Group Training Request Form

1
Contact Name
First Name
Last Name
2
Company Name
3
Telephone
Area Code
Phone Number
4
EmailPlease enter the email address to be used for any communication relating to the request.
example@example.com
5
What type of training do you require?Please select from the below options.
Basic Worksite Traffic Management (BWTM) 2 days
Basic Worksite Traffic Management & Traffic Controller (BWTM & TC) 3 days
Worksite Traffic Management (WTM) - 4 days
Advanced Worksite Traffic Management (AWTM) - 4 days
Operate Truck Mounted Attenuator (OTMA) - 2 days
Event Traffic Controller (ETC) - 7 hours
Basic Worksite Traffic Management (BWTM) Re-accreditation - 1 day
Basic Worksite Traffic Management & Traffic Controller (BWTM & TC) Re-accreditation 1 day
Worksite Traffic Management (WTM) Re-accreditation - 1 day
Advanced Worksite Traffic Management (AWTM) Re-accreditation - 1 day
Operate Truck Mounted Attenuator (OTMA) Re-accreditation - 1 day
Operate Light Vehicle (OLV) - 1 day
Certificate III Civil Construction - Traffic Management
Certificate III Civil Construction and Other
Other
6
What is your preferred date(s) to complete the training?
7
What are your preferred days of the week to complete the training?
Monday
Saturday
Tuesday
Sunday
Wednesday
Any mid week day
Thursday
Any day
Friday
8
How many participants do you have for the training?
9
What address / location will the training be required?
Huge
Large
Normal
Small
Ok
Ok
10
Do you have a suitable training venue available for onsite training?We require an enclosed room, adequate desks and chairs, cooling or heating options, projector, projector screen, whiteboard and power supply with power board.
Yes
No - we would require to have a training venue organised on our behalf
11
Do you have any participants with additional support needs such as language, literacy and/or numeracy?
Yes
No
Unsure
12
Are your participants eligible for Construction Training Fund (CTF) funding?
Yes
No
Unsure - I would like further details check eligibility
Other
13
Are you a no for profit group requiring event traffic management training?Main Roads WA provide funding for not for profit groups who can access a subsidy of up to 50% off training course costs. AusQ Training must apply for this funding on your behalf at least 30 days prior to the course commencing. Eligibility and funding is subject to approval by Main Roads WA.
Yes
No
Unsure - I would like further details check eligibility
14
Where did you hear about AusQ Training?
Existing client
Google search
Webinar event
Facebook
Linkedin
Referral
Other
15
Additional notes:Please share any other details that are relevant to the training request and needs.
16
IF APPLICABLE - Please attach any documents relevant to your training and/or request that could assist with the preparation of a quote for your needs. Examples include; List of names and exp
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