advancing learning, changing lives
Expression of Interest Form


Please complete the following form providing us with some details about your organisation and the qualifications you wish to offer. Once you have submitted the form we will contact you to discuss your application.

NOTE: Only complete this form if you are a training provider, employer or non government funded college.

Section 1: Contact details
 
Organisation name *:

Which Region are you based in *:

First name *:
Surname *:
Address line 1:
Address line 2:
Address line 3:
Town/city:
Postcode:
Telephone No *:
Mobile:
Email *:
Website:
   
Section 2: The Qualification(s) you wish to deliver
 

Please list the qualification(s) that your organisation is looking to deliver, in the order in which you would like them approved (earliest first).

Please refer to our website for full qualification titles.
 

Choice 1
   
Qualification *:
Title:

Level *:

Estimated number of registrations per year: *

Are your learners funded for this qualification:

What type of funding do you receive?:

Other:
Start date for delivery?
   
Choice 2
   
Qualification:
Title:

Level:

Estimated number of registrations per year:

Are your learners funded for this qualification:

What type of funding do you receive?:

Other:
Start date for delivery?
   
Choice 3
   
Qualification:
Title:

Level:

Estimated number of registrations per year:

Are your learners funded for this qualification:

What type of funding do you receive?:

Other:
Start date for delivery?
   
Section 3: Your organisation
 
Are you currently accredited with another Awarding Body? *:

If yes, please specify which Awarding Body along with the core sectors:
What is your preferred method of contact *
Where did you hear about Edexcel *
Other, please specify: