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Cert IV - Disability
Cert IV in Disability Enquiry
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Upgrade from HLTAID001 Provide CPR to HLTAID003 Provide First Aid (First Aid Level 2)
PARTICIPANT ENROLMENT FORM
To enrol in this course, the learner must have previously completed HLTAID001, have one year's validity remaining on the qualification and can provide evidence of this (by providing Training to Care with a copy of your original Statement of Attainment for HLTAID001).
To enrol in Upgrade from HLTAID001 Provide CPR (CPR Update) to HLTAID003 Provide First Aid (Level 2) with Training To Care, please complete the form below or
CLICK HERE
to download an enrolment form. Please contact our office for group bookings of 10 or more.
Course Date
*
Pre-Arranged Group Training
Saturday 1st August
Friday 14th August
Saturday 29th August
VENUE:
Unit 5 / 675 Boronia Road,
Wantirna Vic 3152
Time:
12noon til 3.30pm
Cost:
$65
Promotional Code (if applicable)
*
Payment Options
*
Paypal / Credit Card
Bank Transfer (Account Details provided on confirmation)
Invoice your Organisation
What name do you want displayed on your Certificate
(please check spelling)
First, Last Name
*
Do you want your title displayed on your certificate?
*
Yes
No
Title
*
Preferred Name
*
Name of Organisation (applicable to organisation/group bookings)
*
Organisation Postal Address
*
Organisation Phone
*
-
-
Address / Street Number for your Home Assessment & Workbook
*
Street
*
Suburb
*
State
*
VIC
ACT
NSW
NT
QLD
SA
TAS
WA
Postcode
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Postal Address (if different from street address)
*
Suburb
*
State
*
VIC
TAS
NSW
QLD
ACT
WA
NT
SA
Postcode
*
Phone:
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Mobile:
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Email
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VSN No: (Victorian Student Number)
*
Date of Birth:
Day
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1
2
3
4
5
6
7
8
9
10
11
12
13
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15
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Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Gender
*
Male
Female
Emergency Contact Person:
*
First
Last
Emergency Phone:
*
Relationship
*
Why are you doing this course?
*
In which country were you born?
*
How well do you speak English?
*
Very Well
Well
Not Well
THIS INFORMATION IS STRICTLY CONFIDENTIAL
Do you have a disability / Impairment / Religion /Culture – that would affect the way the trainer delivers the course? If yes, please speak with your trainer.
*
Yes
No
Please tick if any of these areas relate to you:
*
Hearing/Deaf
Vision
Physical
Intellectual
Illness
Religion
Cultural
Other Condition/Situation
Please Specify
*
Would you like to be reminded about courses in the future, including updating your First Aid?
*
Yes
No
Please indicate how you found out about our course:
*
Website / Google
Facebook
Flyer / Advertising
Word of Mouth
Other
Please Specify
*
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