Australian Breastfeeding Association

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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

Qld

Vic

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)? *

Other/comments

Any further comments or questions?

Leave this field blank

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The ABA acknowledges the traditional owners of the Lands known as Australia and wish to pay our respects to their
Elders past, present and emerging. We also acknowledge Aboriginal and Torres Strait Islander women who have breastfed their
babies on Country for more than 60,000 years, and the partners, families and communities who support them.

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The Australian Breastfeeding Association receives funding from the Australian Government.

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Breastfeeding Friendly Workplaces Expression of Interest

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