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May 13, 2019
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1. Contact Details
Contact Name
*
Company Name
*
Company Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Email
*
Phone
2. Operative Information
Operative Name
*
First
Last
Home Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Email
*
Phone
National Insurance Number
*
Date of Birth
*
3. OPERATIVE EXPERIENCE AND QUALIFICATIONS
3a. CSCS Card
CSCS Image upload
*
Please provide a colour image of both sides of the operative's CSCS card in JPG or PDF format. Max 16Mb
I have enclosed a colour image of the operative’s CSCS card.
Candidates must hold a blue or gold CSCS Card Lightning Conductor Engineer or Steeplejack. The card must state Industry Accreditation Route A or B, or Profiled Route on the reverse.
3b. Apprenticeships
Has the operative attended any form of apprenticeship?
*
Yes
No
If yes, please provide details below:
3c. Education and Training
Please list details of relevant education and training:
Details
(This may include health and safety training, rope access or safe earth testing)
3d. Additional Learning Needs
Does the operative have any additional learning needs which we need to be aware of?
Dropdown
*
Yes
No
(This information will be used in the strictest confidence and to provide the operative with the support they need to complete their NVQ)
If yes, please provide details below:
4. S/NVQ
Please confirm the name of the qualification which the operative is entitled to achieve:
S/NVQ Selection
*
S/NVQ L2 Lightning Conductor Engineer
S/NVQ L3 Lightning Conductor Engineer
S/NVQ L2 Steeplejack
S/NVQ L3 Steeplejack
Preferred Assessment Route
EWPA (L2 Lightning Conductor Engineer and Steeplejack)
OSAT (All qualifications)
We cannot guarantee that the operative’s preferred assessment route will be suitable however please indicate your preference.
Terms and Conditions
*
I confirm that I have read and agree to the Terms and Conditions provided below.
1. The Employer shall provide via SLPTG and the candidate hereby agrees to undertake, one of the following NVQs:
• S/NVQ L2 in Accessing Operations and Rigging (Construction) Lightning Conductor Engineer
• S/NVQ L2 in Accessing Operations and Rigging (Construction) Steeplejack
• S/NVQ L3 in Accessing Operations and Rigging (Construction) Lightning Conductor Engineer
• S/NVQ L3 in Accessing Operations and Rigging (Construction) Steeplejack.
2. The Employer undertakes to make the candidate available to carry out on or off-site training and assessment in accordance with the requirements of the NVQ.
3. In the event the candidate does not attend an on or off-site training session the Employer shall be liable for payment of any costs incurred through cancellation/re-booking.
4. It may be possible to lengthen the period of this Agreement if all parties agree. The funding will not be extended beyond 30 September 2019 and the Employer will be required to pay for additional costs relating to extending this Agreement.
5. All parties shall treat any training material supplied as confidential and shall not supply it to any third parties.
6. All parties recognise that arrangements may be made for quality audits to be carried out by an independent person covering both the on and off-site training.
7. The Employer shall ensure that the Operative is covered by adequate Employer’s and Public Liability Insurance for the duration of any training sessions.
8. SLPTG shall provide details of how the candidate can register their qualification with CSCS once it has been notified that the operative has completed the NVQ. It is the responsibility of the candidate to submit qualification details to CSCS.
9. SLPTG may process personal data contained in this agreement including disclosure to third parties as may be reasonably necessary (and to the extent that such data relates to an employee or individual, I confirm that they have expressly consented to such processing).
10. Only CITB levy registered Employers will be entitled to claim the CITB funding and achievement grant.
GDPR Agreement
*
I consent to having this website store my submitted information so SLPTG can respond to my inquiry.
Your data will only be stored and used for the purposes of providing you with the requested qualification. Your data will not be shared with any third party. The IP address of the computer connection from where this form is sent will be stored. For full details, please refer to SLPTG's Privacy Policy on the website or contact info@slptraininggroup.org.uk.
DECLARATION
I confirm that all information provided is correct to the best of my knowledge.
Signature (Employer)
Clear Signature
Full Name (Employer)
*
Date
Name
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