CENTRE 3 CENTRE 4 Centre full name Centre full name Centre Address Centre Address Postcode Postcode Telephone Telephone (Please include the international and/or area code) (Please include the international and/or area code) Centre Contact Name Centre Contact Name Job Title Job Title Email Email Does your centre have Wi-Fi / Internet access available for Tutors, Does your centre have Wi-Fi / Internet access available for Learners, awarding body and regulator to use on course? (please NO Tutors, Learners, awarding body and regulator to use on NO YES YES circle) course? (please circle) Type of Centre (please tick appropriate box) Type of Centre (please tick appropriate box) Leisure / Sport Centre Authority Organisation Leisure / Sport Centre Local Authority Organisation School LEA SwiMark Club School LEA SwiMark Club University Private Club (Non SwiMark) University Private Contractor Club (Non SwiMark) Contractor Health Club Individual (please detail Health Club Individual Other (please detail below) below) Please tick the boxes below to indicate whether the centre is involved with any Please tick the below to indicate whether the centre is involved with external quality assurance programmes. any external quality assurance programmes. RLSS RLSS Quest Aquamark Aquamark SwiMark / Swim21 / Dragon Mark SwiMark / Swim21 / Dragon Mark (please specify) Other (please specify)
CENTRE 3 CENTRE 4 Centre full name Centre full name Centre Address Centre Address Postcode Postcode Telephone (Please include the international and/or area code) Telephone (Please include the international and/or area code) Centre Contact Name Centre Contact Name Job Title Job Title Email Email Does your centre have Wi-Fi / Internet access available for Tutors, Learners, awarding body and regulator to use on course? (please circle) YES NO Does your centre have Wi-Fi / Internet access available for Tutors, Learners, awarding body and regulator to use on course? (please circle) YES NO Type of Centre (please tick appropriate box) Type of Centre (please tick appropriate box) Leisure / Sport Centre Authority Organisation Leisure / Sport Centre Local Authority Organisation School LEA SwiMark Club School LEA SwiMark Club University Private Contractor Club (Non SwiMark) University Private Contractor Club (Non SwiMark) Health Club Individual (please detail below) Health Club Individual Other (please detail below) Please tick the boxes below to indicate whether the centre is involved with any external quality assurance programmes. Please tick the below to indicate whether the centre is involved with any external quality assurance programmes. RLSS RLSS Quest Aquamark Aquamark SwiMark / Swim21 / Dragon Mark SwiMark / Swim21 / Dragon Mark (please specify) Other (please specify)
approved-satellite-centre-application-pack-2018.docx