Application for Centre Approval (On-line Form CAF1)

This application form is to be completed by organisations wishing to obtain approval to offer CCNQ qualifications.
Any approved centre wishing to extand its range of CCNQ qualifications must complete Form QAF1.

Please complete all sections. (Click on link for Guidance notes on how to complete this form)

1. Organisation Information (Please click to expand)

National Centre Number :

If your organisation have a National Centre Number please enter, If not, please leave blank CCNQ will allocate you a number.

Organisation Name : *

Organisation Address: *

Telephone Number: *

Fax Number:

Email Address: *

Contact Details

Name of Contact: *

Telephone Number: *

Fax Number:

Email Address: *

Name of Admin Contact:

Please enter details if different to Contact

Telephone Number:

Fax Number:

Email Address:

Please Indicate: *

	Delivery Only	Delivery and Assessment
Which kind of centre approval is sought

Please note that if Delivery Only the assessment must be online.

Please Indicate: *

	Yes	No
Do you intend to deliver and/or assess at more than one site?

If Yes, list names and addresses in Section 4

If you are an Approved Centre for any other recognised Awarding Body, please state their name and if appropriate the centre number allocated:

2. Qualifications/Units for which approval is sought (Please click to expand)

1. Please enter the number and title of qualification/unit: *

Please enter proposed start date: *

Please enter the approximate number of learners: *

2. Please enter the number and title of qualification/unit:

Please enter proposed start date:

Please enter the approximate number of learners:

3. Please enter the number and title of qualification/unit:

Please enter proposed start date:

Please enter the approximate number of learners:

3. How do you categorise your Organisation? (Please click to expand)

Categories: *

	Please indicate as many as a appropriate
Secondary School
FE/Tertiary College
University
Adult Education Centre
Voluntary/Charitable Organisation
Employer
Training Provider
Other

4. Delivery and /or Assessment at other sites (Please click to expand)

If you intend to deliver or assess at other sites, please provide details.

1. Site Name:

Site Address:

Telephone Number:

Fax Number:

2. Site Name:

Site Address:

Telephone Number:

Fax Number:

5. Approval Criteria (Please click to expand)

Evidence of the following will need to be made available to CCNQ representative at time of visit: *

	Yes	No	Intention to
Do you have the staffing expertise in place to run the proposed qualifciation/unit
Do you have the physical resoutces to run the proposed qualification/unit
Do you have the learning and teaching materials in place to run the proposed qualification/unit
Do you have internal verification procedures in place to run the proposed qualification/unit (Delivery & Assessment centres only)
Do you have quality assurance procedures in place to run the proposed qualification/unit
Are you currently working in partnership with any organisation in the delivery, assessment, administration or quality assurance

6. Declaration (Please click to expand)

I confirm that all the information contained in this application is valid and that the organisation has the resources to deliver and/or assess the qualification/unit applied for

Name: *

Position: *

Signature:

Date:

Email Address: *

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Application for Centre Approval (On-line Form CAF1)

If Yes, list names and addresses in Section 4