Required fields are marked *

1. Short Courses

2. Which short courses would you like to study?

   Please select from the list of short courses we offer (you can pick more than one):

   • Wound Management Short Course
   • Mental Health First Aid Short Course

3. Workshops

4. Which work shops would you like to study?

   Please select from the list of work shops we offer (you can pick more than one):

   • Unlock Your CPD Potenial - Workshop
   • CPR - Workshop
   • Basic Emergency Life Support (BELS) - Workshop
   • Annual Nursing Competencies - Workshop
   • Intimacy in Aged Care - Workshop
   • Conservative Sharp Wound Debridement (CSWD) - Workshop
   • Manual Handling - Workshop
   • Dress for Success - Workshop
   • Assist Clients with Medications for Careworkers - Workshop

5. Personal Details

6. Title* Please select Mr Miss Mrs Ms
7. First Name*
8. Surname*
9. Gender* Please select Female Male
10. Date of Birthmust be a date in format YYYY/MM/DD*

11. Contact Details

12. Email*
13. Home Phone*
14. Mobile

15. Postal Address

16. House number/Street*
17. Suburb/Town*
18. Postcode*
19. StateShort courses are currently only held within South Australia.*

20. Acknowledgement and Consent

21. I confirm the information provided by me on this form is true and correct. I acknowledge this information may be used for statistical and quality assurance purposes, and give my consent for this to be provided to appropriate external organisations for such purposes. I acknowledge that my registration is pending until confirmed by the The RDNS Education Centre.