Train-the-Trainer. PTI Course Propane Training Institute. Location: A 2-DAY CERTIFICATION COURSE INSTRUCTION & CERTIFICATION TO:

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A 2-DAY CERTIFICATION COURSE Location: Holiday Inn Express & Suites 2373 Banff Trail NW Calgary, Alberta Train-the-Trainer PTI Course 700-01 Propane Training Institute INSTRUCTION & CERTIFICATION TO: Improve your teaching skills Qualify as a PTI Trainer Register before, Jan. 7, 2019. Limited to 8 participants. Workshop Leader: Chris Jodouin CHEM Safety PTI Regional Business Partner, Prairies Chris brings over 25 years consulting and training experience in occupational health & safety. He is an Independent Trainer and Facilitator for the Propane Training Institute. This Train-the-Trainer workshop is a prerequisite for experienced propane handlers who want to be certified as a Trainer of Propane Training Institute (PTI) courses. It focuses on skill development through a variety of interactive methods. Participants will: Discover basic principles of how adults learn Assemble a tool box of basic teaching skills Practice new skills by preparing and presenting mini-lessons Give and receive constructive feedback Review the PTI Code of Practice Feel more confident and competent as a trainer Join us in a small group environment. This workshop is limited to 8 participants. For more details, contact Chris Jodouin CHEM Safety cjodouin@chemsafety.ca Calgary: (403) 818-8118 Toll Free Tel: 866-374-1766 Registration form on page 2...

REGISTRATION FORM Train-the-Trainer (PTI 700-01) January 15-16, 2019 Holiday Inn Express & Suites, 2373 Banff Trail NW, Calgary, AB Register before Jan 7, 2019 Limited to 8 participants. How to Register This course is open to those who meet the criteria for PTI Trainer. Please refer to the Trainer Criteria Sheet and Trainer Application Form for details. PLEASE SUBMIT A SEPARATE REGISTRATION FOR EACH PARTICIPANT. 1. Complete the Trainer Application Form. (Parts I, II, and III). 2. Complete this Registration Form. 3. FAX the Trainer Application and Registration Form to 1-866-831-9645, or email to cjodouin@chemsafety.ca. 4. Payment is due by January 15, 2019. Pay by: VISA or MASTERCARD (do not email card info), or Mail* company cheque payable to ESCALADE SERVICES GROUP INC to: Escalade Services Group Inc., 320 Hawkcliff Way NW, Calgary, AB T3G 2W7 Registration Fees: (check applicable boxes): 2 Fees (Workshop + Setup): Workshop $950. 00 Plus: PTI Trainer Setup Fee Fee may be less if candidate is currently a PTI Examiner. Indicate # PTI course codes you wish to instruct after certification: 1-3 course codes $150. 00 4-6 course codes $175. 00 7-9 course codes $200. 00 10-15 course codes $225. 00 16+ course codes $275. 00 Plus: GST $ TOTAL DUE $ Fee for PTI Trainer setup, certificate, and card. PARTICIPANT INFORMATION: (PLEASE PRINT) Participant s Name Position Organization Name Phone ( ) Organization Address Home Phone ( ) Email Address: MC VISA Credit Card #: Exp. Date 3-digit code: Name of Cardholder: Cardholder s Signature Cheque #: (Make cheques payable to Escalade Services Group Inc.) * Course fees must be received in full prior to start of course. Written cancellations received by Escalade Services Group up to 7 business days prior to start of course will be refunded; a cancellation fee of $75 per person + GST will apply. After this time, fees are non-refundable. Escalade Services Group Inc. reserves the right to cancel or change: date, location, or other course arrangements and assumes no liability for changes.

Revised Feb. 2018 CRITERIA FOR P.T.I. TRAINERS About PTI Trainers Trainers are individuals who are authorized* to conduct classroom instruction of Propane Training Institute (PTI) courses. Trainers must successfully complete the Train-the-Trainer course (700-01) that provides them with the skills to conduct training sessions. A Trainer facilitates both the learning and examination process of the PTI training system. All Trainers certified by the Propane Training Institute must comply with the Code of Practice. * The PTI Code of Practice indicates that Trainers who work for a Member Company of the Canadian Propane Association are authorized to instruct their own employees and customers of the Member Company. * Trainers who do not work for a Member Company will be classified as Corporate Trainers, and will be authorized to train only employees of the same company they are identified with on their PTI Trainer Application. * Trainers must purchase an original student workbook and exam for each student being instructed. Trainer Qualifications and Application Procedure The following is a summary of requirements. Please contact the Propane Training Institute (403-543-6507) or CHEM Safety (403-818-8118) if you require further details. 1. Applicant must have 3 years related propane-handling experience to be a Trainer. 2. Applicant must achieve at least 85% on their personal written and practical exams for each course that they wish to instruct. 3. Applicant must complete PTI Course 700-01 Train-the-Trainer. 4. Companies and organizations not belonging to the LPG Emergency Response Plan must have $2,000,000 per incident of Comprehensive General Liability insurance. A copy of your organization s Certificate of Insurance will be required annually. 5. Applicant must complete a Trainer Application Form (Parts I, II, III). Submit the application form to CHEM Safety, for review. Fax applications to 1-866-831-9645, or email to cjodouin@chemsafety.ca. There is no charge for review of applications. Approved application forms will then be signed and forwarded to PTI for processing. 6. Approved Trainers will receive a Trainer card and identification number from the Propane Training Institute. 7. PTI administration fee for trainer registration and reference materials will vary, depending on how many different course codes the individual wishes to be certified to teach. (Example: If you wish to instruct 100-01, 100-03 and 400-01 this counts as 3 course codes.)