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, or fax the enrolment form to us:
  • by fax : 8279 2223
  • by email : saunions@saunions.org.au
  • upon receipt of Tax Invoice, payment by either cheque, credit card or EFT
  • cheques to be made payable to : SA Unions
  • 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, Deputy Level 1 & Level 2: Standard $820, Union Member $755

Continuing per day: Standard $230, Union Member $210

Committee Member Training - Introductory Course [New members] (1 day): Standard $230, Union Member $210

Committee Strategic Review and continuous Improvement Course [Cont members] (1 day): Standard $230, Union Member $210

OHS Essentials for Managers, Supervisors & Committee Members (2 days): Standard $500, Union Member $450

 

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

 

Note: We reserve the right to pursue payment if incorrect subsidy and/or union deductions are claimed.

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 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.

DEPUTY HSR COURSES: Only available for Level 1 HSR - Attendance is the full five days..

  • If you have any mobility/disability problems please advise us.

  • A light lunch is provided on full day courses - if you have any special dietary requirements please advise us prior to the 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