Training Request Form

BCMSA

This form was created to provide you and your organization with the best scheduling experience. Once you “submit” the information, your request will be reviewed by our staff. We strive to answer all training requests within 24 hours, Monday – Friday. A copy of the submitted form will be sent to the email address you provide.

Let us know what courses you’d like to schedule within your organization by completing the form below. If you would like to schedule 4 or more courses, contact us directly with all the details and we’ll help you plan your training calendar!

Organization*
Contact Name*
Contact Phone*
Contact Cell Phone*
Contact Email*
Shipping Address

Where training materials should be sent
Agreement*
- I have read and agree to BCMSA's Training Policy
Course Information
Course Name*
Anticipated # of Students*
Training Location and Address*
Street Address Address Line 2 City Province Postal Code
Room Number
Date ( First Choice )*
MM slash DD slash YYYY
Time ( First Choice )*

:
Date ( Second Choice )*
MM slash DD slash YYYY
Time ( Second Choice )*

:
Preferred Trainer ( if any )
Advertise Externally:
- Yes
- No
- Add Another Course
Course Name (2)*
Anticipated # of Students*
Training Location and Address*
Street Address Address Line 2 City Postal Code
Room Number
Date ( First Choice )*
MM slash DD slash YYYY
Time ( First Choice )*

:
Date ( Second Choice )*
MM slash DD slash YYYY
Time ( Second Choice )*

:
Preferred Trainer ( if any )
Advertise Externally:
- Yes
- No
- Add Another Course
Course Name (3)*
Anticipated # of Students*
Training Location and Address*
Street Address Address Line 2 City Postal Code
Room Number
Date ( First Choice )*
MM slash DD slash YYYY
Time ( First Choice )*

:
Date ( Second Choice )*
MM slash DD slash YYYY
Time ( Second Choice )*

:
Preferred Trainer ( if any )
Advertise Externally:
- Yes
- No
If you would like to schedule 4 or more courses, contact us directly with all the details and we’ll help you plan your training calendar!
Any additional details or information
In the space below, type the characters appearing in the picture.
Name
This field is for validation purposes and should be left unchanged.

Note

If you are not contacted by the BCMSA within 24 hours of submitting your completed request form, please contact Justin Chouhan, Manager of Audit & Training Services

E: jchouhan@bcmsa.ca
P: 778-278-3436

Note

OUR MISSION

The purpose of the BC Municipal Safety Association is to improve worker health and safety and enhance safety culture through the sharing of knowledge and resources.

WORKER SAFETY IS OUR BUSINESS.

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/by Christine Zielke

BCMSA