PD:Verified Membership Application
Page 1
Please complete this form for membership of PD:Verified.
CONTACT DETAILS
First name
Last name
Date of birth (dd/mm/yyyy)
- This information will only be recorded on our internal system and used solely for identification purposes.
Email address
Your email address will be linked to a Contact Me form for enquiries, if you choose to have one. Your email address will NOT be displayed on your profile page.
Telephone number -
This information will NOT be displayed on your profile page. and is only for use by PD:Approval if we need to contact you.
ADDRESS DETAILS
To protect your personal data, we only require your City, part of your Postcode (or equivalent) and Country so that the map linked to your profile shows the area you work in, not a precise location.
Location
Please provide the
city/town
, the
postcode
(or equivalent) and the
country
you are based in. To protect your privacy, please only include sufficient data for the postcode (or equivalent) to identify the area you are in, ie NW6, not NW6 2LX
The details you provide will enable users to find your location on our map.
Country
PASSWORD
Please create your password here
- at least 8 characters
- must contain at least 1 uppercase letter, 1 lowercase letter, and 1 number
Page 2
YOUR AREAS OF EXPERTISE
Membership type
(choose one or more)
Assessor
Internal Quality Assurer
External Quality Assurer
Tutor Level 3
Tutor Level 4
Tutor Level 5
Tutor Level 6 (ProfGCE)
Tutor Level 7 (PGCE)
Sectors
(choose all that apply,)
If your sector isn't in this list, please choose
Other
.
Health and Fitness
Hair and Beauty
Pilates
Yoga
Sports Massage
Other
Please tell us what other sector/s you tutor/assess/quality assure in
.
Please select the Health & Fitness discipline/s you are able to teach/assess/quality assure
If your discipline isn't in this list, please select
Other
.
Disability Exercise Instructor
Older Adults Exercise Instructor
Pre & Postnatal Exercise Instructor
Youth Exercise Instructor
Level 2 Aqua
Level 2 Children's Physical Activities
Level 2 Exercise to Music
Level 2 Group Exercise
Level 2 Gym
Level 3 Exercise Referral
Level 3 Personal Trainer
Level 4 Back Pain
Level 4 Cancer Rehabilitation
Level 4 Cardiac Disease
Level 4 Chronic Respiratory Disease
Level 4 Falls Prevention
Level 4 Longterm Neurological Conditions
Level 4 Mental Health
Level 4 Obesity & Diabetes
Level 4 Stroke
Level 4 Strength & Conditioning
Level 3 Sports Massage
Level 4 Sports Massage
Barbering Level 2
Barbering Level 3
Beauty Therapy Level 2
Beauty Therapy Level 3
Complementary Therapies Level 2
Complementary Therapies Level 3
Hairdressing Level 2
Hairdressing Level 3
Make-up Level 2
Make-up Level 3
Nail Technology Level 2
Nail Technology Level 3
Spa Therapy Level 3
Comprehensive
Matwork
Other
Please tell us the discipline/s (and level/s if applicable) you tutor/assess/quality assure
CERTIFICATION
Upload your faculty certificate/s here for each of the membership types you have specified above (maximum 5 uploads, maximum 10MB each; upload in a Zip folder if more)
Page 3
YOUR PUBLIC PROFILE
Once approved, you will have a public Profile page where visitors to the PD:Verified website can learn something about you before getting in touch. Make sure it's informative and interesting so you can develop your network of contacts.
Start with some information
about you
ie how long you've been qualified, what roles you have held, where you have worked.
Continue with your
p
rofessional experience
ie where you have worked, in what sector/s and what disciplines you have used your qualifications in.
This page will be all about you, so feel free to add any other information you think is relevant.
You can copy and paste from another document, or type directly into the field below. Use the bottom righthand corner to drag the box wider if required.
Add your text here
Page 4
TERMS AND CONDITIONS
Please agree to the Code of Conduct (click on the link for full details)
I agree to the
Code of Conduct
Please agree to the Terms and Conditions (click on the link for full details)
I agree to the
Terms and Conditions of PD:Verified Membership
PAYMENT
Are you based in the UK? If yes, VAT will be added to your fee
Yes
No
Membership fee including VAT:
£36
Membership fee:
£30
Membership Fee
Please use the button below to submit your application and go through to the payment page. Once we receive your application and payment, your details will be verified. We will then be in touch to inform you of your PD:Verified Membership status.
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Contact Information