Literacy Leap Certification Framework

Literacy Leap Certification Framework

Registration Form

Literacy Leap Certification Framework

Registration Form

Name of School: ……………………………………………………………..…………………….

Contact Name: ………………………………………………………………………………………

Position: ………………………………………………………………………………………………

Address: ……………...………………………………………………………………………………

…………………………………………………………………………………………………………

Daytime Tel No: …………………………………………………………………..…………………

Email address: ………………………………………………………………………………………

Data Protection Act 1998

The information you provide on this form will be processed by the BDA and used to process your application for the BDA Literacy Leap Certification Framework.

From time to time we would also like to send you information about the BDA’s other services, offers, activities and appeals. If you would like to receive this information please tick here q

We may also share your information with other organisations within the European Economic Area upon their request. If you are happy for your details to be used in this way please tick here q

Disclaimer

In awarding the BDA Literacy Leap Certification Framework, the British Dyslexia Association cannot guarantee, or be responsible for, the individual programmes of education provided for, or levels of attainment achieved by, an individual learner studying within that school.

Fees and Payment:

All fees are payable at the point of registration and are non-refundable. Please indicate the level of award you wish to undertake:

Fees / Fee before VAT / Fee incl. VAT at 20%
Please tick: / £350.00 / £420.00
Please tick: / £450.00 / £540.00
Please tick: / £550.00 / £660.00

Please note: if you submit a hard copy portfolio to the BDA, a £15.00 administration and postage fee will be invoiced at the end of the verification, should you wish it returned.

I wish to pay by:

¨ BACS Transfer

¨ Cheque Please make all cheques payable to “British Dyslexia Association”

¨ Invoice

Purchase Order Number:

Declaration

· I am applying for the BDA Literacy Leap Certification Framework and agree to pay the fees as outlined above. I understand that fees paid are non-refundable.

· I understand that the Literacy Leap Certification Framework fee must be received in full before the registration is processed and that all fees are non-refundable.

· I undertake to adhere to all decisions made by BDA.

Signed: Date:

Print Name:

Please return this form to:

Literacy Leap Administrator, British Dyslexia Association, Unit 6a Bracknell Beeches, Old Bracknell Lane, Bracknell, RG12 7BW

Tel: 0845 251 9003 / Email: