Cert I          Cert II          Cert III          Cert IV          Diploma          Adv Diploma
Funding Options:
First Name:
Email:
Address:
City:
State:
Post Code:
Phone:
Work Phone:
Queensland
Northern Territory
Other
Previous  Training:
Licences
Qualifications
Funded Training
None
Upload Proof of Residency Here
What evidence do you have to prove you have worked in the industry that you now want to be formally recoginised in?
3rd Party Reports
Licences
Qualifications
Log Books
Photo ID Proof of Age:
*
*
*
Home  Number:
*
Upload Photo ID Proof of Age
Upload your evidence here #2
Upload your evidence here #3
Upload your evidence here #1
Evidence
What course would you like to study?
Region:
Date of Birth:
*
Surname:
*
*
Qualification Level
(dd/mm/yyyy)
You will be required to provide evidence of this address at enrolment
* Mandatory
I.e. Phone Bill, Rates Notice, Electricity Bill, Etc.
In your own words, briefly tell us about your previous formal training (licences, tickets, qualifications, etc.) If you have never received formal or funded training just write 'None'.
In your own words, briefly tell us about your previous experience. How long have you been in the industry that you are now seeking a formal qualification/Licence?
Previous Experience
Quick Check 4 Funding
Do you qualify for funding?
Complete our two minute Quick Check and we'll let you know your eligibility

IMPORTANT: Your address on your Photo ID must match your residential address
By completing this form you agree to allow Civil Safety Pty Ltd to make any checks necessary to ensure that the information supplied by you is valid. We will also add you to our mailing list so that you can be first to receive the latest courses and special offers from Civil Safety.This is a non-binding agreement. Documents provided by you must be authenticated by Civil Safety staff at the time of enrolment.