Form Name

Accreditation Registration Form

Use this form when you are ready to start the LCS accrediting process
This signals your intention to accredit, gets you ‘in the system’, collects important administration/contact details and obtains your consent to hold information. Note that it is not a legally binding commitment to accredit.
1. Contact Details
Full Name*

First NameLast Name
Organisation*
Role
E-mail*
example@example.com
Phone Number
Business Sector
Business sector/industry
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country
2. Accreditation Information
Type of accreditation required*
Accreditation use - select all that are appropriate

Internal - for staffExternal - for clients' staffFor the general publicFor suppliers and/or customers
Forecast number of certificates
To be issued over the 2 year accreditation period
Anticipated Start Date

DayMonthYear
Date
Additional Information
Optional
3. Admission
Will we need to be set up as a supplier on your purchasing system?

YesNoDon't known
If your organisation requires any specific steps in the invoicing process, please detail below
Staff name or department for invoice
Name of organisation to be invoiced
Email for invoice
example@example.com
Invoice Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
4. Consent & Submission

I apply for my organisation to be registered for LCS accreditation. I am authorised to make this application.
Signature*

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Date*

DayMonthYear
Date
I consent to Lean Competency Services Ltd collecting and storing data from this form*

YesNo
Please verify that you are human*
Should be Empty:

Accreditation Registration Form

1. Contact Details

2. Accreditation Information

3. Admission

4. Consent & Submission