Creative Enterprise Programme Registration form Please fill out this form to register your school or college on the Creative Enterprise Programme (CEP). Your details Title: First name: Last name: email address: Job title: Telephone: Centre number: School/college name: CEP lead Your CEP lead is the person who will be the main link between AQA and your school/college on all matters relating to CEP. Name of CEP lead (if different from above): Email of CEP lead (if different from above): Please confirm that you have approval from your head of centre to run the programme: (Delete as appropriate) Yes/No About your CEP Estimated number of students entering for CEP in the first year: When do you plan that your first cohort of students will complete the course? ☐ ☐ June 2014 June 2015 Which GCSEs do you plan to offer as part of the CEP Art and Design ☐ Dance ☐ Drama ☐ Expressive Arts ☐ Music ☐ Computer Science ☐ Design and Technology ☐ Engineering ☐ AQA Education (AQA) is a registered charity (number 1073334) and a company limited by guarantee registered in England and Wales (number 3644723). Our registered address is AQA, Devas Street, Manchester M15 6EX. ☐ ☐ ☐ Media Studies Performing Arts Other - please specify below (e.g. Science) Does your school currently offer the Foundation/Higher Project or the Enterprise and Employability certificate? ☐ ☐ ☐ Foundation Project Qualification Higher Project Qualification Level 1 or 2 Enterprise and Employability Certificate Would you like us to send you a CEP information pack? Yes / No (Delete as appropriate) Please confirm that you have read and agree to the CEP Terms and Conditions. Yes / No (Delete as appropriate) AQA will use the contact information you have provided to send you updates on subjects you identified as being of interest and appropriate supporting AQA services and initiatives. At AQA we would also like to send you details of other products and services. Please tell us if you do not wish to receive such information: Yes/No (Delete as appropriate) For full details on how your personal information will be used, stored and protected, and how to request further information from AQA, please read AQA’s privacy and fair processing statement. Please email this form to cep@aqa.org.uk AQA Education (AQA) is a registered charity (number 1073334) and a company limited by guarantee registered in England and Wales (number 3644723). Our registered address is AQA, Devas Street, Manchester M15 6EX. 2 of 2