SEAP – Entry 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
1 - 2 years
2-4 years
5 years
5 years or more
How Do Your Identify Yourself As Self-Employed?
Sole Trader
Self Employed
Independent Care Professional
Micro Provider
Personal Assistant
Live In Care Worker
Other
Is Your Mandatory Training Up To Date?
Yes
No
Have You Completed the Care Certificate?
Yes
No
Have You Completed or working toward a QCF Level 2 or 3 Health & Social Care Vocational Qualification or an Accredited CPD Equivalent?
I have/working toward a QCF Level 2 Award
I have/working toward a QCF Level 3 Award
I have completed/working toward a CPD Accredited Level 2 Course
I have completed/working toward a CPD Accredited Level 3 Course
None
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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 training certificates
*
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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 – Entry Accreditation (Annual)
£
30.00
Quantity
1
2
3
4
5
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9
10
SEAP – Entry Accreditation (Monthly)
£
3.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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