SafetyFirst Screening Kit

• • Your Legal Name*
    Please provide your name on your government identification for screening purposes.
    First Name

    Last Name
  • Preferred Name
    What name do you go by?
    First Name

    Last Name
  • E-mail*
    This is required in order for us to send you the invitation for your training and Enhanced Criminal Record Check.
     
  • E-mail (Enter Again)*
     
  • Your Address*
    Your address is required in order that we can send you your certificate and pocket guide.
    Street Address*

    Address Line 2

    City*

    Province / State / Region*

    Postal Code / Zip

    Antigua and BarbudaBahamasBarbadosBelizeCanadaCosta RicaCubaDominicaDominican RepublicEl SalvadorGrenadaGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesTrinidad and TobagoUnited StatesArgentinaBoliviaBrazilChileColumbiaEcuadorGuyanaParaguayPeruSurinameUruguayVenezuelaAlbaniaAndorraArmeniaAustriaAzerbaijanBelarusBelgiumBosnia and HerzegovinaBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGeorgiaGermanyGreeceHungaryIcelandIrelandItalyLatviaLiechtensteinLithuaniaLuxembourgMacedoniaMaltaMoldovaMonacoMontenegroNetherlandsNorwayPolandPortugalRomaniaSan MarinoSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUkraineUnited KingdomVatican CityAfghanistanBahrainBangladeshBhutanBrunei DarussalamMyanmarCambodiaChinaEast TimorIndiaIndonesiaIranIraqIsraelJapanJordanKazakhstanNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLebanonMalaysiaMaldivesMongoliaNepalOmanPakistanPhilippinesQatarRussiaSaudi ArabiaSingaporeSri LankaSyriaTaiwanTajikistanThailandTurkeyTurkmenistanUnited Arab EmiratesUzbekistanVietnamYemenAustraliaFijiKiribatiMarshall IslandsMicronesiaNauruNew ZealandPalauPapua New GuineaSamoaSolomon IslandsTongaTuvaluVanuatuAlgeriaAngolaBeninBotswanaBurkina FasoBurundiCameroonCape VerdeCentral African RepublicChadComorosCongoDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambiaGhanaGuineaGuinea-BissauCôte d\'IvoireKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSudanSwazilandTanzaniaTogoTunisiaUgandaZambiaZimbabwe

    Country*
  • Do you have a website?
     
  • Primary Phone Number*
     

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  • Cell Phone Number
     

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  • Number of Employees
    Number of Paid Full or Part Time Staff
  • What pocket guide do you want?*
    Select the pocket guide you would like us to send to you. We recommend it be for the age group or demographic that you primarily engage with.
    >ChildrenYouthVulnerable AdultsSpecial Needs / Disabilities
  • Industry*
    Please pick the closest role you serve in?
    >EntertainerCare GiverTutorCleanerHome RepairDriverCoachPSWHealth Care PractitionerService ProviderClergyOther
• • Comments
• Services
• Consent

  WE NEVER SELL YOUR INFORMATION.
  However, we have partnered with organizations to host our screening and training. Your information and the candidate's information is secure on the site. With Canada's anti-spam legislation we are required to obtain your consent to send you electronic communications. We do need express permission from each individual within an organization that we are communicating with.
  
  You may unsubscribe or withdraw your consent at any time by contacting us at Plan to Protect®, 117 Ringwood Dr., Unit 11, Stouffville, ON L4A 8C1, or emailing us at info@plantoprotect.com.
  • Please confirm your consent to receive electronic communications from Plan to Protect® as described.*
    
    Yes I do give my consent for all e-Communications

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