eLearning Registration Form

eLearning Course name: Please select your courseAlcohol and Drug AwarenessBullying and HarassmentCode of ConductEEO AwarenessPrivacyWorkplace Health & SafetyWHS Contractor ManagementIntroduction to Local Government
Code of Conduct Privacy EEO Awareness Bullying and Harassment Alcohol and Drug Awareness
Workplace Health & Safety WHS Contractor Management Introduction to Local Government
How many staff would you like to register? / Purchase order:
Contact Person:
Job Title:
Council/Organisation:
Contact Phone:
Contact Email:
Date:
Does council have an in-house Learning Management System (LMS)? / Please select Y/NYesNo
If you answered ‘yes’ please email LGNSW Learning Solutions for a quote
If council does not have an in-house LMS please complete the form below.

Your investment

Number of staff / Discount % / Price per head ex GST / Total cost ex GST
1-9 / 0 / $40
10-19 / 10 / $36
20-49 / 15 / $34
50-99 / 20 / $32
100-250 / 25 / $30
Over 250 / Significant discounts apply / Please contact Learning Solutions for a quote
Participants Name and Email:
Name / Email / Male/Female
For additional staff please send participants details in an excel spreadsheet.

Please read the information below

ENROLMENT PROCEDURE / CONDITIONS

o  Participant(s) will be issued with login details within 5 working days of receipt of the email addresses.

o  LGNSW Learning Solutions reserves the right to make changes to the program at any time.

o  Invoicing will be made on a monthly basis.

o  Please advise if payment is to be made by credit card.

CANCELLATION/REFUND POLICY

If the eLearning course is cancelled for a reason over which LGNSW Learning Solutions has no control, our liability is limited to the program fee only.

Return the completed form to:

If you have any questions or we can be of further help please contact LGNSW Learning Solutions on (02) 9242 4004.

Privacy Statement: Local Government NSW respects your privacy and strictly controls the use of personal information