Application to become a CPC trainer for the course –Emergency Procedures under the CTA consortium

- - Application to become a CPC trainer for the course –Emergency Procedures 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 5 Steps to Safety trainer’s certificate.

Name of Trainer*

Trainer ID Number*

Name of Organisation*

Organisation's Address*

Your email address*

Contact phone number*

How many 5 Steps to Safety courses have you delivered in the last 12 months?*

Please list any other qualifications or experience you have that are relevant to the delivery of an Emergency Procedures course other than your 5 Steps to Safety certificate.*

Would you be delivering your courses 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 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 Emergency Procedures CPC course.

Please note we may contact the training agent who delivered your 5 Steps to Safety course for more information on the quality of your training.

Application to become a CPC trainer for the course –Emergency Procedures under the CTA consortium

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