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ยป Breastfeeding Friendly Workplaces Expression of Interest
Breastfeeding Friendly Workplaces Expression of Interest
Who should use this form:
Representative of external organisation
When this form should be used:
To apply for BFW Accreditation Audit or get a quotation on costs
For help with this form contact:
bfwa@breastfeeding.asn.au
Information about you
Name
*
Enter your full name
Position
*
Enter your role or position within the organisation on whose behalf you are submitting this form.
Phone number area code
*
Phone number
*
Email address
*
Enter a contact email address
Information about your organisation
Organisation name
*
Enter the name of the organisation on whose behalf you are filling in this form.
Organisation street address
*
Full street address of the organisation
Organisation postal address (if different from above)
Type of industry
*
Reason for completing this form
Reason
Our organisation is interested in accreditation and would like a quotation on accreditation costs
I am already in contact with BFW and the BFW team have requested I complete this form
Organisation demographics
How many work sites does your organisation have?
*
Which states are they located in?
ACT
NSW
NT
Qld
SA
Vic
WA
Tas
Select one or more states in which your work sites are located
Total number of employees
*
Total number of female employees
*
Number of work sites with 200+ female employees
*
Number of work sites with 100-199 female employees
*
Number of work sites with 50-99 female employees
*
Number of work sites with 21-49 female employees
*
Number of work sites with under 20 female employees
*
Why is your organisation seeking accreditation?
*
How did you hear about BFW accreditation (select all that apply)?
*
Internet search engine
BFW program website
Australian Breastfeeding Association (ABA) website
National Breastfeeding Helpline (ABA)
Employee(s) in your organisation
Another BFW accredited organisation (please provide name below)
LinkedIn
Facebook
Twitter
Instagram
Other (please enter details below)
Other/comments
Any further comments or questions?
Leave this field blank