EmailMeForm
Application for IADL Accredited Membership
Applications for ACCREDITED MEMBERSHIP only. DO NOT use this form if you wish to apply for IADL ORDINARY MEMBERSHIP.
Incomplete information may delay approval of your application.
You can use the boxes at the end of the form to upload any files or documents in support of your application.
All information will be treated in the strictest confidence and will not be released to any third party without your explicit permission.
This form uses a 128 bit encryption Secure Socket Layer for the privacy and security of your data.
1. DETAILS OF APPLICANT
General information about the institution, business entity or organization.
Full Name of the Entity / Organization applying for IADL Membership
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Description of Entity / Organization
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Please describe your organization, e.g. Training Company, College, NGO etc.
Country or Jurisdiction of Domicile
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In which country, state, territory or jurisdiction is the Entity registered or located?
Year Founded or Established
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Address of Entity
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
This should be the main business address or head office.
Website
*
Institutional Email
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This must be a mail address attached to your internet domain. Public mail services such as gmail, hotmail, yahoo etc are not accepted here.
Confirm Email
Business Telephone Number
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This should be the principal contact number for the institution or organization.
Business Fax Number
This should be the principal fax number for the institution or organization.
2. REGISTRATION AND OWNERSHIP INFORMATION
Please give details of the ownership of the Entity and any registrations or licences.
How is the Entity owned and constituted?
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Sole Trader
Partnership
Registered / Limited Partnership
Private Company / Corporation
Public Company / Corporation
Offshore IBC / LLC
NGO / Registered Charity
Government Entity
Other (Please specify below)
For sole traders, partnerships, companies and corporations, please give the names of the principal owners / partners / shareholders / stakeholders, whether individuals or juristic persons or organizations.
Is the Entity registered as a business or licensed to provide educational, training, cultural or other services by any official authority or body? Please select.
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Business Entity
Educational Services Provider
Training Provider
Other
None
Select the box or boxes which best describes your registration and/or licence and provide details below.
Please give details of registration and/or licensing where applicable.
Type of Registration or Licence
For example commercial registration, company or corporation, partnership, NGO etc.
Issuing Authority
Registration or Licence Number
Date of Registration or Licence
DD
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MM
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Additional Information
Use this box to supply any additional information about ownership, registration or licences.
3. CONTACT INFORMATION
Name of CEO / Owner / Senior Partner / Managing Director / Chair / President / Vice-Chancellor
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First
Last
The name of the person with overall responsibility for everyday management.
Job Title / Description of CEO
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Email address of CEO
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Name of Contact Person
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First
Last
Prefix
*
Mr.
Ms.
Dr.
Prof.
Rev.
Father
Job Title / Job Description of Contact Person
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Email Address of Contact Person
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Alternative Email Address
*
Please supply another email address for contact.
Telephone Number of Contact Person
*
4. OPERATIONS
Outline your mission statement and aims and objectives.
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List accreditations or validations from government or other organizations and bodies.
List memberships of any professional, trade, vocational, government or private organizations and bodies.
Describe the level of studies and types of programs / courses offered.
(Check boxes, as appropriate. More than one choice allowed)
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Vocational Training
Professional / Executive Training
Specialist Skills Training
Language Training
In-House Training
General Education
Certificate / Diploma Courses
Undergraduate Courses
Postgraduate Courses
Total Number of Learners / Students / Trainees currently enrolled
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List the countries and locations where courses / programs are conducted and/or from which your student body is drawn.
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Give the age demographic of learners / students / trainees
(Check boxes, as appropriate. More than one choice allowed)
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Mature Learners (Aged 28 or over)
Adults (Aged 18 or over)
Teenagers (Aged 13 to 17)
Young Learners (Aged 12 or under)
Describe the teaching materials used on distance or online courses / programmes?
(Check boxes as appropriate. More than one choice allowed)
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Published Third-Party Texts
In-House / Proprietary Texts
Audio-Visual Materials
Multi-Media Content
Third-Party Software
In-House / Proprietary Software
Third-Party Online Content
In-House / Proprietary Online Content
Other Materials
Please give detailed information about distance learning, elearning, open learning, or correspondence course / programs conducted. Include details of subjects offered, course content and duration of courses.
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Do you also conduct traditional face-to-face classroom instruction?
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YES
NO
List qualifications, experience and expertise of instructors, trainers, teachers or faculty who conduct distance learning, elearning, open learning, or correspondence courses / programs.
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Describe how learners / students are currently evaluated and assessed.
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Describe your internal quality control and quality assurance mechanisms relating to distance or online learning courses / programs.
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Describe the procedure currently in place to deal with learner / participant complaints and grievances.
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Is your complaints and grievance procedure explained to learners / students on registration or enrollment?
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YES
NO
What policies are currently in place regarding refunds of tuition or training fees?
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Is the refund policy explained to learners / participants prior to registration or enrolment?
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YES
NO
Explain why you wish to become an Accredited Member of the International Association for Distance Learning, and how you think membership can help your institution or organizations.
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Use this box to give any other information which you think may be relevant to your application.
Membership Term Required
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1 Year (Can be renewed every year)
2 Years (Save 10%)
3 Years (Save 20%)
Upload Files / Documents
Use the boxes below to send any files or documents you think may support your application.
Upload a File
Upload a File
Upload a File
Upload a File
DECLARATION
By submitting this form to the International Association for Distance Learning you hereby:
(a) Confirm that the details are true and correct to the best of your knowledge, information and belief.
(b) Authorize IADL officers, staff, agents and representatives to make any enquiries we think necessary in order to confirm and ascertain the suitability of your institution or organization for Accredited Membership.
(c) Acknowledge that any deliberate misstatement will result in refusal of your application or cancellation of membership.
Check the box to confirm the Declaration above.
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I AGREE
Name of Person Submitting this Form
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First
Last
Date
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DD
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MM
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YYYY