/ STREET WORKS QUALIFICATIONS REGISTER (SWQR)
INITIAL / ADDITIONAL QUALIFICATION / RE-ASSESSMENTAPPLICATION FORM
England / Scotland / E/S

*PRIMARY COUNTRY OF WORK: ENGLAND SCOTLAND

CANDIDATE DETAILS – Please complete all information in BLOCK CAPITALS

*DENOTES MANDATORY FIELD – FORM WILL BE RETURNED IF NOT COMPLETED IN FULL.

PLEASE TICK ‘’FOR INITIAL/ADDITIONAL, USE ‘R’ FOR RE-ASSESSMENT

✓ or ‘R’ / OPERATIVE QUALIFICATIONS / UNITS / ✓ or ‘R’ / SUPERVISOR QUALIFICATIONS / UNITS
Location and avoidance of underground apparatus / LA / Location and avoidance of underground apparatus / LA
Signing, lighting and guarding / O1 / Monitorsigning, lighting and guarding / S1
Excavation in the highway / O2 / Monitor excavation in the highway / S2
Reinstatement and compaction of backfill materials / O3 / Monitor reinstatement and compaction of backfill materials / S3
Reinstatement of sub-base and base in non-bituminous materials / O4 / Monitor reinstatement of sub-base and base in non-bituminous materials / S4
Reinstatement in cold-lay bituminous materials / O5 / Monitor reinstatement in bituminous materials / S5
Reinstatement in hot-lay bituminous materials / O6 / Monitor reinstatement of concrete slabs / S6
Reinstatement of concrete slabs / O7 / Reinstatement of modular surfaces and concrete footways / S7
Reinstatement of modular surfaces and concrete footways / O8

Please tick the relevant box beside the type of application you are submitting.

  1. TRAINING CENTRE DETAILS
  • If centre is to be invoiced, as per prior agreement, please supply your SWQR Approved Centre number along with a purchase order number (if required). If purchase order numbers are required by your centre, but not completed, applications will be returned. We will not complete purchase order information on behalf of a centre.
  1. CANDIDATE DETAILS

Mandatory Fields are as follows:

  • Please supply the candidate’s Awarding Body Registration Number.
  • Please complete the candidate’s full name, including date of birth.
  • Please specify the candidate’s gender.
  • Attach a current passport size photograph of the candidate (see separate guidance leaflet on acceptable photographs). Please use glue and do not staple the photograph.
  • Please supply the candidate’s existing SWQR Registration Number (if known).
  1. ADDRESS WHERE CARD IS TO BE SENT
  • Please fill in the address details, including company name and who the card should be addressed to, if applicable.
  • Alternatively to use the centre address, (as held by SWQR) simply check the box.
  • Complete a contact telephone number and email address; these will only be used in the event of a discrepancy with the application.

NB- The ID card will be returned to this address. Please ensure that this address is correct. Covering letters/compliment slips etc. will not be accepted as a notification of address.

  1. QUALIFICATIONS COMPLETED
  • Tick the qualifications completed. Please use a tick for initial or additional qualifications.
  • Please use anR for reassessed qualifications.

Please read the declaration, sign,print name and date the form accordingly.

  1. FEES

Application fees (valid until 31 March 2018)

  • Initial Registration:£26.40
  • Additional Qualifications: £21.10
  • Re-assessed Card: £26.40

RETURN FORMS TO:

THE STREET WORKS QUALIFICATIONS REGISTER (SWQR)

THE OPTIMA BUILDING

58 ROBERTSON STREET

GLASGOW

G2 8DQ