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1. Contact Details

2. Operative Information


3a. CSCS Card

Please provide a colour image of both sides of the operative's CSCS card in JPG or PDF format. Max 16Mb
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

3c. Education and Training

Please list details of relevant education and training:
(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?
(This information will be used in the strictest confidence and to provide the operative with the support they need to complete their NVQ)

4. S/NVQ

Please confirm the name of the qualification which the operative is entitled to achieve:
We cannot guarantee that the operative’s preferred assessment route will be suitable however please indicate your preference.
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.
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


I confirm that all information provided is correct to the best of my knowledge.