AP94 - APEL Transfer

3. Applicant Information
Title *
Forename *
Middle Names
Surname *
Home Address *
Address
*
Town
*
County
*
Postcode
E-mail *
Date of Birth *
Mobile Number
Telephone Number *
Do you have any special needs* that you wish to disclose? If so, please provide details below:
* This could include physical disability, learning disability or anything else you would like to be taken into consideration, or that we may be able to help with as part of your application for membership.
4. Invoice Address
Invoice Address *

As above As below
Company Name
Company Registration Number
Trading Address
Address
Town
County
Postcode
E-mail
Mobile Number
Telephone Number *
Fax Number
Invoice E-mail *
5. Are you a fit and proper person?

(Domestic Energy Assessor applicants only)
It is a requirement of the Elmhurst Energy Systems Energy Assessor Accreditation Scheme that you have been subjected to a Basic Disclosure Certificate within the past twelve months.

Please attach a True & Certified colour copy of your Basic Disclosure Certificate, or post the Original to us. The copy of the Disclosure can be authenticated by an employer or person of good standing in the community (eg teacher, doctor, police officer). The authenticator cannot be a friend, family member or yourself. We require the statement on the colour copy to read that the authenticator has seen the original document and that the colour copy is a "true likeness of the original’’ and to write their full name, occupation and date. If the authenticator is not your employer we also require their contact details. All originals will be returned.

A minimum of a `Basic Disclosure` is required, but either a `Standard` or `Enhanced Disclosure` will be accepted. The Basic Disclosure Certificate is requested and paid for by the applicant. Please apply using the link below:

http://www.disclosurescotland.co.uk/appprocess.htm
CRB must be a True and Certified colour copy

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6. Insurance
Elmhurst Energy Systems Ltd will provide Professional Indemnity and Public Liability insurance as part of the accreditation schemes. Terms and conditions apply.
7. Previous Accreditation(s)
Are you or have you ever been accredited with another Energy Assessor Scheme?
Details
Colour copy of Accreditation Certificate
8. Previous Training
Which accreditation scheme did you do your initial training through?

Stroma Quidos CIBSE BRE ECMK NHER/SAVA Sterling Northgate
Colour copy of APEL Certificate
9. Continuing Professional Development (CPD)
Please include information about your last 12 months CPD and include any certificates you have.
CPD Certificates
Details
10. Proof of Identity
Verification

Please provide a colour copy of either your; in date passport, photo card driving licence, Government issued identity card. Please also enclose a passport size photograph with your application (DEA and NDEA only).

Photographs must be;

•In colour, not black and white

•Taken with your eyes open and eyes must be clearly visible

•Free from reflection or glare on your glasses and free from red eye

•Forward facing, and looking straight ahead

•Taken of the full head, without any covering
ID *
Photograph

Version	Revision Date	Changes Requested by	Changes Made	Status
V1.1	08/09/2021	J Astrop	Direct Debit wording updated in Declaration section (2nd para)	Completed (LD)
V1.0	07/04/2021	L Asprey	Inserted special needs question into Applicant Info page and impartiality sentence in Introduction (wording provided by D Wilkinson). Autoresponder email signatures updated (Elmhurst leaf logo). DD wording in T&Cs section updated (wording provided by Accounts).	Completed (LD)

Elmhurst APEL Transfer

1. Introduction

2. Accreditation Schemes

3. Applicant Information

4. Invoice Address

5. Are you a fit and proper person?

6. Insurance

7. Previous Accreditation(s)

8. Previous Training

9. Continuing Professional Development (CPD)

10. Proof of Identity

11. Applications

12. Declaration

13. Check List