WAMITAB 0020: Centre Application Form CENTRE APPLICATION FORM 0020, Version 11, June 2015 For completion by potential centres Version 11, June 2015 1 WAMITAB 0020: Centre Application Form Notes for Applicants Before you start the application process you will require the following information: Name of organisation Name of principal/CEO Address Registered company address Key contact name Position Email/Phone/Fax Have you previously applied to be a centre? UK Register of Learning Provider Reference Number Do you hold a UK Border’s Agency Tier 4 Licence? If so, what is your status? Do you have a risk management system for the delivery of qualifications? Do you have contingency plans to support learners in the event of centre closure? What is your rationale for applying to become a WAMITAB centre? Do you have centre approval with any other awarding organisation? If so, Please provide names and dates Have you been previously approved under a different name? If so, provide names and dates of prior approval Please indicate all regions you plan to operate within Sector engagement questions and finance contacts Note the provision you would offer Two Referees All applicants should: Insert information in the spaces provided Submit this application as a Word document NOT as a PDF Include any additional information in appendices where these are requested/relevant Note that information exceeding the word limited questions will not be assessed by WAMITAB Email this application to: info.admin@wamitab.org.uk Version 11, June 2015 2 WAMITAB 0020: Centre Application Form Checklist Please ensure that you have enclosed/completed all of the following prior to submission: Required Information 1. Contact details 2. Section 1: About your organisation 3. Section 2: Plan of Provision 4. Section 3: Sector Engagement 5. Section 4: List of WAMITAB Qualifications you wish to offer 6. Section 5: Accounts Application Form Version 11, June 2015 3 WAMITAB 0020: Centre Application Form Contact Details Please provide the following contact information: Name of Organisation Name of Principal/CEO Address Postcode Registered Company Address (if different to above) Website address Key contact name Position Email Phone Fax Have you previously applied to be an approved centre? Please state if you will be delivering learning programmes to: Members of staff (inhouse) External customers All of the above Version 11, June 2015 4 WAMITAB 0020: Centre Application Form Section 1: About your organisation UK Register of Learning Providers Reference Number Does your organisation hold a UK Border Agency Tier 4 Licence? (yes or no) If the answer above was ‘yes’ what is your status? Please indicate if your organisation has a risk management system in place? (yes or no) Does your centre have a contingency plan? (yes or no) What is the size of your organisation in terms of number of staff and annual turnover? What is your rationale for applying to become a WAMITAB Centre? (300 words max) Version 11, June 2015 5 WAMITAB 0020: Centre Application Form Section 2: Plan of Provision This section relates to WAMITAB QCF qualifications. Your organisation will be required to engage appropriately occupationally competent Assessors and Internal Verifiers – this will be checked by your allocated External Verifier prior to approval. Do you have centre approval for any other awarding organisation? (yes or no) If yes, please list the awarding organisations (we may check) Have you previously been an approved centre under a different name? (yes or no) If yes, please provide us with the name and dates in which you were previously approved Have you ever been refused approval by a recognised Awarding Organisation Yes/No (delete as appropriate) If yes, please state the name of the recognised Awarding Organisation Reason for refusal Date of refusal Have you ever had your approval withdrawn by a recognised Awarding Organisation? Yes/No (delete as appropriate) Name of recognised Awarding Organisation Reason for withdrawal Date of withdrawal Do you currently have any sanctions applied upon you by any recognised Awarding Organisation? Yes/No Reason for the sanction Date of sanction Version 11, June 2015 6 0020 WAMITAB Centre Application Form Please indicate all the regions you plan to operate within (please put an X in the appropriate boxes) Scotland North East North West West Midlands East Midlands East South West South East London Wales Yorkshire & the Humber Northern Ireland All Please indicate whether tests will be conducted at any address/s other than that specified on page 1 ( including satellite sites) Please list below: Location Name of Contact Telephone number Version 11, June 2015 7 WAMITAB 0020: Centre Application Form Section 3: Sector Engagement This section relates to employer/organisation engagement within the waste, facilities and environmental services sector – and all related sectors. If your experience of engagement is not in this area, please describe your current practice and explain how this is transferrable. This section is not compulsory. What employers/ organisations do you work with? In what capacity have you been working with these employers/organisations? What qualification provision have you been providing to these employers/ organisations? How long have you been working with employers/ organisations? Version 11, June 2015 8 WAMITAB 0020: Centre Application Form Section 4: List of WAMITAB Qualifications Please list the WAMITAB qualifications you are interested in offering: Qualification Title Version 11, June 2015 WAMITAB Qualification Code Projected number of learners in next 12 months 9 Cost of the provision (where available provide set delivery prices) WAMITAB 0020: Centre Application Form Section 5: Account Application Form Name of Company: Co. Registration/ Charity Number Invoice Address: Contact: Tel: Fax: Email: Amount of Credit Agreed: £2000 Name of Bank: Branch Address: Account No: Sort Code: Trade Reference 1: Company Name: Address: Please provide 2 trade references Contact: Tel: Fax: Email: Trade Reference 2: Company Name: Address: Contact: Tel: Fax: Email: Please note that our Payment Terms are strictly 30 days from the date of invoice Declaration I, being a duly authorised officer of this Business do agree that payment of all accounts will be received by WAMITAB in accordance with your stated Terms and Conditions of Payment within 30 days of date of invoice. I understand that adherence to the Terms and Conditions of Payment overleaf, forms part of this agreement. Name: ................................................... Signature: .............................................................. Date: .............................. Version 11, June 2015 10 0020 WAMITAB Centre Application Form Terms and Conditions of Payment Credit Facilities Companies/organisations wishing to open credit facilities should complete an Account Application Form (Ref: AAF/01) and return it with the relevant information to WAMITAB. Credit facilities will not be granted without a satisfactory AAF/01. If a credit facility is granted to the Centre, it will be on condition that the price of the goods/services shall be paid, to WAMITAB, within 30 days of the date on which the goods/services are invoiced. WAMITAB reserve the right not to grant credit facilities following receipt and analysis of Form AAF/01. WAMITAB reserves the right to withdraw or vary credit facilities at any time by summary written notice to the company/organisation without either giving any reason for doing so, or thereby incurring any liability to the company/organisation. Late Payment In the case of late payment, WAMITAB shall be entitled to charge and recover interest from the centre on the price of goods/services, calculated at whichever shall be the greater: the statutory interest payable under the Late Payment of Commercial Debts (Interest) Act 1998 or the rate of 8% per annum above the reference rate. Certification Following Payment of Application Fees The company/organisation’s personnel (and their candidates) should be aware that WAMITAB will only issue the appropriate certificate once the requisite payment has been cleared through its Bank. This may cause some delay to candidates if payment occurs towards the end of the 30 day period (please note that this is in addition to the time it takes to raise the certificate - currently this is approximately 10 days.) Administration The company/organisation must state the invoice number they are paying on each payment notification. Version 11, June 2015 11 WAMITAB 0020: Centre Application Form Application Terms and Conditions 1. You must wait until WAMITAB processes your application and contacts you in writing to confirm your approval before you can advertise or recruit for WAMITAB qualifications. 2. By completing this form and providing personal details you accept that you are granting permission for your details to be stored electronically by WAMITAB. 3. Submission of this form is not a guarantee of approval. WAMITAB reserves the right not to progress with your request to become a recognised centre to offer our qualifications. 4. The completion and submission of this form is the first stage in the application process. Your application forms the basis on which you agree to operate as a WAMITAB centre and for us to regulate and support you in the delivery of WAMITAB qualifications as outlined in the regulatory documents, your Service Level Agreement and WAMITAB centre guidance publications. If you have any queries about this application form, please contact: WAMITAB Peterbridge House 3 The Lakes Northampton NN4 7HE Tel: 01604 231950 Email: info.admin@wamitab.org.uk Web: www.wamitab.org.uk Version 11, June 2015 12 WAMITAB 0020: Centre Application Form Version 11, June 2015 13 WAMITAB 0020: Centre Application Form WAMITAB Peterbridge House 3 The Lakes Northampton NN4 7HE Tel: 01604 231950 Email: info.admin@wamitab.org.uk Web: www.wamitab.org.uk Version 11, June 2015 14