SHORT COURSE BOOKING FORM - Health and Safety Representative

HEALTH AND SAFETY REPRESENTATIVE TRAINING BOOKING FORM - (Short Course)
The HSR course runs for 5-days (9:00 to 4:30) and it has been developed for newly elected Health and Safety Representatives in WA who have not previously attended an approved training

Participant Details
Full Name
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Contact Email
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Contact Phone
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Employer/Company Name
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Position/Title
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Are you currently a Health and Safety Representative in your workplace?
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If yes, what date did you commence this role?
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Are you a CCIWA Member?
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If yes, please provide your Membership Number to apply for the member discount price
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Course Details

  Health and Safety Representative Training: 5 Day course
This 5-Day course is designed to provide initial training for health and safety representatives (HSRs) and deputies to be able to exercise all their powers and perform all their functions in these roles.
All elected Health and Safety Representatives (and deputies) should attend an accredited introductory training course within 3 months of being elected.
Training Venue: CCIWA, Level 5, 235 St Georges Terrace, Perth WA 6000


Commencement Date (please select your preferred course intake)
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Invoicing Details

I will be paying for the course directly
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My Employer will be paying for the course
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If your Employer is paying for your training, please provide the email contact information (name and email address) for your accounts department
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Invoicing method preference
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Booking Confirmation

The information provided in this booking form is true and accurate at time of submission. By clicking the button below and submitting this form, I agree that I have read the Course Outline (provided on the Course page). I understand the course content and outcomes of this course and would like to proceed with my booking.

I have also read the refund/cancellation policy for 'Short Courses' that is available on the Course page and I acknowledge this and agree to the terms by submitting this booking form.

I am aware that I will receive a Course Confirmation document upon booking that will outline the training venue, facilities, amenities and course outcomes prior to course commencement. Additionally, that the training provider has provided a comprehensive Student Handbook that is available online via the website that I can access at any time for any queries relating to the course, course delivery, or college information including policies & procedures, support services available, course refunds/cancellations and certification.
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