Guardianship Organisation - Application Form

NAME OF GUARDIANSHIP ORGANISATION
ADDRESS OF HEAD OFFICE
TEL
EMAIL
WEBSITE
Name of Proprietor/Chairman of Company
Name and Address of Contact Person
Date of formation of Guardianship Organisation
Is your Organisation a Limited Company? / Yes ☐ No ☐
Registered Number
Name and qualifications of the member of the management personnel with appropriate
Qualifications and experience in education/childcare
Total number of international
students in your care: / Boarders:
Day Aged 13-15:
DayAged 16+:
How many host families do you work with?
Do you operate a system of Local Co-ordinators? / Yes ☐ If so, how many?
No ☐

Names,postal addresses and email addressesof 2 professional referees whom we may contact (someone you know through your work or who can vouch for your credibilityto run a Guardianship Organisation):

1)

2)

A £650 plus VAT registration fee is due which comprises of a £150administration fee plus £500towards Stage One. Please note that £500 is refundable to the Guardianship Organisation within the first six months of initial registration, should the Guardianship Organisation choose not to proceed to Stage One.

It should be noted thatGuardianship Organisations may only become members of AEGIS after a full accreditation inspection whichshould take place within a year from the date of this application.

I have read, understand and agree to adhere to the AEGIS Code of Practice and
Membership Criteria for Guardianship Organisations
Signature:
Name (please print):
Position in Organisation:
Date:

Please return, with copies of all publicity material for the Guardianship Organisation, to:

AEGIS

The Wheelhouse

Bond’s Mill Estate

Bristol Road

Stonehouse

Gloucestershire

GL10 3RF

The Association for the Education and Guardianship of International Students.

A company limited by guarantee and registered in England

Registered Office: The Wheelhouse, Bond’s Mill Estate, Bristol Road, Stonehouse, Gloucestershire, GL10 3RF

Registered Charity No: 1111384Company No: 03463173

1

October 2015