Sapphire Initiative - Book Training & Consultation

1. Organisation Information

Name of Organisation / School / Institution *

Type of Organisation *

School NGO Government Institution Private Organisation Faith-Based Organisation Other

Address

City / State / Country

Website (if any)

2. Contact Person Details

Full Name *

Position / Designation

Phone Number *

Email Address *

Preferred Mode of Communication

Phone Call Email WhatsApp Virtual Meeting

3. Training / Consultation Request

Service Required (select all that apply)

Other (please specify)

4. Proposed Training Topics

Other (please specify)

5. Target Participants

Who will attend the training?

Teachers School Leaders/Administrators Parents/Caregivers Counsellors Support Staff Healthcare Professionals Government Officials NGO Staff

Other (please specify)

Total Number of Participants

6. Training Details

Preferred Training Format

Physical/In-Person Virtual/Online Hybrid

Preferred Duration

Half Day 1 Day 2–3 Days 1 Week Ongoing Support

Preferred Training Dates

Preferred Venue (if physical)

7. Organisational Needs Assessment

Briefly describe the challenges or support needs your organisation is currently experiencing regarding learners with special needs and disabilities:

8. Budget Information

Estimated Budget for Training / Consultation

Below $500 $500 – $1,000 $1,000 – $3,000 $3,000 – $5,000 Above $5,000 Prefer to Discuss

Will the organisation require a formal quotation / proposal?

9. Additional Services

School Inclusion Audit Policy Development Learner Assessment Support Parent Coaching Follow-Up Mentorship Curriculum Adaptation Support Staff Coaching Sessions Monitoring & Evaluation Support

Other (please specify)

10. Additional Information

Any additional information or expectations regarding the training or consultation:

11. Declaration

I confirm that the information provided is accurate to the best of my knowledge.

Full Name

Date

Training & ConsultationRequest Form

1. Organisation Information

2. Contact Person Details

3. Training / Consultation Request

4. Proposed Training Topics

5. Target Participants

6. Training Details

7. Organisational Needs Assessment

8. Budget Information

9. Additional Services

10. Additional Information

11. Declaration

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Training & Consultation
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