Request for Training

By filling out this form, you are placing a request to register for online course(s). The SCSA office must contact you for payment before you are officially registered and sent course credentials. Please fill out all required fields (marked with *) and select one or more courses from the list at the bottom of the form.

Please select from the courses below.
*Please note: Courses with pre-requisites are not listed.

Course

Pipeline Construction Safety Training - Online Theory Only Rights & Responsibilities - Your Path to a Safe Workplace - Online Theory Only

Student Information:

First Name:

Last Name:

Date of Birth (MMM/DD/YYYY)

Address:

Postal Code:

City

Province:

Student's Email Address:

Phone Number:

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Employer Information:
Used as Payment Information

Company Name:

Company Address:

Company Postal Code:

Company City:

Company Province:

Contact Name:

Company Email:

Phone Number:

PO Number (optional):

Request for Training

Regina Office

Saskatoon Office