Candidate Registration Form

Training Provider name:

Please confirm whether you have been registered on an iPET Network qualification before? If so, please include your candidate registration number if you have it (Tutor to register as an existing candidate)(Required)

Yes

Registration number

Title(Required)

Surname(Required)

First name(Required)

Middle Name (Optional)

Date of birth(Required)

Gender(Required)

Additional Support : Do you have any special requirements or needs that we should be aware of? Do you wish to disclose any health condition, physical disability, sensory disability, learning difficulty, mental health condition? Do you require any additional support (large font, paper colour, language barrier)?

Home address(Required)

Street Address Address Line 2 City Country

E-mail address(Required)

Home Phone

Mobile Phone(Required)

Nationality(Required)

Employment status(Required)

Qualification title(Required)

Academic level(Required)

Course start date

Course finish date

New Candidate Induction Completed

(Areas covered H&S, Qualification Requirements, Assessments, Contract agreement)

Signature

Date

Passport No or Driving Licence No:(Required)

(In accordance with the Immigration, Asylum, and Nationality Act 2006)

Signed & Dated (Tutor)

A copy of the student’s original identification has been seen and copy taken

Are there any conflicts of interest between tutor and student, if so please detail the relationship

Do any reasonable adjustments and/or special conditions need to be made for the completion of the qualification

Qualification and Experience (Must be completed if Candidate completing Grooming Fast Track Option or Educators Qualification)

Relevant qualiﬁcations currently held(Required)

e.g. Level 3 City and Guilds Introductory

Other relevant courses completed and length of courses

Number of years of industry, grooming experience or teaching experience (please give details)(Required)

Do you operate your own business? Please confirm business name and set up date?

Evidence required - Example of recent grooms/teaching practises and Employee reference or Customer reviews (if applicable)

Approval granted (To be completed by the Tutor)

CAPTCHA

Signature(Required)

Signature Date

0333 322 0182

Candidate Registration Form

Find a branch

Quick Links