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, one of our regional business development managers will be in contact to discuss your requirements in detail before taking you through the application process and the forms you will need to fill in.
Section 1: Contact details
 
Organisation name *:
Organisation type *:
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:
Please indicate if you wish to switch your current qualification provision to deliver Edexcel qualifications?:
Do you hold UK Border Agency Tier 4 Licence? (Education Providers for International students only)
What is your preferred method of contact *
Where did you hear about Edexcel *
Other, please specify:
 
By completing this form and submitting your contact details you acknowledge that you are giving permission for your details to be stored by Edexcel.
 
Edexcel may share your details with other companies within the Pearson Group, of which Edexcel is a member. Edexcel undertakes not to divulge your details to any company outside the Pearson Group without your permission. Please tick here if you are happy for Edexcel to share your details with other Pearson Group companies