Recognition Registration Form

Centre Type

Centre Type
Please list all schools/centres in the cluster

Establishment Details

Please enter the full official name of the school, centre, organisation or Consortium.

Region		Required
Official Name of School, Centre, Organisation or Consortium		Required

Establishment Address

Please enter the address of the establishment being registered. To speed up the process you can just enter a postcode and click the 'look up' button. This will attempt to look up the address based on the postcode entered.

Address		Required


Town / City		Required
County
Postcode		Required

Main Contact Details

Main Contact First Name		Required
Main Contact Last Name		Required
Position		Required

Email		Required
Telephone		Required
Mobile

Headteacher (if school) or Director		Required

Recognition Details

Type of Recognition sought		Required
Level of Recognition sought		Required
Revalidation

Small Schools (2 forms of entry or less)

Intended recognition date	today
	Month/Year required, but please indicate exact date if known

Local Authority Details (if applicable)

Local Authority

Main Local Authority Contact (usually the organiser of the meeting)

Invoice to be sent to	Local AuthoritySchool/Centre/Organisation

Critical Friend

Name of Critical Friend		Required

Additional Information

If you have a further information that you would like to provide, please do so using the text area below.

Signed

SIGNED		Required
	Please enter your full name above. By doing so you are signing on behalf of the School, Centre or Cluster

Verification

To ensure that this registration form is being completed by a real person and not an automated system, please enter the two words displayed in the box below. If you have difficulty reading the current words then to see alternative words press the small blue 'refresh' icon or click here. If you need any further help then press the small blue ? icon.

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Quality in Study Support

Recognition Registration Form