Accreditation Application Form

Please coplete the form as a visit request. Full accreditation forms must be submitted a minimum of eight (8) weeks prior to the visit taking place.

Organisation/University ^*

Department ^*

Address 1 ^*

Address 2 ^*

Address 3

Postcode ^*

Town/City ^*

Programme title

Programme(s) to be Accredited

Title

QUAD number

Title

QUAD number

Title

QUAD number

Title

QUAD number

Title

QUAD number

Title

QUAD number

Title

QUAD number

Title

QUAD number

Title

QUAD number

Title

QUAD number

Head(s) of Department

Please write the full name and email address. For joint degrees, list all involved Head(s) of Department.

Head of Department

Email ^*

Head of Department

Accreditation contact

Full name ^*

Position ^*

Accreditation Contact Email

Accreditation Contact Phone Number

Visit type

Visit type ^*

Suggested dates for Accreditation visit

Accreditation visits are ordinarily undertaken over the course of 2 days, mid-week (Tuesday-Wednesday or Wednesday-Thursday). Scheduling depends on key university staff and accrediting PEI availability.

Please indicate your preferred dates and IOM3 team will do their best to accommodate.

Option 1 ^*

Option 2 ^*

Option 3 ^*

Other PEI involvement

If this is planned to be a joint visit, please inlcude the details of other PEI(s) involved in the visit (PEI, full name and email of Accreditation Contact person)

PEI

Title & Full Name of PEI Accreditation Contact person

PEI Accreditation Contact Person email

PEI

Title & Full Name of PEI Accreditation Contact person

PEI Accreditation Contact Person email

By submitting the form you confirm you are an authorised signatory of your organisation and agree to cover reasonable expenses incurred by IOM3 for undertaking this visit.

I confirm ^*

I confirm

Membership benefits

IOM3 policy & influence

INFORM Series

Materials World

Education & Outreach Trust

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Accreditation Application Form