Student Information

There are 3 forms total. You will be redirected to the next after each submission.

1 of 3: Student Information Form

All fields are required. Place N/A in IRATA or SPRAT fields if not applicable.

Your Course Starting Date (i.e. 00/00/0000)

Your Name

Date of Birth

Current IRATA Level/Number/Expiry Date

Current SPRAT Level/Number/Expiry Date

Logbook Serial #

Total Logged hours

Logged at current level

Lost Log Book?*
YesNo
*Technicians must have their logbooks present for training and assessment. Lost logbooks need to be replaced in advance of the course date. See IRATA TACS 4.13 for more clarification.

Desired IRATA Level

Desired SPRAT Level

Mailing Address

Phone

Your Email (required)

Emergency Contact Name

Emergency Contact Phone

Employer

Employer Phone

Trade Qualifications

Work at Height or Recreational Experience