Centre Application Form

1Centre Information

2Primary Details

3Contact Details

4Qualifications

5Delivery

6VAT and Funding

7Documents 1

8Documents 2

9Documents 3

10Final Section

Application type *

Are you applying as an independent centre, satellite centre or applying for a programme endorsement.

Your Username

You will need to choose a unique username below. Once this has been set it cannot be changed. Please use a name related to your centre rather than personal, in-case there is ever any changes in staff.

Username *

You need to provide a user name to use for when you log in to your Centre Portal account.

Choose a Password *

Password

Confirm Password

You need to choose a password to use for when you log in to your Centre portal account

The name of your Organisation *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Organisation type *

Website / URL *

Email *

Please enter your primary contact email address.
Only corporate email addresses can be used e.g.
you@yourbusiness.com. Personal emails such as
Hotmail or Gmail will not be accepted.

Facebook

Twitter

Instagram

Were you referred to ATHE by an ATHE Business Development Associate

Qualification Development

I would like to also complete the Qualification Development Form.

Head of Centre – Job Title *

Please provide their job title in the box provided.

Name *

First

Last

Email *

Only corporate email addresses can be used e.g.
you@yourbusiness.com. Personal emails such as
Hotmail or Gmail will not be accepted.

Finance Contact – Job Title *

Please provide their job title in the box provided.

Name *

First

Last

Email *

Only corporate email addresses can be used e.g.
you@yourbusiness.com. Personal emails such as
Hotmail or Gmail will not be accepted.

Quality Assurance Coordinator – Job Title *

This will be the member of staff who is contacted to conduct the Centre Quality Assurance Checks and subsequent EQA visits.

Name *

First

Last

Email *

Only corporate email addresses can be used e.g.
you@yourbusiness.com. Personal emails such as
Hotmail or Gmail will not be accepted.

Centre Administrator – Job Title *

Please provide their job title in the box provided.

Name *

First

Last

Email *

Only corporate email addresses can be used e.g.
you@yourbusiness.com. Personal emails such as
Hotmail or Gmail will not be accepted.

Your Username

What happens next.

OTP Verification