Supervisor Training Course Enrollment Form amazonaws com
Supervisor Training Course Enrollment Form If you are interested in completing the 2-day Basic Forest Supervisor course and / or the 4-day Falling Supervisor endorsement course, please submit a completed enrollment form and course fee to the BC Forest Safety Council. IMPORTANT! You must have completed the Basic Forest Supervisor course before you can enroll in the Falling Supervisor course. Scheduled Courses (indicate on page 2 which courses you are selecting) Course
Date
Location
Basic Supervisor
July 11-12
Kamloops
Basic Supervisor
July 14-15
Prince George
Basic Supervisor
July 18-19
Kelowna
Basic Supervisor
July 18-19
Nanaimo
Basic Supervisor
July 21-22
Courtenay
Falling Supervisor
July 25-28
Courtenay
Course location, details e-mailed to all participants prior to course start Lunch, coffee is included each day. Course starts at 8 a.m.
Please complete and submit next page only IMPORTANT NOTES:
A) If minimum enrollment is not met two weeks prior to a course start date, the Council reserves the right to cancel the course and reimburse course fees. B) If you can’t attend a scheduled course but want your name on our waiting list, please call the toll free number below. C) No Shows will not receive reimbursement or credit for future courses and will need to enroll again.
_____________________________________________________________________________________ BC Forest Safety Council 420 Albert Street, Nanaimo, BC V9R 2V7 250-741-1060 Toll free: 1-877-741-1060 Fax: 250-741-1068 email: [email protected]
ENROLLMENT FORM – Supervisor Training Course
Location
(indicate your choices)
Date
Basic Forest Supervisor Falling Supervisor Course Fees: $448.00 (includes 12% HST) for Basic Forest Supervisor $1,260.00 (includes 12% HST) for Falling Supervisor $1,708.00 (includes 12% HST) for both Supervisor courses
Select the course(s) you wish to enroll in and include the appropriate payment. IMPORTANT! Basic Forest Supervisor course must be completed before attending the Falling Supervisor course. If you have already completed the Basic Forest Supervisor course, you can enroll in just the Falling Supervisor course.
Personal Information (complete fully and print clearly) First Name
Last Name
Mailing Address
Province
City/Town
Postal Code
Email Address
Phone Number (main)
Employer’s Company Name
(Cell, other)
OR
Fax Number
Your Own Company Name
Payment Details Total Fee Submitted:
$___________________
Please remit payment by: Enclosed Cheque payable to BC Forest Safety Council Visa MasterCard
Credit Card Number MM
Expiry Date YY
Name on Card
Cardholder’s Signature
IMPORTANT: Please include CVD (3 digit security code ___________ from back of credit card)
Your company, personal and financial information is only used for purposes of course registration. Confidential information will not be disclosed to third parties. Your information is valuable and we ensure all reasonable measures are taken to protect it.
Send this completed form to BC Forest Safety Council by: 1. Email: [email protected] 2. Fax: (250) 741-1068 3. Mail: 420 Albert St., Nanaimo, BC V9R 2V7
Supervisor Training – Enrollment Form
Last revised: May 26, 2011
Date
Location
Basic Supervisor
July 11-12
Kamloops
Basic Supervisor
July 14-15
Prince George
Basic Supervisor
July 18-19
Kelowna
Basic Supervisor
July 18-19
Nanaimo
Basic Supervisor
July 21-22
Courtenay
Falling Supervisor
July 25-28
Courtenay
Course location, details e-mailed to all participants prior to course start Lunch, coffee is included each day. Course starts at 8 a.m.
Please complete and submit next page only IMPORTANT NOTES:
A) If minimum enrollment is not met two weeks prior to a course start date, the Council reserves the right to cancel the course and reimburse course fees. B) If you can’t attend a scheduled course but want your name on our waiting list, please call the toll free number below. C) No Shows will not receive reimbursement or credit for future courses and will need to enroll again.
_____________________________________________________________________________________ BC Forest Safety Council 420 Albert Street, Nanaimo, BC V9R 2V7 250-741-1060 Toll free: 1-877-741-1060 Fax: 250-741-1068 email: [email protected]
ENROLLMENT FORM – Supervisor Training Course
Location
(indicate your choices)
Date
Basic Forest Supervisor Falling Supervisor Course Fees: $448.00 (includes 12% HST) for Basic Forest Supervisor $1,260.00 (includes 12% HST) for Falling Supervisor $1,708.00 (includes 12% HST) for both Supervisor courses
Select the course(s) you wish to enroll in and include the appropriate payment. IMPORTANT! Basic Forest Supervisor course must be completed before attending the Falling Supervisor course. If you have already completed the Basic Forest Supervisor course, you can enroll in just the Falling Supervisor course.
Personal Information (complete fully and print clearly) First Name
Last Name
Mailing Address
Province
City/Town
Postal Code
Email Address
Phone Number (main)
Employer’s Company Name
(Cell, other)
OR
Fax Number
Your Own Company Name
Payment Details Total Fee Submitted:
$___________________
Please remit payment by: Enclosed Cheque payable to BC Forest Safety Council Visa MasterCard
Credit Card Number MM
Expiry Date YY
Name on Card
Cardholder’s Signature
IMPORTANT: Please include CVD (3 digit security code ___________ from back of credit card)
Your company, personal and financial information is only used for purposes of course registration. Confidential information will not be disclosed to third parties. Your information is valuable and we ensure all reasonable measures are taken to protect it.
Send this completed form to BC Forest Safety Council by: 1. Email: [email protected] 2. Fax: (250) 741-1068 3. Mail: 420 Albert St., Nanaimo, BC V9R 2V7
Supervisor Training – Enrollment Form
Last revised: May 26, 2011
