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RWC Training Booking Form
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14
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1
Branch
*
This field is required.
North Queensland
North Barrier
Wide Bay Capricorn
Sunshine Coast
South Coast
Point Danger
Lifeguards
Sunshine Coast
North Queensland
North Barrier
Wide Bay Capricorn
Sunshine Coast
South Coast
Point Danger
Lifeguards
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2
Wide Bay Cap Club Name
*
This field is required.
Select your club
Branch
Moore Park
Bundaberg
Elliott Heads
Hervey Bay
Yeppoon
Emu Park
Tannum
Agnes Water
Operations Support
Branch
Moore Park
Bundaberg
Elliott Heads
Hervey Bay
Yeppoon
Emu Park
Tannum
Agnes Water
Operations Support
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3
Sunshine Coast Club Name
*
This field is required.
Select your club
Branch
Brisbane Life Saving
Noosa Heads
Rainbow Beach
Sunshine Beach
Coolum Beach
Marcoola
Mudjimba
Maroochydore
Alexandra Headland
Mooloolaba
Kawana Waters
Dicky Beach
Metropolitan Caloundra
Bribie Island
Redcliffe Peninsula
Peregian
Operations Support
Branch
Brisbane Life Saving
Noosa Heads
Rainbow Beach
Sunshine Beach
Coolum Beach
Marcoola
Mudjimba
Maroochydore
Alexandra Headland
Mooloolaba
Kawana Waters
Dicky Beach
Metropolitan Caloundra
Bribie Island
Redcliffe Peninsula
Peregian
Operations Support
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4
South Coast Club Name
*
This field is required.
Select your club
Branch
Brisbane Life Saving
Northcliffe
Broadbeach
Kurrawa
Mermaid Beach A.E.M.E
Nobbys Beach
Miami Beach
North Burleigh
Burleigh Heads Mowbray Park
Point Lookout
Coochiemudlo Island
Southport
Surfers Paradise
Operations Support
Branch
Brisbane Life Saving
Northcliffe
Broadbeach
Kurrawa
Mermaid Beach A.E.M.E
Nobbys Beach
Miami Beach
North Burleigh
Burleigh Heads Mowbray Park
Point Lookout
Coochiemudlo Island
Southport
Surfers Paradise
Operations Support
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5
Point Danger Club Name
*
This field is required.
Please Select your Club
Branch
Brisbane Life Saving
Tugun
Bilinga
North Kirra
Kirra
Coolangatta
Tweed Heads and Coolangatta
Rainbow Bay
Tallebudgera
Pacific Surf
Palm Beach
Currumbin
Operations Support
Branch
Brisbane Life Saving
Tugun
Bilinga
North Kirra
Kirra
Coolangatta
Tweed Heads and Coolangatta
Rainbow Bay
Tallebudgera
Pacific Surf
Palm Beach
Currumbin
Operations Support
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6
North Queensland Club Name
*
This field is required.
Please Select your Club
Branch
Mission Beach
Port Douglas
Ellis Beach
Cairns
Etty Bay
Operation Support
Branch
Mission Beach
Port Douglas
Ellis Beach
Cairns
Etty Bay
Operation Support
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7
North Barrier Club Name
*
This field is required.
Please Select your Club
Branch
Eimeo
Mackay
Sarina
Forrest Beach
Arcadian
Townsville Picnic Bay
Ayr
Operations Support
Branch
Eimeo
Mackay
Sarina
Forrest Beach
Arcadian
Townsville Picnic Bay
Ayr
Operations Support
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8
Lifeguards
*
This field is required.
Please Select your Region
Gold Coast
Sunshine Coast
Wide Bay
North Barrier
North Queensland
Gold Coast
Sunshine Coast
Wide Bay
North Barrier
North Queensland
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9
Course Start Date
*
This field is required.
Minimum 14 Days from submission date If your course is not submitted within 14 days of the start date you will be required to provide sufficient reasoning
/
Date
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Year
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Hour
00
15
30
45
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15
30
45
Minutes
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10
Course End Date/Assessment Start Date
*
This field is required.
The course end date should be the same as the assessment date.
/
Date
Day
Month
Year
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Hour
00
15
30
45
00
15
30
45
Minutes
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11
Training Details
*
This field is required.
Twenty (20) nominal hours of practical demonstration where the participant is actively performing tasks as a trainee RWC operator; o With at least 50% of the nominal hours to be sea time; o Over at least 5 separate days;
Assessment can be the 5th day but must be shown as a separate session
. o In a variety of conditions.
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12
Primary RWC Facilitator
A qualified TAE Cert IV RWC Facilitator who holds the relevant Surf Award/s is required for the course to proceed. If you do not have a suitably qualified RWC Facilitator, please reach out to your Regional Education and Training Supervisor for assistance BEFORE submitting this form.
First, Last Name
Please enter your phone number
Please enter your email address
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13
List additional Trainers/Assessors/Facilitators
Additional RWC Trainers/Assessors/Facilitators must hold the relevant TAE Qualifications and Surf Award/s
First/Last Name
Trainer/Assessor/Facilitator
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First/Last Name
Row 0, Column 0
Trainer/Assessor/Facilitator
Row 0, Column 1
First/Last Name
Row 1, Column 0
Trainer/Assessor/Facilitator
Row 1, Column 1
First/Last Name
Row 2, Column 0
Trainer/Assessor/Facilitator
Row 2, Column 1
First/Last Name
Row 3, Column 0
Trainer/Assessor/Facilitator
Row 3, Column 1
First/Last Name
Row 4, Column 0
Trainer/Assessor/Facilitator
Row 4, Column 1
First/Last Name
Row 5, Column 0
Trainer/Assessor/Facilitator
Row 5, Column 1
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14
List any Probationary Trainers/Assessors/Facilitators
Probationary RWC Trainers/Assessors/Facilitators must hold the relevant TAE Qualifications
First/Last Name
Probationary Trainer/Assessor/Facilitator
1
Row 0, Column 0
Row 0, Column 1
2
Row 1, Column 0
Row 1, Column 1
3
Row 2, Column 0
Row 2, Column 1
4
Row 3, Column 0
Row 3, Column 1
5
Row 4, Column 0
Row 4, Column 1
6
Row 5, Column 0
Row 5, Column 1
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First/Last Name
Row 0, Column 0
Probationary Trainer/Assessor/Facilitator
Row 0, Column 1
First/Last Name
Row 1, Column 0
Probationary Trainer/Assessor/Facilitator
Row 1, Column 1
First/Last Name
Row 2, Column 0
Probationary Trainer/Assessor/Facilitator
Row 2, Column 1
First/Last Name
Row 3, Column 0
Probationary Trainer/Assessor/Facilitator
Row 3, Column 1
First/Last Name
Row 4, Column 0
Probationary Trainer/Assessor/Facilitator
Row 4, Column 1
First/Last Name
Row 5, Column 0
Probationary Trainer/Assessor/Facilitator
Row 5, Column 1
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15
List any Subject Matter Experts
SME’s need to hold an RWC Operator award and hold relevant experience.
First/Last Name
1
Row 0, Column 0
2
Row 1, Column 0
3
Row 2, Column 0
4
Row 3, Column 0
5
Row 4, Column 0
6
Row 5, Column 0
1
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6
First/Last Name
Row 0, Column 0
First/Last Name
Row 1, Column 0
First/Last Name
Row 2, Column 0
First/Last Name
Row 3, Column 0
First/Last Name
Row 4, Column 0
First/Last Name
Row 5, Column 0
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16
Approximate Number of Candidates
*
This field is required.
Participant enrolments close 3 day prior to first session date
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17
Training Details
*
This field is required.
The first session will be the commencement date of the course. The last session date will be the assessment date for the course.
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18
Number of RWCs
*
This field is required.
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19
Do you have CTO approval to set up this course?
YES
NO
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20
Please contact your CTO before submitting this page.
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21
Name of person completing this form
*
This field is required.
First Name
Last Name
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22
Additional comments
If your course is submitted within 14 days of the start date please provide sufficient reasoning below
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