Javascript is required to utilise these forms. Please enable Javascript within your browser.

Training contract registration form

Please complete the below form to apply for a contract to become a Training Account to deliver Chartered Institute of Environmental Health work based learning programmes.

The Terms and Conditions being agreed to in this application are here.

To complete the form you will need:

  1. One named Accountable Officer, who must be a current CIEH member. You will be asked to enter the valid membership number in this application, so please have it available. Please note your CIEH membership number is different to a Trainer or Centre number. To apply to become a CIEH Member please visit our website. 
  2. An administration account email address, for you and your designated staff to use to gain access to the CIEH work based learning materials.

* denotes compulsory field


Section A: Contract Organisation details


Organisation name*

 

Current centre number (if applicable)

 

Address 1*

 

Address 2

 

Town*


 

County

 

Postcode*

  

Country

  

Industry

 


Section B: Contract Owner details


Title*

 

First name*

 

Last name*

 

Membership number

 

Job title*

 

Email address*

 


Telephone*

 


Section C: Administration Account details


Tick if Administration Account email address is same as Contract Owner email address and proceed to Section D.

Email address

 


Section D: Accountable Officer details


 Tick if Accountable Officer details are the same as Contract Owner, then enter membership number below and proceed to the declaration.
 

Membership number*


 

Title

 

First name

 

Last name

 


Declaration


Full name

*  

I have completed this form as the Contract Owner. I have read and agree to your Terms and Conditions.

Terms and Conditions

These Terms and Conditions apply to those who register to become a Registered Training Account Provider for the Chartered Institute of Environmental Health (CIEH) and form a contract between Registered Training Account Providers and CIEH. By registering with CIEH as a Registered Training Account Provider via CIEH's website, you will have confirmed that you agree to be bound by these Terms and Conditions as they may be amended over time.

If you click 'Agree to T+Cs', you confirm your acceptance of these Terms and Conditions which will form a contract between you and CIEH, should your application to become a Registered Training Account Provider be accepted by CIEH.

You should only accept these Terms and Conditions where you are legally able to. You are responsible for all compliance with local laws and regulations which apply to you.

These Terms and Conditions were last modified on 03 April 2017