Please tell us your name:
Mr. Mrs. Ms.
* *

Please provide your email address: *
(We'll use this to communicate with you.)

Please provide your mailing address! *

Please provide us with a contact telephone number:
*
(Please use this format: 555-555-5555)

When can an we call you?
After business hours or on Saturdays
Anytime between 8:00AM (10:00 AM on Saturdays) and 8:00PM
Please email me only.

This is my Please Choose One! Home Phone Office Phone Personal Cell Phone Company Cell Phone

Please tell us which best describes your experience level:
Please choose one! I'm new to the industry I have under two years experience I have between 2 and 5 years experience I have between 5 and 10 years experience I have between 10 and 15 years experience I have between 15 and 20 years experience I have more than 20 years experience

What's your job function (what do you do when you're at work)? *
Choose one Professional Engineer CEO/Owner Electrician Technician Service Manager Service Coordinator Service Consultant Service Desk Sprinkler Fitter Other

Are you a current member of any professional association (check all that apply)?
ASTTBC CFAA NICET DHI Other
Other Membership(s)/Affiliation(s):

What user name would you like to use to log on to your Members' Desk? *

What Password would you like to use?
Please use at least one (1) upper case letter (minimum eight (8) characters
(can include special characters but no spaces). Don't make it easy!*

Select the membership level you would like:

APPLICANTS FOR ASSOCIATE (OR STUDENT) MEMBERSHIPS NEED NOT COMPLETE THE REST OF THIS FORM.
YOU MAY SCROLL DOWN AND CLICK ON "SUBMIT".

If you are applying for professional registration under the Fire Technicians Network Certification Programme, you will be subject to a Professional Practice Evaluation. Special certification will be granted in the disciplines / endorsements in which you previously registered / certified. Your personal practice log will also be reviewed during the PPE.

If you checked ASTTBC above, please check off which disciplines appear on your stamp (do NOT include "Provisional Endorsements"):
AL EX EM WA FP VI SP GS CO SM

Will you be cancelling your ASTTBC Technician Registration once you have been accepted into the Fire Technicians Network's Programme for Certified Life Safety Equipment Service Professionals?
Yes No

Please provide your current four digit Registration Number: FP-
(You will be required to submit proof of payment for your current annual membership dues.)

If you checked CFAA above, please indicate your current status:
Student Member Certified Fire Alarm Technician

Will you be cancelling your CFAA Technician Certification once you have been accepted into the Fire Technicians Network's Programme for Certified Life Safety Equipment Service Professionals?
Yes No

Please provide us with your member/technician number:
(You will be required to submit proof of payment for your current annual membership dues.)

Which CFAA Courses have you completed?
Course 1 Course 2 Course 3 Course 4 Course 5

If you checked DHI above, do you currently hold a FDAI?
Yes No

If you checked "Yes" please provide us with your certification number:
(You will be required to submit proof of payment for your current annual membership dues.)

If you have a Degree from a recognized College or University, additional certification or special endorsements (i.e. Transport Canada or Intertek Cylinder Requalifier, City of Vancouver - or other jurisdiction's - List of Qualified Verifiers), please list them here. Do not include manufacturer specific training certificates. These will be reviewed during your Professional Practice Evaluation:

Are you applying to reinstate a lapsed, suspended, or cancelled registration with the Fire Technicians Network?
Yes

Are you applying to add an additional discipline / endorsement to your current registration with the Fire Technicians Network?
Yes

If you checked "Yes" to either of the above questions, please provide your registration number:

What discipline / endorsement are you applying for? If you are transferring your existing Certification, please check all that apply. If you are adding a discipline / endorsement, please check only one.

F V E W P L B G C K

Please provide your current employer's information:

Company Name:

Office Telephone Number:

(Please use this format: 555-555-5555)

Office Facsimile Number:

(Please use this format: 555-555-5555)

Your immediate Supervisor's Name:
Mr. Mrs. Ms.

Please provide your Supervisor's email address:

Supervisor's Cell Number:

(Please use this format: 555-555-5555)

I am registering for ONE of the following courses (Select from either Full or Review sections):

I have copies of the relevant Standards available and will bring them to use in class.
Yes No

NOTES:
* Required by CFAA Certified Technicians or ASTTBC RFPTs with AL endorsement who wish to obtain LSST-F.
† For those candidates that are currently listed as a named Verifier in the City of Vancouver Bulletin or are in the employ of a manufacturer, and who are registered / certified by either ASTTBC or CFAA, your formal Professional Practice Evaluation will determine whether you're required to complete the full LSST-V Course or the Review Module. You will still be required to complete the LSST-FR (Review Module) if you are engaged in performing annual testing of fire alarm systems. This would become your default choice for this application.
‡ Applies to DHI FDAI only.

ONLINE courses may be available as classroom based sessions. You will receive additional information regarding schedules and venues. Please refer to the Practice Guideline for course fee schedules.

Associate Membership includes access to your personal Member's Desk, newsletter and special discounts in the Tech Store (renews at $50.00 per annum).

For Trainee (Apprentice) Members, your special Training Seal will be issued upon successful course completion.

Registration Fee includes initiation, seal and non-refundable $100.00 Processing Fee, access to the Member's Desk, newsletter and special discounts in the Tech Store (renews at $95.00 per annum).

Reinstatement Fee (or the Additional Endorsement Fee) includes a non-refundable $100.00 Processing Fee (Seal replacement fee may also apply), (pro-rated annual membership will also be added for the balance of the member's re-instatement).

All Prices are Canadian Dollars (GST/HST may apply). We will send you a final invoice via email once we have reviewed your application and applied any additional course fees, rebates or credits. Completion of this form is not a contract, nor does it grant you any rights to practice. Additoinal terms, conditions, training or examination requirements will be outlined in the detailed applicant review package you will be receiving.

Clicking "Submit" will take you to a confirmation page where additional information will be requested. Please follow the instructions on the page. Failure to provide the information requested will delay the application process.