Extension request for ASAC consideration

Details of extension of accreditation can be found in section 3.3 of the Handbook. Accredited providers should read this carefully before completing this form. The form is for accredited providers use only and should be completed and submitted by the main contact for accreditation to the Secretary of ASAC .

Details of the accreditedprovider requesting extension of accreditation.

Name of accredited provider
Main address(for correspondence)
Telephone
E-mail
Web address
Name and job title of person responsible for the extension during the extension period
E-mail of the responsible person
Year of first accreditation
Year of last inspection
Please print below the full details of your current publishable statement:

Details of the organisation that accreditation will be extended to

Name of extension provision
Main address where accredited activity would take place.
*In the case of a multi-centre, please attach a list of all centres operating, Indicate clearly for each centre its address, main contact, dates of course, estimated number of teachers, types of course operating (include age of students) and type(s) of accommodation.
Date when first course/s will or havestarted.
Telephone
E-mail for inspection contact.
Web address
Name and job title of contact for inspection at the extension premises, with email if different from above*.
Number of teachers at the centre/centres*
Types of accommodation offered at the centre/centres*
Courses offered – please detail any courses offered by the extension organisation which are different from those offered by theaccredited organisation*.
Minimum age of students at the centre/centres*

Details of ownership

Legal ownersof the accredited organisation

Extension request for ASAC consideration

Has ownership changed in the last 12 months? / Yes: No:

Extension request for ASAC consideration

If ‘yes’, give details
Legal owners of the extension organisation
Year of foundation of ELT organisation seeking accreditation
Please outline the legal relationship between the accredited provision and the proposed extension provision:

Systems, structures and ethos

With allowance for local imperatives, please outline how the systems, structures and ethos of the accredited provision will be reflected in the new provision.

Availability of continuing support

Please detail how continuing support for the new provision will be available until such time as the new provision becomes accredited in its own right, including the resources set aside for this.

Student numbers (estimates from first month of opening)

Jan / Feb / Mar / Apr / May / Jun / July / Aug / Sept / Oct / Nov / Dec / Jan / Feb / Mar / Apr
EL for adults
EL for juniors
Other eligible

Any additional information of relevance

Name
Position
Date of request