TSA Enrolment Form - Fire Safety at Home
Please use this enrolment form to register for your course.
IMPORTANT please remember to make a note of your user name and password before you submit the form.
First name
*
Surname
*
User name
*
Password
*
Confirm password
*
Telephone number
*
Email
*
Confirm email
*
County
*
Please select
Aberdeenshire
Angus
Argyllshire
Ayrshire
Bedfordshire
Berkshire
Buckinghamshire
Cambridgeshire
Cheshire
City of Edinburgh
Cleveland
Cornwall
County Durham
Cumbria
Denbighshire
Derby City
Derbyshire
Devon
Dorset
Dumfries & Galloway
Dunbarton
Durham
East Lothian
East Sussex
Edinburgh
Essex
Fife
Flintshire
Glamorgan
Glasgow
Gloucestershire
Grampian
Greater London
Greater Manchester
Gwynedd
Hampshire
Herefordshire
Kent
Lanarkshire
Lancashire
Leicestershire
Lincolnshire
London
Lothian
Merseyside
Middlesex
Midlothian
Morayshire
Norfolk
North East
North Lanarkshire
North Yorkshire
Northamptonshire
Northern Ireland
Northumberland
Nottinghamshire
Orkney Islands
Overseas
Oxfordshire
Renfrewshire
Rossendale
Selkirkshire
Shropshire
Somerset
South Ayrshire
South Yorkshire
Staffordshire
Stirling
Suffolk
Surrey
Sussex
Torfaen
Tyne & Wear
Vale of Glamorgan
Warwickshire
West Midlands
West Sussex
West Yorkshire
Wiltshire
Worcestershire
Wrexham
Yorkshire
London borough (if applicable)
Select if applicable
Barking and Dagenham
Barnet
Bexley
Brent
Bromley
Camden
City of London
Croydon
Ealing
Enfield
Greenwich
Hackney
Hammersmith and Fulham
Haringey
Harrow
Havering
Hillingdon
Hounslow
Islington
Kingston upon Thames
Lambeth
Lewisham
Merton
Newham
Redbridge
Richmond upon Thames
Royal Borough of Kensington and Chelsea
Southwark
Sutton
Tower Hamlets
Waltham Forest
Wandsworth
Westminster
Role
*
Please select
Ambulance Service
Carer Family or Friend Only
Carer Private / Agency
Carer Public Sector
Carer Voluntary
Fire & Rescue Service
Health Sector
Housing Sector
Other
Police
Social Care Sector
Trade Professional e.g Gas, Electricity
Number of vulnerable people you can help reduce fire risk
*
Please select
1
11_20
2
3_5
6_10
I don't care for people directly but come into contact with vulnerable people regularly
I manage staff who care directly for vulnerable people
Please confirm if you are happy to be contacted by TSA?
Please type the following code into the box provided
*
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