Part A - Application to become a Lantra Awards Approved Training Provider

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1 Part A - Application to become a Lantra Awards Approved Provider TO BE COMPLETED BY ALL PROVIDERS Part A is a generic form that all Providers must complete. You need also to complete part B to specific the Sector Schemes you want to deliver. Please complete both part of the form before submitting to Lantra: Provider Details Provider Name Main Address (including postcode) Provider Manager address Provider Administrator address Internal Verifier address Provider contact for invoicing (if different) address Provider telephone Provider fax number Provider website VAT number (where this exists)

2 Provider Type Please indicate which category best fits your Provider type (tick one box only) (01) Community, voluntary aided or controlled secondary comprehensive or middle school (02) Community, voluntary aided or controlled secondary selective school (03) Community, voluntary aided or controlled secondary modern school (04) Foundation secondary comprehensive or middle school (05) Foundation secondary selective school (06) Foundation secondary modern school (07) Independent school (08) FE college/tertiary college (09) Sixth form college (10) Adult Education Centre (11) University or other HE centre (12) Private training provider (13) Local/central government/nhs (14) Voluntary organisation (15) Employer (16) HM prison/youth offenders institution (17) Armed forces (18) Overseas centre (19) Other

3 Please list approval by any other awarding organisations, or membership of any professional/industry bodies: Please confirm your organisation has the policies listed below and that they will be made available upon request: Equal Opportunities/Diversity Policy that ensures that learners with additional requirements have the facilities they need to access the qualification/award and that where appropriate steps are taken to address identified inequalities that may arise. Complaints Policy Appeals Policy Malpractice / Maladministration Procedures Health and Safety Policy compliant with the Health & Safety at Work Act 1974 Children and Vulnerable Adults/Safeguarding Policy that ensures that those under the age of 19 are protected and that those working with under 19s are CRB checked Confirm receipt of customer service statement, policies document & code of practice Data Protection Policy Provide a profile of your business and attach to this application any relevant business literature. Please list any quality assurance systems and/or kite marks operating within your provider (i.e. ISO standards, Investors in People etc.)

4 Confirmation Please confirm that your organisation will: Monitor learners progress towards target award(s) Retain and store relevant records securely Seek to maximise opportunities for the recognition of prior learning or achievement, credit transfer and exemption as appropriate Comply with Lantra Awards quality and administration systems within the specified payment terms and settle all invoices Conduct training/test/assessments in accordance with Lantra Awards requirements as detailed in product specific documentation Promptly distribute certificates/cards to learners Regulated provision only (QCF and SQA) notify Lantra Awards when learners withdraw QCF provision only - arrange access to Unique Learner Numbers (ULNs) and Learner Records SQA provision only collect Scottish Candidate Number Consent to reasonable provider quality assurance activity, deemed appropriate to your chosen product delivered Declaration I/we make this formal application to become a Lantra Awards approved provider and agree to abide by Lantra Awards terms and conditions. The information provided is accurate at the time of writing and Lantra Awards will be contacted if there are significant changes that may impact upon provider approval. I/we would like our details to be promoted for the purpose of potential learners/businesses that may want to undertake training/assessment I/we do not wish for our details to be promoted (if this option is ticked you will not appear on our website) Authorised Signature: Name: Position: Date: NB. New providers may require an initial provider approval visit by an External Verifier depending upon the product type. This would be combined with a product visit to include one or more products as per sections B, C, D and E.

5 Part B - Application to offer National Highway Sector Schemes TO BE COMPLETED BY TRAINING PROVIDER THAT WANT TO OFFER ONE OR MORE OF THE SECTOR SCHEMES Complete for initial and additional sector schemes. 1. Please tick which training/assessment you wish to be registered for 2B 12AB Operative 12A Foreman 12B LTMO 12A TSCO IPV 12C 12D T1 T4 12D T5 12D T6 12D T7 12AB Assessment 12C Assessment 12D Assessment Proprietary courses (please list proprietors will provide additional details of requirements) Outline the physical resources that will be allocated to the above provision: Outline the staff resource that will be allocated to the above provision. Please attach an organisational chart demonstrating this: State where the training/assessment will be delivered. Include addresses of any satellite centre and explain how these are linked to the main centre. Note that Lantra Awards reserves the right to inspect any satellite centre prior to approval: Full name of Internal Verifier::

6 Centre role:- As a Sector Scheme centre you must agree to: only use authorised staff within your centre to complete registration pads ensure no blank copies of registration pads are given to anyone outside the centre notify Lantra Awards in advance of any training or assessment programmes send all completed paperwork for training courses and final assessments to Lantra Awards as soon as is practicably possible after the training/assessment taking place complete attendance sheets for all training courses and forward to Lantra Awards with any completed successful tri-partite sheets. The attendance sheet must show details of all learners provide secure and sufficient storage for all course/assessment records. Records must be held for a minimum of six years (the exception is completed logbooks which can be returned to the learners once the external verifier has released them) notify Lantra Awards immediately of any changes that may impact upon Sector Schemes training and/or assessment, e.g. instructors/assessors leaving, change of internal verifier etc return all Lantra Awards documentation should the centre decide not to continue offering training and/or assessment for Sector Schemes ensure current and valid insurance coverage (public liability and professional indemnity as appropriate) at all times meet the requirements of current statutory legislation relevant to the work being carried out by the learners as part of the training and/or assessment process Declaration:- I/we make this formal application to become an accredited Lantra Awards approved training and/or assessment centre for the Sector Schemes above and agree to deliver training and/or assessment in accordance with Lantra Awards materials and relevant Sector Scheme document(s). Authorised Signature: Name: Position: Date:

7 Checklist:- Please enclose with your application:- Copy of current and valid certificate of insurance (public liability and professional indemnity) Payment or purchase order see fees list at Appendix A. Return to: The NHSS and Highways Maintenance Team, Lantra, Lantra House, Stoneleigh Park, Nr Coventry, Warwickshire CV8 2LG Tel: