Information Agreed to have Published (as outlined Below)

To ensure that we comply with the Federal Privacy Act, we are seeking your written permission to publish your name, contact information and photo (where appropriate) on the Glasser Australia Website. If you are an Instructor or Practicum Supervisor your name and contact information would be published to provide information to potential trainees seeking training in Choice Theory, Reality Therapy and Lead Management. If you are a contact person for those potentially seeking training, the published information would be for those persons to contact you to arrange training. If you are a Board Member or Regional Coordinator, published information would serve the purpose of providing a point of contact for persons to contact you so that you may carry out your role of serving their needs in your official capacity.
Name
Address