Refuel

CONTACT

Activity provider *

Contact name *

Mailing address *

Postcode *

Email *

ABN *

Telephone *

Mobile

Fax

Website

ACTIVITY

Activity title *

Background of activity provider (brief history) *

Content of activity (attach documents if possible) * (max. file size 4 MB)

Content delivery method *

(if other please specify)

Learning outcomes (minimum 4) *

Relevance to architects / architecture industry *

Category of provider network *

Author and/or facilitator name *

Short biography of author and/or facilitator (attach documents if possible) * (max. file size 4 MB)

ASSESSMENT

ACAA National Competency Standard * www.aaca.org.au

Level and type of participant interaction *

Method of evaluation of activity

EVENT

Number of participants (enter numbers only) Unlimited N/A

Expected activity duration *

Proposed date(s)

Proposed time(s)

Activity venue

Cost to participants *

Benefit / discount to Institute members? * YesNo

(if yes please specify)

The Australian Institute of Architects requests the providers wishing to have their activities recognised with the Institute complete this form and provide information regarding the activity. All details provided to the Institute will be used strictly for the purposes of assesment, recognition and promotion. Any further use of the information supplied will be subsequent to approval by the provider organisation. The Institue may request additional information at any time at it's discretion. For further information or enquiries please contact the Instute on (08) 8620 3877.