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English (UK)
SM IRB Driver / IRB Crew Course Training Information form
This training course information form must be submitted with a Surf guard 'Assessment Request' ID. Course approval will not be given without this document being submitted 21 days prior to course commencement. You will be provided approval 7 days prior and notified if an IRB Facilitator is being allocated.
Club Name
*
Noosa Heads Surf Life Saving Club
Rainbow Beach Surf Life Saving Club
Sunshine Beach Surf Life Saving Club
Coolum Beach Surf Life Saving Club
Marcoola Surf Life Saving Club
Mudjimba Surf Life Saving Club
Maroochydore Surf Life Saving Club
Alexandra Headland Surf Life Saving Club
Mooloolaba Surf Life Saving Club
Kawana Waters Surf Life Saving Club
Dicky Beach Surf Life Saving Club
Metropolitan Caloundra SLSC
Bribie Island Surf Life Saving Club
Redcliffe Peninsula Surf Life Saving Club
Assessment Request ID / Course Number:
*
Course Type:
*
SM IRB Driver
IRB Crew
Course Start Date
*
/
Day
/
Month
Year
Expiry Date
Proposed Course Assessment Date
*
/
Day
/
Month
Year
Expiry Date
Head IRB Trainer:
*
Email
example@example.com
Phone Number
-
Area Code
Phone Number
IRB Trainers:
*
At least one IRB Trainer needs to hold a Cert IV or a Direct Supervisor must be allocated and recorded on the Course Training report. Please list DS below if applicable:
IRB Assessors:
*
List any Probationary Trainers or Assessors
Training Details
*
Date
Time
Location
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9
Session 10
Alternative Training Venues (if required)
Number of IRB's available for training:
*
Approx number of candidates
*
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