Change of Centre Details Form

This form should be used to inform FutureQuals of changes to a centre's details including:

Section 1 - Change of name and/or business ownership.
Section 2 - Additional site.
Section 3 - Change of Head of Centre, owner or quality lead, or additional centre officers.
Section 4 - Additional centre staff (employed staff only)

Be aware that some changes could affect the risk level, centre approval and/or qualification approval status.

Changes to centre name, where the ownership of the centre has changed will be subject to additional due diligence checks. If the Registered Company number has changed a new centre application will be required.

To request approval for additional qualification(s), use the Additional Qualification Application Form.
To request approval for additional workforce to an existing qualification approval use the Additional Workforce Application Form.
To request access to our systems (QMIS, SharePoint, XAMS, Learner Resources) please complete the Systems user access application form.
All forms can be found in the existing centres area on the FutureQuals website.

Centre Name*

Centre Number*

Site number (if applicable)

UK Register of Learning Providers Number. http://www.ukrlp.co.uk

New Centre name (Name registered on Companies House. For change of name please attach formal evidence)

Company Registration (this is mandatory for changes under section 1.)

New centre address ( A full address, not a PO Box is required, please attach formal evidence below)

Street Address

Street Address Line 2

Town/cityCounty

Postcode

For change of ownership, please provide names of director(s), director number and date of birth

Centre email address (if changed)

example@example.com

Centre new telephone number (if changed)

Describe evidence to support change of name, business ownership and /or address

Evidence to support change of name, business ownership and /or address

Centre invoice address if different from above

Street Address

Street Address Line 2

Town/CityCounty

Postcode

New site name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reason for new site

Qualification(s) to be delivered from this site

Lead contact for new site

First NameLast Name

Lead contact email

example@example.com

Job title for lead contact of new site

New site email

example@example.com

New site telephone number

Change 1 - Are you reporting a change or that this person has left your organisation?

Change of detailsLeft the organisation

Change 1 - Explain reason for change if not left/leaving centre

Change 1 - Name

First NameLast Name

Change 1 - Role

Change 1 leaving date (if applicable)

Date

Change 1 - Job title within organisation

Change 1 - Email

example@example.com

Change 1 - Telephone number

Change 2 - Are you reporting a change or that this person has left your organisation?

Change of detailsLeft the organisation

Change 2- Explain reason for change if not left/leaving centre

Change 2 - Name

First NameLast Name

Change 2 - Role

Change 2 leaving date

Date

Change 2 - Job title within organisation

Change 2 - Email

example@example.com

Change 2 - Telephone number

Change 3 - Are you reporting a change or that this person has left your organisation?

Change of detailsLeft the organisation

Change 3 - Explain reason for change if not left/leaving centre

Change 3 - Name

First NameLast Name

Change 3 - Role

Change 3 leaving date (if applicable)

Date

Change 3 - Job title within organisation

Change 3 - Telephone number

Change 3 - Email

example@example.com

Name of additional centre staff

First NameLast Name

Additional centre staff email

example@example.com

Role within the centre

Head of Centre name

First NameLast Name

Head of Centre email

example@example.com

Head of Centre Signature

Date

Change of Centre Details Form

Centre details

Section 1 - Change of centre name, address and/or business ownership

Section 2 - Additional site

Section 3 - Change of Head of Centre (HOC), owner, quality lead and additional centre officers

Section 4 - Additional centre staff - Employed staff only

Head of Centre Approval