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Training Request
On-Demand Training Request
Agency
(Required)
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Which training are you interested in providing to your agency?
(Required)
Backhoe Operations & Safety - 10 People Max
Boom Crane Truck Safety Awareness - 10 People Max
Bucket Truck Operations & Fall Protection - 10 People Max
Chainsaw (Limbing & Buckling) - 10 People Max (Half Day Course)
Chainsaw Safety - 35 People Max
Confined Space Entry - 25 People Max
Flagger Training - 15 People Max
Forklift Operations & Safety - 10 People Max
Trachoe Operations & Safety - 10 People Max
Tractor Mower - 20 People Max
Trenching & Shoring - 15 People Max
Work Zone Safety - 30 People Max
How many employees do you need to train in this topic?
(Required)
Agency Agreement
Please check each box below to confirm you have read and understand the expectations of YOUR AGENCY hosting trainings on-demand with SCLTAP.
(Required)
My agency must provide an on-site, day of coordinator/primary contact
My agency must provide a classroom with tables & chairs to seat all employees
My agency must provide a classroom with audio/visual capabilities
My agency must provide space for a lunch set-up
My agency must provide safe and fully functioning equipment for hands-on/demonstration purposes (if applicable). I understand if equipment is not safe and fully functioning the hands-on portion of the training will not be completed
My agency must register attendees using the SCLTAP registration system within 10 business days of the training date and understand the maximum attendance listed is set by the instructor and therefore not negotiable.
Please check each box below to confirm you have read and understand the expectations of SCLTAP
(Required)
SCLTAP will provide a Memorandum of Understanding to include course details, course fee, payment options, etc. and will not move forward scheduling training until all details are agreed upon
SCLTAP will coordinate training details including: Instructor, Travel, Course Materials & Meals
SCLTAP will provide a private registration link for the workshop
SCLTAP will provide lunch as well as morning and afternoon break refreshments
Payment Policy
(Required)
I understand full payment for the course is due within 14 business days of the signed agreement via Credit Card or SCEIS. If payment is not received within 14 business days, class is subject to cancellation. No refunds will be distributed for a canceled class and/or no shows. I understand the price is based on the topic/instructor and is all inclusive and will not be reduced if I do not use all spots allotted.
I understand
Cancellation Policy
(Required)
I understand the training may be cancelled by either party due to cause(s) beyond the reasonable control of the parties hereto that would render the training hereunder impossible or make conditions for the training hazardous. Such causes shall include, but not be limited to: acts of God, extreme weather necessitating a government mandated evacuation or cancellation; acts of war; riot; fire; explosion; accident; flood; sabotage or terrorist act; governmental or court ordered laws, regulations; requirements; technical failures beyond the reasonable control of the parties hereto, or other causes of a similar or different nature beyond the reasonable control of the parties hereto.
I understand
Request Confirmation
(Required)
I understand completing this form is a request for training NOT a confirmation of scheduled training. I understand scheduling this training is dependent on the instructors availability.
I understand
