Corporate Member Application Form
Please print details in capital letters
1. Application Details
Full name of Registered Training Organisation/Company:
Registered Trading Name (If Different to Company Name):
Business Company Address (If Applicable):
Postal Address (If postal and street address are the same, please write 'As Above'):
Full name of person nominated to attend meetings and to whom communications are sent:
Position in the company:
Date of Birth:
Business Address (if different from Section 1.):
In the event that the Authorised Representative changes, please notify STA immediately
Company / Business Details
Full Names of the Directors (Company) or Principals (Partnership):
Has the applicant ever had their registered training organisation revoked?
Is the enterprise a current members of any other security industry organisation?
Are you an approved RTO with your State Licensing Regulator? YESNO
Number of years in business:
What are you approved to deliver in the security industry through the state licensing regulator?
In relation to what topics would you like to complete professional development offered by the STA?
I / We, certify that to the best of my / our knowledge and belief the information given in this application is true and correct in every detail. I / We authorise STA to make any enquiries it considers necessary to enable this application to be considered.
I / We agree, if elected to membership, to be bound by Model Rules, Policies and Procedures. If purchased, I agree to not use the training resources provided by the Security Trainers Association in any form of franchise arrangement unless approved by the committee.
Full 12 month corporate membership is $440 (GST inclusive).
Payment will be required via Cheque, Direct Debit or PayPal on the following screen.
I / We further understand that I / We may resign from membership by giving three months written notice to the Association and all fees due and payable during that period apply. I / We also understand that, in the event of my / our resignation from the association any fees or monies owing to the Association during the period in which the resignation takes effect are a debt due to the Association.
Attachments (Please provide the following with your application)
Signature of the Applicant/s
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Corporate Member Application Form
Agree & Sign