SA Unions

                                                       is a provider of OHS training in SA

               HSR Course Enrolment Form

Note : All participants must be elected Health & Safety Representatives

 

WHAT TO DO:
  1. Fill out the enrolment form.
  2. Pass to your employer or manager to be signed and for payment to be arranged.
  3. Email, fax or post the enrolment form to us:
  • by mail to SA Unions, 46 Greenhill Road, Wayville  SA  5034
  • upon receipt of Tax Invoice, payment by either cheque, credit card or EFT
  • cheques to be made payable to : SA Unions
  • by fax for EFT payments: Contact SA Unions for details - fax number (08) 8279 2223
  • credit card transactions now available - contact SA Unions for details - ph (08) 8279 2222
  • If you are unable to attend the course - you need to notify us at least 2 weeks prior to the course starting to avoid any charge.  Otherwise cancellation charges apply.

COURSE FEES (GST Inclusive) - effective as of 1/1/08

Level 1 & Level 2: Standard $820, Union Member $755

Deputy Level 1 : Standard $500, Union Member $450

Level 3 (Continuing) per day: Standard $230, Union Member $210

Effective H&S Committees (1 day): Standard $230, Union Member $210

Effective H&S Committees (half day): Standard $130, Union Member $110

 

(If applicable) subsidies of $50 per participant per day on course fees are available through a SafeWork SA Grant for Level 1, 2 & Level 3 (Continuing) courses.  See guide to subsidy eligibility to determine entitlement to discount on course fee.

WE WILL:

  1. Advise you immediately if the course is full, and offer you a place on the same course on a different date.
  2. Send you a confirmation letter with details of the course before the course starts.
  3. If a course is cancelled we will send notification of the cancellation to your employer prior to the course commencement date.  A cancellation letter will be posted directly to the course participant.

Note: Should we not reach our minimum of 10 enrolments two weeks prior to course commencement the course may be cancelled.  A new enrolment form will be forwarded with the cancellation letter for you to enrol in a course date that suits your schedule.

EMPLOYER INFORMATION : It is a requirement of the Level 1 & Level 2 OHS Training that participants attend off-site training.

DEPUTY HSR REPS COURSES: Only available for Level 1 HSR - minimum attendance is 3 days (must be first 3 days of course)

CANCELLATION POLICY: When an enrolment is cancelled the following cancellation fees will apply.

More than 14 days before course commencement date = full refund

Between 7-14 days before course commencement date = 50% refund

Less than 7 days = no refund

 

Employer Information : It is a requirement of the Level 1 & Level 2 HSR Training that participants attend off-site training.  Employer permission must be given for participants to use their own vehicle if they wish.

If you need more information, phone us on ph (08) 8279 2222, fax (08) 8279 2223, or email us at saunions@saunions.org.au

 

 

    

Name

Phone

Postal Address

YOUR DETAILS:

Fax

Are you a union member?

 

* Please tick box if a union

  member to receive union

  discount

Yes          No

Email

If yes, name of Union


Are you an elected HSR?

Yes          No

YOUR EMPLOYER?S CONTACT DETAILS:

Name

Phone

Type of Organisation    

Postal Address

Fax

Email


ADDRESS FOR INVOICING:

Name

Phone

Postal Address

Fax

Email


Purchase Order
please ensure PO is quoted if it is a requirement of your organisation		 Date

ENROLMENT DETAILS:

COURSE NAME

COURSE DATE (S) / & Regional Centre if applicable

FEE

SUBSIDY CLAIMED 

(see eligibility details)

Small Business (total of 100 or fewer employees)           SafeWork SA SAfer Industry

High Risk Industry

Remote Area Participant                   Other/Specify