SEAP – Intermediate Accreditation
Registration Form
Personal Details
Profile Photo (required for your ID card)
*
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Postal Code
Email
*
Mobile Phone Number
*
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Employment Details
How Long Have You Worked in Social Care?
*
Just started
Less than a year
Less than 2 years
2 years or more
How Do You Identify Yourself As Self-Emplyed?
*
Sole Trader
Self Employed
Independent Care Professional
Micro Provider
Personal Assistant
Live In Care Worker
Other
Have You Completed Your Mandatory Training?
*
Yes
No
Have You Been Enrolled on to the Care Certificate?
*
Yes
No
My employer does not offer the Care Certfiicate
Have You Been Offered to be Enrolled on a QCF Vocational Qualification?
*
Yes
No
Employment Status
Full Time
Part Time
Bank
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Verification Documents
These are required to validate your accredition registraton
Please Upload a Copy of Your Liability Insurance Certificate
*
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Please Upload a Copy of your Enhanced DBS Certificate
*
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Please Upload Copies of your Care Certificates if Applicable
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Please Upload Copies of your Training Certificates
*
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Please Upload Copies of any Social Care Qualifications
*
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Signature
I confirm that to the best of my knowledge that the information provided on this form is accurate.
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Payment Details
SEAP Grade
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SEAP – Intermediate-Accreditation (Annual)
£
50.00
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SEAP – Intermediate-Accreditation(Monthly)
£
5.00
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1
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9
10
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