Branch Endorsement - Facilitator Bronze
Branches to submit form
SLSQ Branch
*
Please Select
North Queensland Branch
North Barrier Branch
Wide Bay Capricorn Branch
Sunshine Coast Branch
South Coast Branch
Point Danger Branch
SLSQ Services - Lifeguards, BLS or other
Please select your Branch from the dropdown menu
Name of person submitting this form
*
First Name
Last Name
Email of person submitting this form
*
example@example.com
I confirm the below members hold the correct qualifications/ pre-requisites and have been endorsed by the branch.
*
Pre-requisites
Be 18 years +
Hold all WWC requirements (BC, CSA, CYRMs)
Hold Cert IV TAE 40116 or equivalent
Hold Current Bonze
Hold PUA20119 - Certificate II in Public Safety (Aquatic Rescue)
Hold HLTAID010 - Provide basic emergency life support
Be a current Trainer and Assessor for Bronze Medallion
Trained and Assessed at least 1 course in the past 2 years
Endorsement - Facilitator Bronze Medallion
*
Approved - Branch Executive
*
First Name
Last Name
Branch Executive position
*
Position held
Branch Executive email
*
example@example.com
Branch Executive Meeting date
*
-
Day
-
Month
Year
Date
Submit
Should be Empty: