Trainer register – ACSA Learning and PD

Name

First Last

Mobile Ph*

Email*

State

Postcode*

What can you deliver?*

What qualifications do you have?*

What is your hourly rate?

What is your daily rate?

What is your development rate?

Additional costs

Item	Cost

Are you happy to travel?*

To which states are you willing to travel?

You can pick more than one

Short Bio*

Please upload your CV.*