Level 1c APLE Application Form

Level 1c APLE Application Form

Complete this form when you want to apply for LCS Level 1c Certification via the Approved Prior Learning & Experience route. Refer to the LCS Level 1c Application Guidance Notes when completing and the Level descriptors.
LCS Level
Are you already certified with the LCS and to which Level?*

Level 1aLevel 1bNone
If yes, when did you gain this award and what was the issuing organisation?
1. Personal Details
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country
Phone Number
Contact Email*
example@example.com

2. General Experience
Time spent in lean or improvement roles (in years)*
e.g. 2
Management roles you have had with significant lean/CI activities*
3. Current Employment

Provide information on your current role.
Organisation Name*
Organisation's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country
Role*
Date*

DayMonthYear
Date
Responsibilities & Achievements*
3. Previous Employment

Whether in your current or a different organisation. You can add up to five previous relevant roles; ignore any boxes that you do not need and move onto section 4. when completed.
Organisation Name
Location
Role
Dates (e.g. MM YYYY - MMYYYY)
Responsibilities & Achievements
Additional Employment

Add up to 4 more
Organisation Name
Location
Role
Dates (e.g. MM YYYY - MMYYYY)
Responsibilities & Achievements
Additional Employment

Add up to 3 more
Organisation Name
Location
Role
Dates (e.g. MM YYYY - MMYYYY)
Responsibilities & Achievements
Additional Employment

Add up to 2 more
Organisation Name
Location
Role
Dates (e.g. MM YYYY - MMYYYY)
Responsibilities & Achievements
Additional Employment

Add up to 1 more
Organisation Name
Location
Role
Dates (e.g. MM YYYY - MMYYYY)
Responsibilities & Achievements

4. Education and Training

Provide details on up to five relevant courses. Continue to section 5. once completed.
Course Title
Provider
Award or Qualification
Dates
Additional Education and Training

Add up to 4 more
Course Title
Provider
Award or Qualification
Dates
Additional Education and Training

Add up to 3 more
Course Title
Provider
Award or Qualification
Dates
Additional Education and Training

Add up to 2 more
Course Title
Provider
Award or Qualification
Dates
Additional Education and Training

Add up to 1 more
Course Title
Provider
Award or Qualification
Dates
4.1 Qualification certificates

Attach qualification certificates referenced in the form. If necessary, you can also add other material to support your application using the 'any other attachments' field.
Cancelof
5. Other Learning Undertaken

Provide details of other relevant learning activity undertaken not covered above (eg less formal, learning-by-doing, self-directed study etc).
Other Learning
Any other attachments

Cancelof
6. Reference

List a non-personal reference that may be contacted to support your application.
Reference Name*

First NameLast Name
Connection/Relationship*
Email*
example@example.com
7. Statement

Provide a statement summarising how your lean knowledge and practical experience meets the Level 1c criteria (no more than 250 words). See the profile guidance document on the guidance page.
Statement*
8. Case Studies & Certification Fee Payment
You can submit your case study separately via the APLE L1c Case Study 1 form on the My LCS main forms page.

Please submit this case study as soon as possible. Once we have received payment for the APLE application, we will begin the review of all forms. This will be sent out via invoice, but there will be a few payment options available.

If you have already paid using a previously available method - please note below which method you used below to pay in the Details box.
Details for the invoice*
Provide the payer name, address, contact name and email address. Include a PO number if your organisation issues these.
Were you referred to us?*

YesNo
If yes, please enter the referral code you were provided with
(if you were not provided with a code, please state name of the contact/referrer)
9. Confirmation

I apply for LCS Level 1c certification via the Approved Prior Learning and Experience route. I confirm that the information contained in this application is accurate.
I consent to Lean Competency Services Ltd collecting and storing data from this form*

Yes
Electronic Signature*
type your full name/signature to sign
Date*

DayMonthYear
Todays date of submission
Please verify that you are human*
Should be Empty:

Level 1c APLE Application Form

LCS Level

1. Personal Details

2. General Experience

3. Current Employment

3. Previous Employment

Additional Employment

Additional Employment

Additional Employment

Additional Employment

4. Education and Training

Additional Education and Training

Additional Education and Training

Additional Education and Training

Additional Education and Training

5. Other Learning Undertaken

6. Reference

7. Statement

8. Case Studies & Certification Fee Payment

9. Confirmation