay region
-- Online
-- Other
Mode of delivery
-- In-person
-- Online
-- Either (flexible - can be either online or in-person)
What is the best way to deliver this education?
Proposed target audience
(e.g. general practitioners, aged care providers, nurses, practice administration staff, tender applicants, allied health professionals)
Which NQPHN health priority area(s) does your request relate to?
-- First Nations Health
-- GPs and Other Primary Care Providers
-- Mental Health and Alcohol and Other Drugs
-- Population Health Priorities
-- System Integration
Support required
Details of support required
-- Develop flyer
-- Create registration link / monitor registrations
-- Venue hire
-- Catering order
-- Create evaluation link / monitor registrations
-- Develop and distribute certificates
-- Other
Enter other…
Do you require CPD accreditation for this educational event?
-- Yes
-- No
Please note - CPD accreditation application information is required to be submitted 4-6 weeks prior to events
Do you require funding/budget for this educational event?
-- Yes
-- No
Please note - budget requests and requirements will be assessed on a case-by-case basis.
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