Responsible Gambling Training Request To book you training, please fill in the form below: Please enable JavaScript in your browser to complete this form.Operator's Name *Contact Person at the venue's name FirstLastContact Person's Email address *Cell Number *Telephone Number *Address of venueAddress Line 1Address Line 2CityState / Province / RegionPostal CodeLevel of training required *Select OptionResponsible Gambling 101 for Licenced OperatorsResponsible Gambling 102 for Licenced OperatorsResponsible Gambling 103 for Licenced OperatorsResponsible for Gambling Regulator EmployeesResponsible Gambling for Public Sector EmployeesResponsible Gambling for Social Workers and Healthcare ProfessionalsResponsible Gambling for EducatorsResponsible Gambling for Religious Groups and Faith Based AdvisorsResponsible Gambling for LPMTraining Offering *Select OptionResponsible Gambling 101Responsible Gambling 102Responsible Gambling 103Gambling RegulatorResponsible Gambling for Healthcare ProfessionalsPublic Sector EmployeeEducatorNumber of employees to be trained *10 - 1515 - 2020 - 2525 - 3035 - 4040 - 4545 - 50Minimum Number 10 and Maximum Number: 50 EmployeesNumber of Training Sessions *OneTwoPreferred time slot/s for training *First-09h00Second – 13h00Request for Virtual or Face-to-face training *Select OptionVirtualFace-to-faceDo you have a training facility?YesNoHow many people does it accommodate? Describe the sitting arrangementBoardroomClassroomCinemaDo you have a flip chart or white board that can be used during training? *YesNoDo you have a projector for facilitators use? *YesNoPlease indicate any special need requirements for your learnersNoneHearing ImpairmentVision ImpairmentPhysical ImpairmentBriefly explain what is required to assist the learner during training.Own deviceSelect OptionYesNoPlease indicate if each learner will have own laptop or smart phone or if session will be done using one laptop and projected onto screenDo you have access to Microsoft Teams For interactions with the facilitators.YesNoPlease indicate if each learner will have own laptop or smart phone or if session will be done using one laptop and projected onto screenContact PersonFirstLastContact NumberContact Person's EmailPlease provide 1st preferred date *DateTimePlease provide 2nd preferred date *DateTimePlease provide 3rd preferred date *DateTimeTerms and Conditions *• I understand that the information as provided above will be used for the arranging of training sessions. Should amendments be required I agree to notify the SARGF as soon as possible. Cancellation of training sessions must be done at least two working (week) days in advance of the training session. Failure to do so may result in fruitless and wasteful expenditure incurred being recouped from the operator. I agree to the abovementioned terms and conditions in terms of the arrangements for training as facilitated by the SARGF.POPIA Consent *• By clicking here, I hereby consent to the following: I acknowledge that the South African Responsible Gambling Foundation (“SARGF”) will process my personal information in terms of the Protection of Personal Information Act, No. 4 of 2013 (“POPIA”). I hereby consent to the SARGF processing my personal information as it appears on this form for the purposes of its internal reporting and reporting to my employer. I further acknowledge that the SARGF may share personal information with other regulatory bodies and agree that my consent extends to include such sharing. In terms of POPIA, the SARGF is obligated to provide you with certain information relating to the processing of your personal information at the time we collect it from you. We therefore advise as follows: We are required to process your personal information to fulfil our regulatory mandate. Any such personal information is provided by you on a voluntary basis. If you do not provide us with your personal information, it may prevent us from fulfilling our legal obligations in terms of applicable legislation. You have the right to request access to and correction of your personal information as well as to object to the processing of your personal information. We will delete or de-identify personal information that it has collected from you if it is no longer required to be retained. You have a right to lodge a complaint with the Information Regulator via email at POPIAComplaints@inforegulator.org.za. Our processing of personal information will be in line with applicable legislation including POPIA.Email Submit
