Application to become a CPC trainer for the course –Disability Awareness under the CTA consortium

- - Application to become a CPC trainer for the course –Disability Awareness under the CTA consortium

Please complete all the questions below in full giving as much information as possible. If more than one trainer from your organisation wants to apply, each trainer needs to complete their own application. Please note that CTA can only accept applications from trainers who hold a current Passenger Assistant Trainers (PATs) certificate.

Name of Trainer*

Trainer ID Number*

Name of Organisation*

Organisation's Address*

Your email address*

Contact phone number*

PATS Membership Number*

PATS Certificate Number*

PATS Certificate Expiry Date*

How many PAT's courses have you delivered in the last 12 months?*

Please list any other qualifications or experience you have that is relevant to the delivery of a Disability Awareness course other than your PATS certificate.*

Would you be delivering your course from your organisation's premises?* YesNoI would be delivering from my organisation's premises and also at other premises.

Please detail the procedures that will be in place for the administration behind the course.*

Please provide detail on the equipment that you will have access to and what minimum standard of minibus you will be using during the course.*

Once CTA have received your application we will contact you informing you whether you have been successful; you will then need to sign an agreement which will state the Terms and Conditions of delivering the Disability Awareness CPC course.

Please note we may contact the training agent who delivered your PATs course for more information on the quality of your training.

Application to become a CPC trainer for the course –Disability Awareness under the CTA consortium

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