re-accreditation-pack

Re-Accrediation Application Form

CHECK LIST TO GUIDE THE REACCREDIATION PROCESS

Name of Candidate(Required)

Professional discipline(Required)

Current Job Title(Required)

Contact details(Required)

Date of first EEATS Accrediation or appointment as Supervisor(Required)

Name of Accreditor(Required)

Accreditor's professional discipline,and job title(Required)

Contact details(Required)

Please enter a number less than or equal to 15.

Date of Reaccredition Meeting(Required)

Is the Accreditee's eating disorders practice well known to the Accreditor?(Required)

YES

Please supply a reference(see above)

Name,discipline,job title & contact details of referee(Required)

Eligibility to apply for Re-Accrediation

Is the candidate’s professional qualification/registration up to date?(Required)

Please provide the Candidates Professional Registration Number(Required)

Has the candidate shown evidence of a minimum of 20 hours’ CPD each year over the past 5 years (ie a total of 100 hours since the last accreditation/re-accreditation/appointment as supervisor?(Required)

YES

What proportion of the CPD was attendance at lectures of presentations?(Required)

What proportion of CPD was interactive workshop or discussion-based training?(Required)

What proportion was participation in audit or research?(Required)

What proportion was personal study, reading and online CPD?(Required)

Please note that it is entirely acceptable to have no time spent in audit or research, but other categories should be balanced if possible. Category (d) should be evidenced by references, reading notes, short summaries or reviews, online-printouts etc

Please comment on any imbalance, either between the above categories or in terms of subject matter studied.(Required)

Please describe plans for CPD over the coming CPD period. Which topics should be prioritised? What are the resources required to undertake the CPD? Have any particular CPD opportunities been identified?(Required)

Any further comments by the accreditor(Required)

SIGNATURES

ACCREDITOR(Required)

CANDIDATE FOR ACCREDITATION(Required)

REFERENCE ENCLOSED, IF APPROPRIATE (It is sufficient for the referee to have submitted a signed reference – they do not need to sign this form)(Required)

YES

EEATS ACCREDITOR CLAIM FORM

Name of Accreditor(Required)

Accreditor’s professional discipline, and job title(Required)

Name of Person being accredited Name of person of organisation to whom cheque should be sent (If no claim is made, then we will put your fee into the EEATS fund with our grateful thanks)

Address where cheque is to be sent(Required)

Signature(Required)

Date(Required)

Re-Accrediation Application Form

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