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APPLICATION FORM for SMU/EOA CPD COURSE

Office use only:

EOA centre. No.

 

Invoice No.

 

SMU reg. No.

2019/20

Please sign below to give your consent for your details to be added to our Networking list. The list is only available to other SMU students and simply gives your name, centre, SMU course level and e-mail address. Why not share your experiences with other tutees and support each other?  

Action: I give my consent for my details to my added to the EOA/SMU Networking List – Yes  

Full Name

First:

Surname:

Centre details

 

(please print

  all details)

Centre Name:

Centre Exam No.

Street/Rd:

Region/Town/City

Post Code:

Date of Birth

 

   ___  | ___  | ___

 

Contact Tel. Number

 

Gender (please circle)

Female/Male/Other

EOA Membership No.

 

The office can check this for you

Centre e-mail address to contact you: 

 

Please ring the course you wish to apply for below: These fees include Centre Membership – Members have a discount

SMU\CPD2: (Introduction) Administering exams and the exam office role                  £360/£300

SMU\CPU3: (Intermediate) Managing and administering examinations                       £460/£400

SMU\CPU4: (Higher)           Managing and administering examinations                        £560/£500

SMU\CPU5: (Advanced)     Research & development on exams delivery in centres      £660/£600

 

Please invoice my centre for £_____     I agree to the Terms and Conditions  | My method of payment is  

  1. By cheque - payable to The EOA international for                                                             £ _______ or
  2. You can pay by automatic payment on our website using our ‘Charity shop’ facility for    £ _______
  3. Your centre will be sent an invoice before or after payment to complete your centre paperwork.

 Signed  ______________________ Print Full Name _____________________ Date ___ ___ ___ __

Once completed please SCAN this FORM and SEND it to [email protected]

If you are interested in a payment plan, please ring the iEOA to discuss this before sending in the application form

As well as being allocated your own personal tutor, we encourage tutees to contact each other to share good practice, or just network with other people in their locality who are also taking the same level of qualification. Any question email the eoa.office or call 0118 975 8552 

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68 Raglan Gardens | Oxhey | Watford Herts., WD19 4LL