EmailMe Form -

Details of Applicant

Name *

Prefix First Middle Last

Please enter details as they appear on your passport or other official identification

Existing Members

Are you already a member with Sterling Accreditation? *

Yes

No

If you have selected NO, please continue answering questions for Non Existing Members

If you have answered YES, please enter your ID number below and SKIP the section titled Retrofit Assessor Training

Membership ID

Non Existing Members

New applicant additional information

Organisation / Trading Name

Address

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

Primary Telephone Number

Email Address

Web Site

Please upload your DEA Qualification

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

Continuous Professional Development

Please upload your CPD record showing records for the last 2 years

Insurance

I have my own Insurance

I would like to use the Scheme Pay Per Click Insurance

I understand if I have selected to use the scheme insurance this could incur additional charges.

If you have your own insurance, please ensure you upload both Professional Indemnity and Public Liability certificates.

Professional Conduct

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

Have you had an application to another accreditation scheme or professional body refused at ant 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?

Have you ever been refused Professional Indemnity insurance, or have any 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 been suspended or has your membership revoked by another accreditation scheme?

Are you currently a member of any other accreditation scheme?

Yes

No

If you have selected YES, please give additional information in the box below.

Members Code of Conduct

I have read and understood the Members Code of Conduct and agree to be bound by its rules and requirements for the duration of my membership with Sterling Accreditation.

Signed copy of Acknowledgement

Retrofit Assessor Training

Certificate *

If you have already complete a Retrofit Assessor Training course, please upload the certificate

Credit Check

I confirm the details that I have entered on this application form are correct and I consent to Sterling Accreditation to use credit reference agencies in order to obtain infromation relating to my credit history. Any details obtain through this process will be held by Sterling Accreditation in line with the Data Protection Act.

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 (available on this website).

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 confirm that by signing below, 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