EXPRESSION OF INTEREST IN THE TLISS00155 ROAD SAFETY SKILL SET EXPRESSION OF INTEREST FORM "*" indicates required fields Registration Form for VET Accredited CoursesSECTION A - CONTACT DETAILSTitleMrMrsMsMissDrUnspecifiedFirst name*Enter your first legal given nameFamily name (surname)*Enter your legal family name (surname)CONTACT DETAILSTelephone: Mobile*Telephone: WorkYour preferred email address* Enter Email Confirm Email SECTION B - WHO IS THE TARGET AUDIENCEWhat is the name of your School?*How many students are you expecting to participate in this skill set?*Please note, this only needs to be an approximate number and will assist our coordinators with the time and resource management requirements.Who is the target audience you have in mind for this program?* Year 10 students VCAL (Years 11 and/or 12) VCE (Years 11 and/or 12) Select AllIn which School Term would you like to start this program?* Term 1 Term 2 Term 3 Term 4 Is there anything you would like us to know before we contact you?ADDITIONAL COMMENTSSECTION C - OTHER COURSES OF INTERESTAre there any other courses you or your school may be interested in? First Aid (HLTAID011) - For Staff or Students CPR Annual Refresher (HLTAID009) - For Staff or Students First Aid with Asthma and Anaphylaxis (HLTAID012) - Recommended for Staff Only Test and Tag Fire Extinguishers and Fire Blankets - - Recommended for Staff Only 22556VIC Course in the Management of Asthma Risks and Emergencies in the Workplace - Recommended for Staff Only 22578VIC Course in First Aid Management of Anaphylaxis (Annual Refresher) - Recommended for Staff Only Work Safely at Heights Course - Recommended for Staff Only VicRoads - Road Smart Program School Bus Driver Training (On-Road) These can be courses for your students or for the staff members of your schoolNameThis field is for validation purposes and should be left unchanged.
