Registration for End Point Assessment

Apprenticeship Details

Please confirm the following details about the apprenticeship.
Apprenticeship Standard*
Specialist pathway
Start Date of Apprenticeship*

DayMonthYear
The date the apprentice began theapprenticeship
Planned end date*

DayMonthYear
When the apprenticeship is expected to conclude
Gateway date*

DayMonthYear
The date the apprentice is expected to pass the gateway, making them eligible for the EPA

Employer Information

Please provide the following information about the employer.
Employer Name*
Employer contact person full name*

First NameLast Name
Employer contact person telephone number*
Please enter a valid phone number.
Employer contact person email*
example@example.com
Employer address*

Street Address

Street Address Line 2

CityCounty

Postal Code
Employer Reference Number (ERN)
If applicable

Training Provider Information

Please confirm the following information about the training provider.
Training provider name*
Training provider contact person name*

First NameLast Name
Training provider contact person telephone*
Please enter a valid phone number.
Training provider contact person email*
example@example.com
Provider reference number (PRN)

Evidence of Gateway Requirements

Please tick to confirm that the apprentice will have met the following gateway requirements before they are put forward for end point assessment.
Completion of On-Programme Learning*

YES
L2 English and Maths Qualifications*

YES
Requirements specific to the Apprenticeship Standard (e.g. portfolio of evidence, project scope)*

YES

Specific EPA Requirements

Please confirm the following end point assessment requirements.
Special Requirements
any reasonable adjustments needed for the apprentice, such as additional time or specific facilities
Preferred Assessment Date/Window*

Consent
Please tick to confirm that the apprentice agrees to the assessment process.*

The apprentice agrees to the assessment process
GDPR Statement

We are committed to protecting and respecting your privacy. The information you provide on this form will be used solely for the purposes of registering you for end point assessment and undertakingrelated administrative activities. Your personal data will be stored securely and processed in accordance with the General Data Protection Regulation (GDPR) and other applicable data protection laws.
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Apprenticeship Details