Solutions
Semester One 2012 - Training and Seminar Dates
P: (02) 6282 6122
F: (02) 6282 6133
E: training@srcsolutions.com.au
To register for one or more of our courses, please tick the appropriate box on the course calendar below, complete the attached
registration form and fax both documents to (02) 6282 6133 or scan them and send via email to training@srcsolutions.com.au.
Training Course
Course Code
Cost
(GST inclusive)
Tick choice
(per participant)
Case Manager Forum
3 hours: 9.00am – 12.00pm
22 March 2012
120322CMF
Health and Safety Representative (HSR) Course (Comcare accredited)
$55.00 (GST incl)
5 days: 9.00am – 5.00pm each day
6, 7, 13, 14 and 15 March
120306HSR
$990.00 (GST incl)
1, 2, 8, 9, 10 May
120501HSR
$990.00 (GST incl)
18, 19, 26, 27, 28 June
120618HSR
$990.00 (GST incl)
Mental Health First Aid
12 hours: 9.00am – 4pm or 9am -12.00pm
3, 4 April 2012
22, 23 May 2012
120403MHF
$440.00 (GST incl)
120522MHF
$440.00 (GST incl)
Transition to the WHS Legislation for HSRs
3 hours: 9.30am – 12.30pm
21 March 2012
120321WHS
$345.00 (GST incl)
6 June 2012
120606WHS
$345.00 (GST incl)
Completing a Basic Workstation Assessment
15 May 2012
3 hours: 9.30am – 12.30pm
120515WSA
$345.00 (GST incl)
Note: SRC Solutions reserves the right to cancel, postpone or reschedule a course due to insufficient numbers or other
unforeseen circumstances. If SRC Solutions is required to cancel a course, participants will be offered a rescheduled
course or a full refund. Please note that SRC Solutions is not responsible for hotel, airline or any other expenses incurred.
All course prices are GST inclusive. The prices include relevant course materials and morning/afternoon tea.
Unless otherwise indicated, all training is delivered on our premises at Level 1, 74 Dundas Court Phillip.
Additional courses may be scheduled if required, subject to demand. Our training courses can also be
delivered in-house. Please call us on (02) 6282 6122 or send an email to training@srcsolutions.com.au for
more information.
Our other courses, which are available for in-house delivery or as public courses (subject to sufficient demand) include:
Safety Inspections
Managing the Invalidity Process
OHS and Injury Management for Managers
Safe and Practical Manual Handling
Managing the Fitness for Duty Process
Health and Safety Committees
Managing Complex Cases
Completing a Basic Workstation
Assessment
Working Safely in the Office
Please call on (02) 6282 6122 for further information or to register your interest.
Semester One 2012 - Training and Seminar Dates
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Training Course Registration Form
Section 1: Course details
Course Name:
Location:
Course Date(s):
Course cost:
Section 2: Participant details
Note: Gender information is collected for statistical purposes only.
Title (Mr/Mrs/Ms/Miss/Dr/Other – please specify)
Gender:
Name:
Work Phone:
Email:
@
Male
Female
Mobile:
Employer:
Street or PO Box Address:
City:
State:
Postcode:
Do you have any special dietary requirements or food allergies? If yes, please provide details.
Do you have any other needs in relation to attending this training course eg access, language assistance etc? If yes,
please provide details.
I understand and accept SRC Solutions’ Cancellation/Information Collection policies (see below) and I certify that the
information supplied is accurate.
Participant’s signature
Date:
/
/
Cancellation Policy: Cancellations must be submitted in writing. For cancellations received 10 working days or more before the course
commencement date, the course fee will be refunded less a 20% administrative fee. Within 10 working days of the course, no refunds will
be made although we would welcome a substitute participant (to be advised in writing). SRC Solutions reserves the right to cancel,
postpone or reschedule a course due to insufficient numbers or other unforeseen circumstances. If SRC Solutions is required to cancel a
course, participants will be offered a rescheduled course or a full refund. Please note that SRC Solutions is not responsible for hotel, airline
or any other expenses incurred.
Information Collection Policy: Your personal information is collected for the purposes of course administration, statistical analysis and
program evaluation. Your information will not be used for any other purpose except as required or authorised by or under law.
Section 3: Employer/Supervisor Contact details
Name:
Email:
Phone:
@
Fax:
Section 4: Invoicing or Payment Details – PLEASE COMPLETE RELEVANT SECTION
Invoice Authorisation Details (please note that you will be invoiced on receipt of this Registration Form.)
Department/Organisation Name
Business Group/Division/Branch
Cost Code/Cost Centre Number
For the Attention of (if applicable)
Phone:
Email:
@
Payment Details (please note that the payment will be deducted from your credit card on receipt of this Registration Form.)
Payment Method:
Visa
Mastercard
Credit Card Number
Bankcard
Expiry date:
Card Holder’s Name:
Card Holder’s signature:
Phone:
Email:
Semester One 2012 - Training and Seminar Dates
/
@
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