Learning Provider Form Centre name Centre number DC Country United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Turkish Republic of Northern Cyprus Northern Mariana Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Republic of the Congo Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia South Sudan Spain Sri Lanka Sudan Suriname Svalbard eSwatini Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Transnistria Pridnestrovie Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands Isle of Man US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Proposed programme overview Programme Title Programme Duration Indicative Programme Level Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 Where will this programme be delivered, Geographically? Is this programme accredited by a regulatory authority, or validated by a validating body? Yes No If yes, please name: Programme aim s Programme Contents Programme learning outcomes/ objectives Programme structure (including units or modules that make up the programme) Unit Title Level Credit GLH 1 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 2 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 3 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 4 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 5 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 6 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 7 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 8 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 9 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 10 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 11 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 12 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 13 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 14 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 15 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 16 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 17 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 18 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 Total Credit GLH Please continue on a separate sheet as necessary. If programme syllabus / unit content is available, please include in your submission and provide a summary of the learning outcomes and structure only. Programme Delivery and Assessment Method of Delivery (e.g. classroom, work-based, e-learning, distance learning, blended) Assessment Method Learning Materials and Resources used in Delivery Please provide details of all staffs involved in delivery, assessment and quality assurance processes. Staff (1) Delivery Assessment QA Processes Administration Name First Name Last Name Experience/qualifications: Staff (2) Delivery Assessment QA Processes Administration Name First Name Last Name Experience/qualifications: Staff (3) Delivery Assessment QA Processes Administration Name First Name Last Name Experience/qualifications: Staff (4) Delivery Assessment QA Processes Administration Name First Name Last Name Experience/qualifications: Programme Review Detail how the programme is quality assured: Detail how the programme is reviewed: Applicant Declaration Centre Name By submitting this Form I can confirm that the above programme is developed by us and the programme is the sole property of Form Completed by Job Title Date - Month - Day Year Date Date Picker Icon Submit Once completed please email to: [email protected] Should be Empty: