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Corporate Member Application Form

Please print details in capital letters

1. Application Details

Full name of Registered Training Organisation/Company:

Company ACN:

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'):

Telephone:

Fax:

Email Address:

Website Address:

Authorised Representative

Full name of person nominated to attend meetings and to whom communications are sent:

Position in the company:

Date of Birth:

Gender: MaleFemale

Business Address (if different from Section 1.):

Telephone:

Fax:

Mobile:

Email:

In the event that the Authorised Representative changes, please notify STA immediately

Company / Business Details

Business Structure:

Sole Trader

Partnership

Company

Full Names of the Directors (Company) or Principals (Partnership):

Has the applicant ever had their registered training organisation revoked?

YESNO

Details:

Is the enterprise a current members of any other security industry organisation?

YESNO

Details:

RTO History

Are you an approved RTO with your State Licensing Regulator? YESNO

If no, have you applied for approval?
If no, when do you intend on becoming an approved RTO?

Number of years in business:

What are you approved to deliver in the security industry through the state licensing regulator?

Crowd Control

Armed Guard

Bodyguard

Control Room

Investigations

Cash in Transit

Risk Management

Unarmed Guard

Monitoring Centre

Other

Professional Development

In relation to what topics would you like to complete professional development offered by the STA?

Effective Training Strategies

Recognised Prior Learning Requirements

Security Law

Understanding the Security Training Package

Assessment Requirements

Defensive Tactics/Empty Hand Techniques

First Aid

Compliance Requirements

Other

Declaration

Undertaking

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.

Payment

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)

Copy of Security Licence(s)

Business Card

Other Attachments

Signature of the Applicant/s

Applicant Name:

Title:

Date:

Leave this empty:

Your legal name

Your email address