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 
 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 
 G-iSBEM 
 Lifespan SBEM 
 Design Builder 
 Virtual Environment (IES) 
Display Energy Certificate Software
 ORCalc 
 Lifespan DEC 
Air Conditioning Software
 Sterling e-volve 
 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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