Application form

Please indicate below which region of the UK you will be undertaking assessments in

Region I wish to work in * Region cannot be blank

Please use this section to provide your personal details, home address and the best contact details for us to use to contact you regarding your application.

Title

Forename * Forename cannot be blank

Middlename

Surname * Surname cannot be blank

Postcode cannot be blank

Address 1 * Address 1 cannot be blank

Address 2

Address 3

Town * Town cannot be blank

County

Email Address * Email Address cannot be blank

Telephone number * Telephone number cannot be blank

Date of Birth * Date of Birth cannot be blank

Please let us know if you are applying to open a personal account with Quidos or if you will be working for a company/panel who have requested you create a corporate account.

Are you applying for a Personal or Corporate account? *

Personal

Corporate

Please enter the details/name you trade under into this section; if you trade as a sole trader then please just enter your name or a company name you wish to operate under.

Registered Company Name

Company Telephone number * Company Telephone number cannot be blank

Is your company address different from your personal?

Please confirm if you are applying via the Accreditation of Prior Experimental Learning (APEL) or Qualification route. *

APEL route

Qualification route

This is a further optional registration which is only available for DEA and Legionella Risk Assessment. This optional additional registration will cost approximately £60+VAT every 12 months.*

Do you wish to become registered with TrustMark?

Yes

Are you currently or have you been previously accredited with another scheme? If so, please provide the details using the boxes below.

Scheme name

Accreditation ID Number

Please ensure you have read and agree to the documents listed below before submitting your application for accreditation.

QAS Code of Conduct *

I have read and agree to the QAS Code of Conduct

QAS Terms and Conditions *

I have read and agree to the QAS Terms and Conditions

QAS Pricing Terms and Conditions *

I have read and agree to the QAS Pricing Terms and Conditions

Changes in my situation *

I agree to notify Quidos immediately of any changes in my situation

Full name

Digital Signature *

By submitting this form I accept this is a digital signature and legally binding contract

Marketing purposes

I agree to be contacted for marketing purposes

Please complete this form fully and ensure you press "Submit" at the bottom in order to apply to join Quidos Accreditation Scheme. If you have any questions please do not hesitate to contact our Accreditation team on 01225 667 570

Please complete this form fully and ensure you press "Submit" at the bottom in order to apply to join Quidos Accreditation Scheme.
If you have any questions please do not hesitate to contact our Accreditation team on 01225 667 570