EmailMe Form - Sterling RC Application form

Please complete this application form to become accredited as a Retrofit Coordinator.

Retrofit Coordinator Annual Membership is £250 + VAT.
Fee payable as part of the application process.
Questions marked with a red asterisk are mandatory
Details of Applicant
Full Name *
Prefix First Middle Last
Please enter details as they appear on your passport or other official identification
Are you already an accredited Energy Assessor with Sterling Accreditation? *
Yes
No
Membership ID *
Did you graduate as a Retrofit Coordinator in the last 12 months? *
Yes
No
Continuous Professional Development *
Please upload your Retrofit Coordinator CPD record showing records for the last 12 months
New Members
Home/Residential Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Primary Telephone Number *
Email Address *
Website
Please upload your identification (Passport or Photo Driving Licence) *
Please upload a Digital Photo of yourself *
Please upload your Basic Disclosure *
The Basic Disclosure for new applicants must have been obtained within the last 12 months
Not got a Basic DBS Check? Click Here
TrustMark Business Registration
Organisation / Trading Name *
Trading Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Please upload your Retrofit Coordinator Training Certificate *
Please upload a copy of your Professional Indemnity Insurance Certificate *
Minimum Level of Cover is £250,000 per property
Please upload a copy of your Public Liability Insurance Certificate *
Professional Conduct
Have you ever been convicted of a criminal offence in the UK or elsewhere? *
Yes
No
Please provide details *
Have you had an application to another accreditation scheme or professional body refused at ant time? *
Yes
No
Please provide details *
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? *
Yes
No
Please provide details *
Have you ever been refused Professional Indemnity insurance, or have any additional clauses and limits been imposed upon you? *
Yes
No
Please provide details *
Have you ever been disqualified as a Director? *
Yes
No
Please provide details *
Have you ever had bankruptcy proceedings against you? *
Yes
No
Please provide details *
Have you ever been suspended or has your membership revoked by another accreditation scheme? *
Yes
No
Please provide details *
Are you currently a member of any other accreditation scheme? *
Yes
No
Please provide details *
Confirmation
I confirm the details that I have entered on this application form are correct.
Any details obtain through this application process will be held by Sterling Accreditation in line with the Data Protection Act and our Privacy Policy
Confirmation *
I confirm the details are correct
General Terms and Conditions.
I confirm that I have read and understood all policies, terms & conditions and relevant documentation associated the TrustMark Retrofit Assessor scheme

TrustMark Code of Conduct
TrustMark Customer Charter
Sterling members Code of Conduct
Membership Terms and Conditions

I promise to abide by all rules and ensure that all terms, conditions and standards currently defined within these polices throughout my membership with Sterling Accreditation.

I understand that I am purchasing an annual (12 months) membership with Sterling Accreditation. In the event that membership is suspended, withdrawn or cancelled during the membership period, no refund will be available.

I confirm by ticking the 'I confirm and Agree' box below that I hereby agree that details of my/our organisation may be published on the TrustMark website as part of our on-going approval.
Confirmation *
I confirm and agree