Expression of Interest - CAN Hazards Training Question Title * 1. Full name Question Title * 2. Job title Question Title * 3. Organisation Question Title * 4. Email address Question Title * 5. Is the organisation you work for/volunteer at: A national museum A National Portfolio Organisation A museum (Excluding national museum or National Portfolio Organisation) within ACE Accreditation Scheme Are you also a National Trust or English Heritage Site A non-Accredited site A Sector support Organisation Other (please specify) Question Title * 6. Are you: Paid Voluntary Freelance Trustee Trainee Student Comments Question Title * 7. On a scale of 1 to 5 what would you consider your current level of experience in this topic? Novice - no experience Advanced beginner - would like to learn more Competent - need increased understanding Proficient - would like a wider range of experience Very experienced- would like to expand knowledge and refresh Please use this space for comments: Question Title * 8. Please describe how this training benefits your role and your organisation? (no more than 50 words) Question Title * 9. We would like to contact attendees in the future, to support long-range evaluation of the North East Museum Development Programme. Are you happy for us to do this? Yes No Done