Membership Application Form…

Name:

Address:

Telephone and/or Mobile:

Email Address:

Full Membership Applicants

Type of Notetaker (and will email my qualifications to membership@anpnotetakers.co.uk once submitted):
Electronic NotetakerManual NotetakerElectronic and Manual Notetaker

(Recognised qualifications: CACDP(level 2/ level 3 modules L304/T302/P301) / OCN / LOCN / others on application)

My other relevant qualifications include:

Trainee applicants (Membership in this category is for one year only):

I am training to be a: Electronic NotetakerManual NotetakerElectronic and Manual Notetaker

Please state the training organisation, date started and expected completed date (month/year):

Associate applicants:

Please explain briefly why you would like to be an Associate:

Employment and experience (Please email your CV to membership@anpnotetakers.co.uk once submitted):

I have my own laptops: YesNo

If so, what software and what brand are used:

I have a DBS: YesNo

If so, what level, date issued and expiry date:

I prefer the following types of assignments:

I prefer not to accept the following types of assignments:

I prefer to work in and around the area(s) of:

I have insurance cover for Professional Indemnity and/or Public Liability YesNo

I would be interested in obtaining information on insurance YesNo

I wish to apply for membership: (Renewed annually - half price from July-Dec) Full - £35.00Trainee - £20.00Associate - £20.00

Please make cheques payable to: Association of Notetaking Professionals
And send to: Dian Donovan at 24 Hillside Avenue, Romsey, Hants SO51 5AZ
Or you can pay online: TSB Bank plc; Sort Code 30-97-14; Account No. 31768168
Reference - your name - this is essential for us to verify your payment

I accept and will abide by the Constitution and Code of Practice of the Association. YesNo
I agree that my contact information (name/phone/email/county) can be shared with notetaking-relevant third parties i.e: associations, potential clients, members. YesNo
I understand that annual membership ends 31st December 2024. YesNo
Membership implies acceptance of the Association’s Code of Ethics and Constitution, available on request. YesNo

Please state your full name (to be used as your signature) and date:

(Once submitted, please email a passport photo (to be used for your ID card) along with your qualification certificates, CV, DBS certificate (if applicable) and insurance certificate (if applicable) to membership@anpnotetakers.co.uk))

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