Accreditation Application Form

1

Name of Organization/Institute* This field is required.

2

Address Line 1* This field is required.

3

Address Line 2 (optional)

4

Province/City/State* This field is required.

5

Country* This field is required.

6

Year of Inception* This field is required.

7

Official Email Address* This field is required.

example@example.com

8

Website URL

9

WhatsApp Phone Number(s)

10

Brief Profile of Your Organization/Institute* This field is required.

11

Head/Authorized Signatory Details

12

Contact Officer/Person Details

13

Does your organization/institute currently have any local or international accreditation?* This field is required.

Yes

No

14

If yes, please share details of your current accreditation(s)

15

What kind of accreditation are you applying for?* This field is required.

One Program Accreditation

Two Program Accreditation

Three Program Accreditation

Institutional Accreditation

16

Would you like to receive Double Certificates? (One from your institution/organization and one from USAETMPS)* This field is required.

Yes

No

17

Date of Application* This field is required.

Date

18

Signature of Authorized Representative* This field is required.