Change(s) to accredited provision – initial request form 2015-16
Name of institution
Name key contact
Email
Phone
Please provide details of your accredited provision:
Please complete the two tables below with details of your existing provision and of the provision you wish to
be considered for a change(s)
Table A - Complete this table for all existing accredited provision at your institution
Titles of accredited programme/provision as listed on the
Accreditation Certificate
Note: May include an over-arching CPD Scheme with developmental pathways
within it
Accreditation
case number
Descriptors
Mark with 'x' as applicable
D1
D2
D3
D4
Table B - Complete this table for the line(s) of provision proposed for change
Title of programme/provision as listed on the Accreditation
Certificate
Accreditation
case number
Descriptors
Mark with 'x' as applicable
D1
When would you like this change to be implemented?
D2
D3
D4
Please provide brief details about the change(s) requested:
Please consider the questions below and provide brief information to address these (where applicable). This
information will be used to determine whether the change proposed is minor or major in nature:





Will the change affect the design/structure/format of the programme/provision?
Will the change involve a different mode of delivery/different group(s) of participants/location of
campus or partner institution?
Will there be a change to the mode or format of assessment/ the application process?
Will the change alter any stage in the recognition decision-making process that was accredited?
Will this change impact on any other accredited provision at the institution?
Please provide information in the table below:
Please email the completed form to the HEA Accreditation mailbox at accreditation@heacademy.ac.uk
Receipt of your form will be acknowledged and a member of the Accreditation Team will advise you as to
whether this proposed change constitutes a minor or major change to your accredited provision. You will then
be issued with the relevant template for minor/major change which will set out the process, information
required and timeline.
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