Membership Application

About You

Title *
Forename *
Middle Name
Surname *
Former/Maiden Name
House No. / Name *
Postcode *
Email *
Phone Number
(Primary)
*
Phone Number
(Alternative)
Date of Birth *

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Gender *
Nationality *
Upload a copy of your Work Permit if not of UK origin
Upload a digital Photo of yourself *
Upload a copy of either your Driving Licence, Passport or Birth Certificate *
Passport Number

About your Employer / Company

Employers/Company Name *
Address Line 1 *
Address Line 2
Address Line 3
Post Town *
Postcode *
Website *
Insurance Details *
 I would like to use the Scheme Pay Per Click Insurance 
 I have my own Insurance Policy - (Please Upload a Copy) 
 The Company I will work / subcontract for have insurance on record with Sterling already 
Upload Insurance Certificate

Accreditation your applying for

Please select the strands you wish to apply for
Accreditation Strands *
 Public Buildings (DECs) 
 Non Domestic Level 3 
 Non Domestic Level 4 
 Non Domestic Level 5 
 Air Conditioning level 3 
 Air Conditioning Level 4 
Application Route (Qualification / APEL) *

Your Qualifications

Qualification *
Certificate Number *
Date Awarded / Issued *

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Training Centre *
Awarding Body *
Upload a Copy of the Certificate *
Qualification
Certificate Number
Date Awarded / Issued

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Training Centre
Awarding Body
Upload a Copy of the Certificate

Software you are qualified to use

Energy Performance Certificate Software
 iSBEM 
 Cymap 
 Design Builder 
 Lifespan SBEM 
 Carbon Checker 
 Virtual Environment (IES) 
 Pro EP Cert 
 Quick EP Cert 
 Space Manager 
 Graphical 
 SBEM Online 
 LiveEPC 
 TAS 
 Hevacomp 
Display Energy Certificate Software
 ORCalc 
 Digitalenergy 
 ORT 
 TeamSigma 
 EPLabel 
 Stark Essentials 
 DEC Assessor 
 Lifespan DEV 
 eSight 
Air Conditioning Software
 Sterling e-volve 
 CLG Air Con 
 Quidos AIRS 

Details of 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 *
If you have answered yes to any of the questions above, please provide details

Continuous Professional Development

Please provide details of all the CPD you have done in the last 2 years *
Upload a copy of your Lifelong Learning record

Declaration

Please read and tick the box
I understand and agree that information regarding the status of my membership with Sterling will be shared with DCLG, the Register Operator and other schemes who I am also registered with.
 Yes 
I have read and understood the Declaration *
 Yes 
Please enter todays date *

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