EmailMe Form - Application for IADL Ordinary Membership

1. DETAILS OF APPLICANT

General information about the institution, business entity or organization.

Full Name of the Entity applying for IADL Membership *

Description of Entity *

Please describe your organization, e.g. Training Company, College, NGO etc.

Country or Jurisdiction of Domicile *

In which country, state, territory or jurisdiction is the Entity registered or located?

Year Founded or Established *

Address of Entity *

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

This should be the main business address or head office.

Website *

Institutional Email *

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 *

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? *

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. *

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 / MM / YYYY

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 *

First Last

The name of the person with overall responsibility for everyday management.

Job Title / Description of CEO *

Email address of CEO *

Name of Contact Person *

First Last

Prefix *

Job Title / Description of Contact Person *

Email Address of Contact Person *

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. *

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) *

Total Number of Learners / Students / Trainees currently enrolled *

List the countries and locations where courses / programs are conducted and/or from which your student body is drawn. *

Give the age demographic of learners / students / trainees
(Check boxes, as appropriate. More than one choice allowed) *

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) *

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. *

Do you also conduct traditional face-to-face classroom instruction? *

YES

NO

List qualifications, experience and expertise of instructors, trainers, teachers or faculty who conduct distance learning, elearning, open learning, or correspondence courses / programs. *

Describe how learners / students are currently evaluated and assessed. *

Describe your internal quality control and quality assurance mechanisms relating to distance or online learning courses / programs. *

Describe the procedure currently in place to deal with learner / participant complaints and grievances. *

Is your complaints and grievance procedure explained to learners / students on registration or enrollment? *

YES

NO

What policies are currently in place regarding refunds of tuition or training fees? *

Is the refund policy explained to learners / participants prior to registration or enrolment? *

YES

NO

Explain why you wish to become an Ordinary Member of the International Association for Distance Learning, and how you think membership can help your institution or organizations. *

Use this box to give any other information which you think may be relevant to your application.

Upload Files / Documents

Use the boxes below to send any files or documents you think may support your application.

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 IADL Membership.
(c) Acknowledge that any deliberate misstatement will result in refusal of your application or cancellation of membership.

Check the box to confirm the above Declaration. *

I AGREE

Name of Person Submitting this Form *

First Last

Date *

DD / MM / YYYY