Education Specific Five-Day Introductory Course for Health and Safety Reps (HSRs)

Please complete all the details below.

Given Name Required

Surname Required

Email Required

Confirm Email Required

Phone

MobileWe'll send you an SMS reminder

Should we send you an SMS reminder a few days before the event?

Yes, send me an SMS

SSTUWA Member?

Yes, I'm a member

SSTUWA Number Find this on your SSTUWA Card

Union Elected Position Only if applicable

School / Workplace

Dietary Requirements

Thanks for providing me with the following dietary requirement

Vegetarian

Vegan

Dairy Free

Gluten Free

Other Special Needs