CLOSE PROTECTION TRAINING APPLICATION FORM

To be completed by the applicant (please ensure all

questions relevant to your application are answered in full).
Please write in block capital letters and in black ink.

TITLE: MR MRS MS OTHER

If your present name is different from that on your citizenship papers, please attach copies of legal
documentation (e.g. deed poll certificate, marriage certificate) as evidence of the name change. State
previous family name:

FIRST NAMES:

SURNAME:

SEX: MALE FEMALE

DATE OF BIRTH: DAY MONTH YEAR

HOME ADDRESS:

TELEPHONE NO: HOME: MOBILE:

EMAIL ADDRESS:

Please state your country of citizenship:

Proposed course commencement date: DAY MONTH YEAR

Disability Please indicate if you have any of the following:

SYMPTOMS YES NO REMARK

Dyslexia Please provide proof of diagnostic assessment

Blind / Partially Sighted

Mental Health Difficulties

Unseen Disability (e.g. Asthma)

Other

HOW TO PAY:
CLOSE PROTECTION TRAINING APPLICATION FORM Page 1 of 4
 The cost of the Close Protection Operations training course, including accommodation is 1800.00 Inc VAT. This
fee is for 14 days of training and covers a minimum of 148 hours of training. A 500.00 deposit or full payment is
required with this application form, and any remaining balance must be received at least 21 DAYS prior to
commencement of the course start date. If you need to cancel your booking and have paid a deposit or full
payment you can transfer to another course (not within one week prior to commencement). Deposits are not
refundable. It must be noted that the course cost includes on site self catering cottage accommodation (subject
to availability) the final exam fee and certification by our awarding body IQ / Highfields. It does not include the
SIA licence fee or food. It is a Clearwater Special Projects Ltd policy to restrict the number of students to a
maximum of 18 students per course. Places are awarded on a first come first served basis. Dates and venues
may change due to circumstances beyond our control. Upon receiving your application and deposit you will be
sent confirmation of booking and your receipt together with joining instructions & map of how to find us.

Payment Methods:

Cheque: Payable to Clearwater Special Projects Ltd.

Credit/Debit Cards: Visa, Master Card, Switch, Delta, Electron, Solo.
Cash: Must be sent by recorded delivery.
I understand that the price for the course is: 1800.00 inc VAT.

I wish to pay by:______________ Apply for Easy Pay Scheme:____________ I am using ELCAS __________

If paying by card please call us on +44 (0) 1743 719109

POSTAL ADDRESS: ClearwaterSpecialProjectsLtd, Netley Hall, Dorrington, Shrewsbury, Shropshire. SY5 7JZ

For Office Use Only: Name and position of Clearwater Special Projects Authorised Staff:

Joining Instructions Deposit Received Full Payment

Sent Received
(SIGNATURE) (SIGNATURE) (SIGNATURE)

This student has approval to undertake the nominated course(s) at Clearwater Special Projects Ltd.

SIGNED: DATED:
Student Reference Number:
For Office Use Only

TERMS AND CONDITIONS

General:
Please ensure that you read these notes carefully. You should also read the current Clearwater Special Projects
Ltd literature relating to the course(s) in which you are interested or refer to our training site at:

www.clearwaterprojects.com
www.doorsupervisor.org

Students with or without experience:

Clearwater Special Projects Ltd welcomes applications from students with or without experience or any prior
knowledge to the private security industry.

CLOSE PROTECTION TRAINING APPLICATION FORM Page 2 of 4

 CANCELATION POLICY

If you need to cancel your booking and have paid a deposit, or full payment, you can transfer to another course,
(not within 7 days prior to course commencement date.) If a confirmed course booking is cancelled
Clearwater reserve the right to apply the following charges:
Cancellations within 2 weeks of course start date. 50% of total course fee will be charged.
Cancellations within 1 week of course start date. 75% of total course fee will be charged.
Cancellations within 48 hours of course start date. 100% of total course fee will be charged.

Clearwater Special Projects Ltd. reserves the right to follow legal process to recover any outstanding payments.

For The Attention of Armed Forces Resettlement Only

If you are a serving member or a former member of the Armed Forces and are intending to use resettlement
grants and or funding, including Enhanced Learning Credit (ELCAS). The following documents are very
significant and will require your attention at the earliest opportunity:
Mod Form 1746 (03/10) Agreement for civilian work attachment (CWA)/civilian Training Attachment (CTA) and
advance of fees claim form.
Annex B to section 4 of JSP 534 (Certificate of completion for external training).
JSP 898 Part 4 Chapter 3Enhanced Learning Credits Claim Authorisation Note (CAN).

SIA English Language Competence Requirement of Candidates Achieving the License-Linked

Qualifications
It has come to light that different policies operate among awarding bodies, offering the license linked
qualifications, on the level of support that training centres can give to candidates for who English is a second
language, at the assessment stage. The SIA, in consultation with Skills for Security, specifies the following:
Communication in English is an integral requirement of the SIA competencies. This is made explicit, in particular,
competence statements and in relation to the title of the Part, or Session, which deals with Communication and
Conflict Management. Candidates also need to demonstrate their competence in English in an applied context in
relation to other areas of the specifications and competence needs to be considered holistically, with the aim that
the candidate should be able to demonstrate these same competencies effectively in the workplace. To not be
able to do so can have health and safety implications for the individual, and for others, in the workplace. For the
above reasons, it would not be appropriate for candidates, for who English is their second language, to be
provided with a scribe or reader to assist them in their assessment. To do so would also provide an unfair
advantage to such candidates. Training centres should be advised to carry out an initial assessment of
candidates to identify their particular needs at the earliest stage. In the case of candidates for whom English
language communication skills are a weakness (and other particular need's considerations do not apply) it would
be appropriate to direct them to undertake additional learning to develop these skills. Due to the recurring nature
of queries on this subject, it would be helpful to training centres if awarding bodies clarified this policy in their
guidance to centres.

Please sign this application form to confirm that you fully understand the above statement.

I (Full Name) _________________________________________

Have read and fully understand the above statement and sign to state that if I do not have a good understanding of
spoken and written English it will or could affect my overall performance and could potentially lead to a fail course
grade.

Signature: ____________________________________________

CLOSE PROTECTION TRAINING APPLICATION FORM Page 3 of 4

 Declaration by All Applicants:
I declare that I have read the instructions on this application form and that the information provided by me is true
and complete. I recognise that it is my responsibility to provide all necessary documentation to support my
application. The information on this form is collected for the primary purpose of assessing your application for
admission to Protective Security candidature. Other purposes of collection include the creation of an enrolment
record on the student database, attending to administrative matters, corresponding with you and statistical
analyses. If you choose not to complete all the questions on this form, it will not be possible for Clearwater
Special Projects Ltd to assess your application. Personal information may also be disclosed to the relevant
bodies for the verification of your qualifications. You have a right to access personal information Clearwater
Special Projects Ltd holds about you, subject to any exceptions in relevant legislation. You may seek access to
your personal information or inquire about the handling of your personal information. I acknowledge that
Clearwater Special Projects Ltd reserves the right to vary or reverse any decision regarding admission or
enrolment made based on incorrect or incomplete information. I have read and understand the above conditions
and am prepared to accept them in full.

Course Registration:

During the first few days of your course you will be registered with the awarding body by your training provider.

You will be required to bring with you:

A. Your Drivers License (Both Parts) if you have one.

B. Make sure you bring a Passport Sized photograph.
C. Bring I.D. documents with you. (Group A & Group B). At least one document needs to have your name and
address on it. (Example Documents: Passport / Driving License / Birth Certificate / Recent Utility Bills /
Recent Bank Statement / P60 / P45 / Mortgage Statement / Council Tax Statement)
D. If you have a first aid certificate please bring this with you.

For further help and guidance please visit our website: www.clearwaterprojects.com

Return this application form to Clearwater Special Projects Ltd as soon as possible by email or by post.

I declare that I have read and understood the contents of this Application and submit my
details to Clearwater Special Projects Ltd for consideration to join the Level 3 Close
Protection Training Course.

SIGNATURE:

DATE:

CLOSE PROTECTION TRAINING APPLICATION FORM Page 4 of 4