Management Standards Centre For Office Use Only

A Modern Apprenticeship / AB

Certificate Request Form

For Modern Apprenticeships in the Management Sector

ADVANCED APPRENTICESHIP/AMA IN MANAGEMENT (England and Wales)

The cost of each certificate is £30, including postage and packaging (and VAT where applicable). Certificates will be sent within 4-6 weeks of receipt of this form, together with an invoice. The invoice should be paid within the time stipulated by the MSC. If payment is by cheque, please make cheques payable to the Chartered Management Institute; please provide the address where the certificate should be sent.

A Charge may be levied upon each re-application resulting from a mistake made by the training provider in applying for the certificate.

If you have any queries regarding the completion of this form, please contact the Management Standards Centre (Tel: 020 7240 2826; Fax: 020 7240 2853)

PART 1 – Candidate Details

Please print clearly using BLOCK CAPITALS and black ink to avoid any mistakes appearing on the certificate.

Apprentice’s name in full
Start date of apprenticeship
Completion date of apprenticeship
Select Framework issue number (implementation date in brackets) / 5F(01.11.2008) / 5E (01.08.2008) / 5D (01.12.2007) / Other (please specify)
Candidate’s employer name (in full)
Training provider name
LSC/DCELLS/WAG Name (in full)
Did the Apprentice attract LSC/DCELLS/WAG funding? (tick if yes)

PART 2 – Delivery Address

Where should the completed certificate be sent?

Certificate Request Form (Oct. 2008) Page 1 MSC

Management Standards Centre A Modern Apprenticeship

PART 3 – Achievement Details

Please note that we require copies of the certificate for the mandatory components in order to issue a Modern Apprenticeship completion certificate, as follows:

NVQ

The apprentice must achieve one of the following:

NVQ Level 3 in Management 

NVQ Level 4 in Management 

(Note: Funding will be available for the NVQ Level 4 in Wales only)

KEY SKILLS in:

Communication Level 2 

Application of Number Level 2 

TECHNICAL CERTIFICATE (s)

The apprentice must achieve one of the following if following the NVQ Level 3 route:

CMI Level 3 Introductory Certificate in Management 

CMI Level 3 Certificate in First Line Management (QCF) 

CMI Level 3 Award in First Line Management (QCF) 

ILM Level 3 Award in First Line Management (QCF) 

Edexcel Level 3 BTEC Award in Management 

Edexcel Level 3 BTEC Award in Introducing Management 

Goal Level 3 Certificate in Management 

The apprentice must achieve one of the following if following the NVQ Level 4 route (Wales only):

CMI Level 4 Introductory Diploma in Management 

ILM Level 4 Award in Management (QFC) 

CMI Level 5 Certificate in Management and Leadership (QFC) 

CMI Level 5 Award in Management and Leadership (QFC) 

ILM Level 5 Award in Management (QFC) 

(Note: Funding will be available for the Level 4/5 knowledge based elements in Wales only)

EMPLOYMENT RIGHTS AND RESPONSIBILITIES

Signed and completed ERR workbook acknowledgement page 

Certificate Request Form (Oct. 2008) Page 1 MSC

Management Standards Centre A Modern Apprenticeship

PART 4 – Training Provider Details

I certify that the Apprentice has met all the requirements of the MSC Modern Apprenticeship Framework:

Signed (claiming organisation)
Name of Authoriser
Position
Training Provider
Telephone Number
Date

Please return to: Management Standards Centre

3rd Floor

2 Savoy Court

Strand

London

WC2R 0EZ

Certificate Request Form (Oct. 2008) Page 1 MSC