Training and Coaching Social Worker Contract Form

Name

First

Last

Email

Cell number

Your registration number with SACSSP:

Member of SAASWIPP | The South African Association of Social Workers

Yes
No

Member of the SAOSWF

Yes
No

Member of Palcare

Yes
No

Organization and current position

Years of experience

Reason for wanting to attend /Learning needs / Supervision needs:

Choose the date of the training sessions you want to attend.

8 Oct to 19 Nov 2024 (Tuesdays 4pm to 6pm)

For individual coaching session please provide me with 3 alternative Wednesdays (dates and time between 3pm and 6pm), that will suit you and I will confirm the time ASAP.

A conformation email will be sent.