Client form for Boom Truck Safety Coordination

Delivery Plan - Boom Truck Safety Coordination

We are looking forward to delivering the Boom Truck Safety Coordination course to your staff.

To plan the delivery we need some information from you. Please complete the form below and we will create a Delivery Plan that you can use to inform your trainees and other key staff members.

If you have any questions please contact Marina Keast at (604) 398-5230 or marina@fulford.ca

Thanks for you help!

Client Form for Boom Truck Safety Coordination

Admin

Booking Reference Number(Required)

Please copy/paste the reference # provided in the email with the link to this form.

Company Name(Required)

Company Billing Address(Required)

Street Address City Province Postal Code

Email for Digital Record of Training(Required)

Please provide an email address where you would like to receive a digital record of the trainee's results after the training is complete. Digital wallet cards will be emailed to the participants

Participant names.(Required)

Boom Truck Safety Coordination Training

Preferred Start Time (8 hr day; Regular start time 8am)

Is lunch is provided for the class?(Required)

If "Yes" you will be asked to provide the time so our trainer can plan accordingly.

Yes

Lunch Delivery Time(Required)

Location of Classroom(Required)

Meeting or training room that can accommodate all participants and the Instructor with tables and chairs for the delivery of the theory portion of the course. A lunchroom, boardroom or similar space can be used but must be closed to staff who are not taking the training.

Same as Company Billing Address

Street Address City Province Postal Code

On-Site Contact(Required)

Cell Phone(Required)

Email(Required)

Is there a monitor with HDMI capability or a projector+screen available?(Required)

(If no, the Instructor can provide)

Yes

Are there any special parking/site access requirements (including things like site access passes or site orientations) or any special directions if the site is hard to find?(Required)

General Notes

Certifications

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