CBRN Academy Course Request

1. Requester & Point of Contact:

Name

Organization

Position

Contact Email

Contact Phone

Location /Time Zone

Have we signed an NDA with your organization?

Yes

No

Unsure

2. Partner & Sponsoring Entity:

Organisation Name

Country & Location

Type

GOVERNMENT

MILITARY

PRIVATE SECTOR

CIVILIAN

Role in the Training Request

END USER

FUNDER

INTERMEDIARY

Is this training request a part of a larger capability development programme?

Yes

No

3. End User Details:

Unit / Department

Number of Participants

Are participants from the same unit or mixed across different units/departments?

Participants’ Current Responsibilities in CBRN Operations:

Participants’ Level of Experience:

BEGINNER

INTERMEDIATE

ADVANCED

Academic / Professional Qualifications Relevant to Training:

4. Course Details & Objectives:

Specific Course(s) Required:

Training Objectives – What do you aim to achieve with this course?

Are there specific threats, challenges, or scenarios you need addressed?

Required Course Level

BEGINNER

INTERMEDIATE

ADVANCED

CUSTOMISED

Ideal balance between Theoretical & Practical training (e.g., 50% Theory, 50% Practical):

Specific Certifications Required:

5. Training Delivery & Logistics:

Preferred Training Location:

CLIENT’S FACILITY

CBRN Academy TRAINING CENTRE

OTHER

Estimated Training Date (Month/Year):

Duration of Training (Days/Weeks):

Estimated Training Date (Month/Year):

Daily Training Hours:

Preferred Training Language:

6. Course Content & Practical Training Requirements:

What real-life scenarios should be included in training (e.g., chemical spill response, decontamination, mass casualty events, radiation emergencies)?

What type of practical training do you require (Simulations / Hands-on with Equipment / Live-Agent Training)?

Are there specific CBRN incidents your team has previously dealt with?

Should we incorporate a field exercise or tabletop exercise?

Do participants have prior experience with CBRN PPE, detection devices, and decontamination procedures?

7.Equipment & Training Materials:

Does your organisation possess any CBRN equipment for training purposes? (Yes/No – specify type):

Do participants have personal CBRN protective gear?

Yes

No

Should CBRN Academy provide all necessary training equipment?

Yes

No

Are there specific detection, protection, or decontamination tools you need training on?

Should course materials be digital, printed, or both?

8. Financial & Contractual Details:

Is there a set budget for this training? (Yes/No – specify range if applicable):

Will accommodation and travel costs be covered by the requester?

Yes

No

Should we provide accommodation and logistics support?

Yes

No

Is this training part of a long- term contract or a one-time engagement?

9. Additional Considerations & Information:

Are there specific regulations or compliance requirements we need to follow?

Are there any cultural, security, or sensitivity considerations?

Any other specific requirements not covered above?

Request a Tailored CBRN Training Programme