STREET WORKS QUALIFICATIONS REGISTER (SWQR)
1
INITIAL / ADDITIONAL QUALIFICATION / RE-ASSESSMENT
(SWQR 1) APPLICATION FORM
INITIAL APPLICATION
ADDITIONAL QUALIFICATIONS
RE-ASSESSMENT (ATTACH CERTS)
Candidate is not on the Register
Candidate is adding new qualifications to a valid
card. NB The current expiry date will not change
Candidate card has expired in the last 6 months
and has passed re-assessment
TRAINING CENTRES ONLY
SWQR Approved Centre Number
Purchase Order Number (if required)
CANDIDATE DETAILS – Please complete all information in BLOCK CAPS
PHOTO
Awarding Body Registration Number (Required):
PLEASE
ATTACH WITH
GLUE ONLY
Existing SWQR Registration Number (if known):
Title:
Forename(s):
Surname:
Date of Birth:
/
/
(DD/MM/YYYY)
ADDRESS WHERE CARD IS TO BE SENT:
Address to:
Line 1:
Line 2:
Town:
Post code:
Phone / Email:
PLEASE TICK ‘’FOR INITIAL/ADDITIONAL, USE ‘R’ FOR RE-ASSESSMENT
or
‘R’
OPERATIVE QUALIFICATIONS
O1
O2
O3
Excavation in the Road/Highway
Excavation, Backfill & Re-instatement
– Cold Lay
Reinstate Hot & Cold Lay Bituminous
Materials
or
‘R’
001/ 002/ 003
SUPERVISOR QUALIFICATIONS
S1
Monitor Excavation in the Road/Highway
Monitor Excavate, Backfill & Reinstate
Construct Layers
Monitor Reinstate Hot & Cold Lay
Bituminous Materials
UNITS
001/ 010/ 011
001-006
S2
001/ 002/
006/ 007
S3
Reinstatement of Concrete Slabs
001/ 002/ 008
S4
Monitor Reinstatement of Concrete Slabs
001/ 010/ 015
Reinstatement Modular Surfaces &
Concrete Footways
001/ 002/ 009
S5
Monitor Reinstate Modular Surfaces &
Concrete Footways
001/ 010/ 016
O4
O5
UNITS
001/ 010-014
001/ 010/ 014
Please Select If Candidate Has Completed These Qualifications ONLY
or
‘R’
O6
OPERATIVE QUALIFICATION
UNIT
Signing, Lighting & Guarding
002
or
‘R’
SUPERVISORS QUALIFICATION
S6
Monitor Signing, Lighting & Guarding
UNIT
010
I the undersigned hereby certify that the above candidate details have been completed accurately. Please note that all
information given will be taken as precise by SWQR and no liability will be held for inaccurate information.
SIGNATURE
PRINT NAME
DATE
MAIL CHECK LIST – For office use ONLY
FEES & PAYMENT (valid until March 2016)
SWQR EXPIRY DATE
Initial Registration:
Additional Qualifications:
Re-assessed Card:
PO CHECKED
DATA CHECKED
£25.40
£20.35
£25.40
GUIDANCE NOTES TO ASSIST WITH THE COMPLETION OF
SWQR APPLICATION FORM
Please follow the guidance notes carefully. Applications that have been incorrectly completed will be
returned.
Applications may be delayed if there is a mistake on the form, the necessary fee has not been enclosed, or
the photograph sent in does not meet our guidance note requirements.
Complete the form in CAPITAL LETTERS. Please write only within the space provided. The I/D card
will have a digital image of the applicant’s photo.
Please tick the relevant box beside the type of application you are making.
1. TRAINING CENTRE DETAILS
 If centre is to be invoiced, as per prior agreement, please supply your SWQR Approved Centre
number along with a Purchase Order number (if required). If purchase order numbers are required
by your centre, but not completed, applications will be returned. We will not complete purchase
order information on behalf of a centre.
2.




CANDIDATE DETAILS
Please supply the candidate’s Awarding Body Registration Number. This is required.
Please supply the candidate’s existing SWQR Registration Number (if known).
Please complete the candidate’s full name, including title and date of birth.
Attach a current passport size photograph of the candidate (see separate guidance leaflet on
acceptable photographs). Please use glue, and do not staple the photograph.
3. ADDRESS WHERE CARD IS TO BE SENT
 Please fill in the address details, including company name and who the card should be addressed
to, if applicable.
 Complete a contact telephone number and/or email address; this will only be used in the event of a
problem with the application.
NB The I/D card will be returned to this address. Please ensure that this address is correct.
Covering letters/compliment slips etc. will not be accepted as a notification of address
4. QUALIFICATIONS COMPLETED
 Tick the qualifications completed; a breakdown of the units which make up each qualification can
be found at the end of the row.
 Please use a tick for initial or additional qualifications.
 Please use an R for reassessed qualifications.
 Please only select O6 or S6 qualification if this is the only qualification being applied for. It is not
necessary to tick this if the candidate has completed O1-O5 or S1-S5.
Please read the declaration, sign and print name and date the form accordingly
5. FEES AND PAYMENT
 If centre is to be invoiced as per prior agreement, enter the Centre number in the white boxes
 If you are a centre that uses Purchase Order Numbers, please provide details clearly on the form in
the space provided. We will not complete purchase order information on behalf of a centre.
 Payment can be made by cheque/postal order (in UK pounds sterling only) or by credit/debit card.
Please make payable to ‘SWQR’. Please note that Amex and Solo cards are not accepted.
Where possible, the existing I/D card should be returned to the SWQR with the completed
application.
RETURN FORMS TO:
The Street Works Qualifications Register (SWQR)
The Optima Building
58 Robertson Street
GLASGOW
G2 8DQ
Telephone: 0345 270 2720
Email: swqr@sqa.org.uk
Website: www.swqr.org.uk