ATC/ATP Application

First Name (required)

Last Name (required)

Society Number (if applicable)

Email (required)

Telephone Number

Organisation name

Address

Postcode

Job title/role within the organisation

Which best describes your organisation?

Leisure CentreEducation SettingHotelIndependent training provider Other

If other, please specify

Are you applying to become an ATC or ATP?

ATCATP

Have you been an ATC/P with us before? (required)

YesNo

If you answered yes to the above, please enter the ATC/P’s ATC number (If known):

Are you currently approved by any other awarding organisation recognised by the qualification regulators?

(ATC/P application outside the UK only) Have you received approval from either the ILS or RLSS Commonwealth?

Have you ever been refused approval or had approval withdrawn or sanctions applied by an Awarding Organisation recognised by qualification regulators?*

Yes No

Are you/ your company registered with Companies House?

YesNo

If yes, please supply your company number:

Are you/ your organisation a registered charity?

Yes No

If yes, please supply your charity number

Are you in a sound financial position and have sufficient finances to deliver and assess our regulated qualifications?

YesNo

Please detail the policies and procedures you have in place for safeguarding children and vulnerable adults (required)

Which qualification(s) are you interested in running?

National Pool Lifeguard Qualification (NPLQ)First Aid Courses Automated External Defibrillator (AED) ProgrammeAnaphylaxis ManagementNational Pool Supervisor Qualification (NPSQ)Other

If other, please specify

Estimated learner numbers

Intended start date

Declaration:

I understand that this form is only a request, and I am only permitted to deliver RLSS UK regulated qualifications once I have received approval from RLSS UK Qualifications.

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