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STA Aquatic Tutor Status

To enable the STA to register a learner for a qualification, each learner must complete and return this form to enrol. PLEASE ENSURE ALL INFORMATION IS ACCURATE AND SPELT CORRECTLY. The details supplied on this form will be used to register your enrolment on your chosen course and on your official qualification certificate, Triton Training/ Triton in the Community & STA will accept no responsibility for inaccurate or incorrect spelling).

Learner Email *

First Name *

Last Name *

Date of Birth *

Course Fees Payment Method *

I am paying for this course privately

I am paying for this course privately and would like a payment plan (full payment must be made 1 week before day 1 of the course)

I am a funded applicant (Confirmation email already received from Triton Training)

My employer/club is paying for me and I will need an invoice (add employer details below)

Employer/ Club name, contact name and email address for invoicing *

Course number (on Triton website) *

Course Start Date *

What is your chosen discipline? Only choose one for this course, you can add more with the STA at a later date. *

Please confirm you have all of the following and then upload the evidence online by copying this into your browser: https://forms.gle/xxoehrt2qrzZZBkS8

Level 3 Award in Education and Training *

Safeguarding certificate within 3 years *

Evidence of 200 hours in your chosen discipline *

Certificate in your chosen discipline (e.g swim teacher certificate) *

Gender *

Male

Female

Prefer not to say

Your address inc postcode *

Your contact number *

Emergency Phone Number *

Course Attendance Commitment

I confirm that I am able to commit to the full course attendance dates/times *

Coursework & Practical Understanding

I confirm that I understand what is expected to complete the course I am applying for successfully *

Educational Barriers: Did you come across any barriers whilst at school or college that you feel will influence you completing this training programme? *

Yes (Please give details in notes)

No

Technology Access: Do you have access to a laptop/tablet to attend live online learning and complete any theory work? *

Yes

No

Personal Barriers: Is there anything that we need to know that could affect this training programme? (e.g.: family engagement, Communication, Confidence, doctor told you not to exercise, pregnancy…) *

Yes (Please give details in notes)

No

Legal Barriers: Do you have any non-protected, spent or unspent convictions, cautions, warnings or reprimands? *

Yes

No

Legal Discussion: If you answered 'Yes' to the above are you happy to discuss with your tutor?

Yes

No

Recognised Prior Learning: Do you hold any qualifications that may make you eligible for RPL (if yes add details to notes below)? *

Notes: Please add any relevant information relating to the above questions

Where did you hear about this course? *

Photography Consent

I give my consent to use my photographs and consent to the photographs being used in all media including press, web and social media *

I ONLY give permission for any videos or photos to be taken for assessment purposes

Data Protection & Privacy: Triton and STA will use your personal data for registration and certification of the selected qualification. By submitting this form, you consent to the processing of your personal data. Some information may be shared with

I acknowledge that I have understood and abide by the STA and Triton policies *

I agree to complete the STA membership *

Policies Agreement: All of our policies can be found on the ‘About us’ page of our website https://tritontraining.co.uk/about-us/. Please click below to confirm that you understand where to locate these policies and will abide by the requirements set out within all policies.

I acknowledge that I have been supplied with or have access to a copy of all Triton Training's Policies and Procedures *

I agree that I will abide by the requirements set out within all Triton Training's Policies and Procedures *

Data protection and privacy. STA will use your personal data solely for the purpose of registration and certification for the selected qualification. Triton may email you about other courses and services. I understand that by submitting this form, I *

Phone Type: For us to process your year subscription to the Atlantis App please select what phone you have: *

Android

Apple

Learner Agreement (found on the Triton website)

I agree to abide by the learner agreement *