EmailMe Form - APEL Application Form

Name *

First Middle Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email Address *

Primary Phone Number *

Alternative Phone Number

Date of Birth *

MM / DD / YYYY

Gender *

Nationality *

National Insurance Number *

Work Permit Number

Your Application

Please complete the table below indicating the level you are applying for *

Do you already have accreditation in a particular strand?

PLease select the software that you had training on and will be using to lodge reports. *

Qualifications and Professional Bodies

Please list any Professional Qualifications that you have.
(Please number each seperate entry)

Please list any Professional bodies that you currently have membership with.
(Please number each entry, continuing from previous section)

Experience

Please detail all relevant experience, starting with the most recent, which directly relates to energy assessment. (Please number each entry, continuing from previous section)

Continuous Professional Development

Please provide details of your CPD for the past two years. Either attach a copy of your CPD or lifelong Learning Record for the last two years (older Lifelong Learning may also be submitted where particularly relevant) or provide details in the box below identifying your lifelong learning activities.

(Please note that two years CPD is a requirement that must be met and failure to submit evidence of continuous professional development over the last two years will prevent you application being accepted.)

Note: if sending a copy of your Record this should make specific reference as to how your learning has developed your competence as an Energy Assessor meeting the requirement of the NOS standards you are applying for. It also needs to be numbered to match the format of the evidence required continuing the number sequence from section 5 above.

Copies of Certificates etc should be sent with your application form. They will be held in a secure environment by Sterling Accreditation Please number each separate entry continuing number sequence from Section 5 in the CPD evidence form below. *

Upload CPD Certificates

Personal Statement

Please write a personal statement which explains how your prior experience and learning demonstrate that you acquired the necessary skills, knowledge and competence to meet the requirements of the National Occupational Standards (NOS) via the APEL route.

Please use no more than 500 words (750 words if applying for multiple strands with different NOS competency forms). Visit the Sterling Accreditation website to obtain an APEL Skills Audit Competency Mapping matrix and details of the NOS for the APEL level and registration that you are seeking, and link each statement to a NOS reference.

(For Transferring Registered Assessors, please complete the Personal Statement below detailing how your past experience supports your application) *

Professional Conduct

Have you ever been convicted of a criminal offence in the UK or elsewhere? *

Has your application to join a professional body, other accreditation scheme or
trade association been refused at any time, or has membership thereof been
withdrawn at any time? *

Have any allegations of Breach of Professional Duty, any complaints or any claims
been notified in the last 5 years, or are any actions pending against you? *

Have you ever been refused Professional Indemnity Insurance at any time, or have additional clauses and limits been imposed upon you? *

Have you ever been disqualified as a director? *

Have you ever had bankruptcy proceedings against you? *

Have you ever entered into a voluntary arrangement with or for the benefit of
your creditors? *

Membership of Other Accreditation Schemes

Have you ever been a member of any other accreditation schemes? *

Have you been suspended from any other Accreditation Scheme? *

Are you a current member of any other Accreditation Scheme (s) *

If you have answered Yes to any of the Questions in Professional Conduct or Membership of other Accreditation Bodies, please provide details here:

Upload Supporting Documents

Copy of your Passport

Copy of your Drivers Licence

Copy of your Complaints Procedure *

Digital Photo; passport style *

Signed Witness Statement *

Proof of Address; Utility Bill *

Professional Indmenity Insurance

Public Liability Insurance

Completed NOS Document *

Copy of your CV *

Any Additional Evidence to support your application

Declaration

I confirm that the information given on this form is true, complete, and an accurate record of my own details and evidence. I acknowledge that should Sterling Accreditation Limited have reason to suspect that I or any other person has given false information, or has omitted any relevant information requested in the application form, or made any misrepresentation of the facts, Sterling Accreditation Limited can take whatever steps considered necessary to establish the authenticity of my application.

I accept that if I do not fully comply with these requirements, Sterling Accreditation Limited reserves the right to cancel my application and I shall have no claim against them.

I hereby confirm that I have read and understood the Sterling Accreditation Limited Code of Conduct (available on the Sterling website) and that I agree to be bound by its rules and requirements for the duration of my membership in the Sterling Accreditation scheme.

Should my situation change in any way that is relevant to my membership of the Scheme, I undertake to inform Sterling Accreditation Limited without delay.

Signature *

Clear

Enter Todays Date *

MM / DD / YYYY

Data Protection

Sterling Accreditation Limited is regulated by the Data Protection Act 1998 and will process your personal data in accordance with the requirements of the Act. The data supplied in this form will be used by Sterling for the purposes of administering your application and membership. You will be included on the Sterling Accreditation mailing list and this will be used from time to time to keep you updated on the scheme and related developments. Your details will only be disclosed to other parties in so much as current regulations require (e.g. to the Register). Information will only be disclosed to any additional third party with your consent.