Application Type Swim Teacher License Registration (Application)Swim Teacher License Re-registration (Renewal)
Your title: ---MrMrsMissMsDrOther
Your name:
Your email:
Telephone Number:
Did you do your Swim Teacher Course with Royal Life Saving Queensland? ---NoI don't knowYes
Please can you supply the following information:
Date of Birth:
Your address:
Swim Teacher Certificate: Please upload a copy of your Statement of Attainment: Note: - File type permitted: 'pdf' only - Maximum file size 2MB
CPR Certificate: Please upload a copy of your Statement of Attainment (For HLTAID001 or HLTAID009) Note: - File type permitted: 'pdf' only - Maximum file size 2MB
Please upload the completed signed copy of the Industry Onboarding Record. Appendix 1 - Industry Onboarding Record Note: - File type permitted: 'pdf' only - Maximum file size 2MB
Please upload the completed signed copy of the Practical Assessment Form. Appendix 2 - Practical Assessment Form Note: - File type permitted: 'pdf' only - Maximum file size 2MB
Please upload a clear photo of your face Note: - File type permitted: 'jpg' only - Maximum file size 2MB - Must be a Passport Style photo of less than six months old - If taken by you, good quality, in colour and focus and head and should only. Looking straight at the camera and with a plain background.
Please upload a clear photo of your photo identification document (i.e. Drivers License or Passport) Note: - File type permitted: 'jpg' or 'pdf' only - Maximum file size 2MB - Must be a government issued photo identification
Please take a photo of your Blue card (or Exemption Card) and upload the picture. By submitting this form your authorise Royal Life Saving to link your card to us.
Blue Card / Exemption Card Note: - File type permitted: 'jpg' or 'pdf' only - Maximum file size 2MB
Please refer to Section 5 of the Licensee Handbook. Please confirm that you have an appropriate level of health & fitness consistent with the GSPO (refer section 5) to perform your duties as a Swim Teacher. ---YesNo
Please refer to Section 2 of the Licensee Handbook. Please confirm that you read the section 'Safeguarding Children' and agree to the Code of Coduct. ---YesNo
Messages Please enter any messages or questions that you have:
Please enter any messages or questions that you have:
Royal Life Saving Queensland (RLSSQ) will verify the above information and may issue a Swim Teacher License in accordance with the terms and conditions outlined in the Licensee Handbook. RLSSQ reserves its right to cancel a Swim Teacher License at it discretion.
Please click to confirm that: - I wish to apply for a Swim Teacher License on the terms and condition outlined in the Licensee Handbook, - All information supplied is true and correct, - I am the person outlined in this application and I am submitting this application on my own behalf, - I authorise Royal Life Saving to very my information and link my Blue Card / Exemption Card to Royal Life Saving Society Queensland Inc.
Please be patient, this may takje a few minutes as your files are uploaded.
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