Awarding Accredited Assessor Award This application forms part of the process to become accredited as an IMI assessor. Award type - Select -IrtecMOTGeneric Personal Information Title Surname Forenames Date of Birth Gender - Select -FemaleMale Ethnic Origin Ethnic Origin Codes are listed HERE Do you consider yourself to have any disability or learning difficulties? - Select -Not applicableSightHearingLearningMobilityCandidate prefers no statement Other Please specify any learning difficulties Address and Contact Information Home Address Post code Mobile telephone Email address Employer Details Employer Name Employer Address Post code Telephone IMI Centre Affiliation Purchase Order No. Dietary Requirements Routes Available Select Routes Accident Repair Technician Autocare Technician Automotive Glazing Technician Automotive Retail Motor Vehicle Service and Maintenance Technician (Light Vehicle) – AP02 Bus and coach engineering technician Customer Service Practitioner / Customer Service Specialist Heavy Vehicle Service and Maintenance Technician Land-based Service Engineer / Land-based Service Engineering Technician Motor Finance Specialist Motor Vehicle Service and Maintenance Technician (Light Vehicle) – AP03 Motorcycle technician Sales Executive Specialist Tyre Operative Vehicle Damage Mechanical, Electrical and Trim (MET) Technician Vehicle Damage Panel Technician Vehicle Damage Paint Technician Please enter date and location of the workshop you wish to attend Declaration of Competence I confirm that I hold a formal qualification at or above the level of the apprenticeship standard that I wish to assess and have attached a copy of this to my application. Evidence of minimum CPD hours required to meet needs of assessment plan for apprenticeship standard Please provide information on technical CPD completed in the last 12 months (minimum hours as per assessment plan for apprenticeship standard) and dates. If you do not hold qualifications, or have sufficient training, that has legislative and technical relevance to the apprenticeship standard that you wish to assess please complete the Technical/Occupational Competence section. If you have confirmed above that you hold a formal qualification at or above the level of the apprenticeship standard that you wish to assess and given details of minimum hours CPD please proceed to CPD section. Technical/Occupational Competence Please detail below that you have technical/occupational competence at or above the Apprenticeship Standard you are applying to assess for and detail required minimum hours of relevant CPD. Please mark against the apprenticeship standard(s) you are applying to assess for and list relevant technical/occupational competence at or above the Apprenticeship Standard Level; Automotive Retail Motor Vehicle Service and Maintenance Technician (Light Vehicle) ST0033/AP02 Motor Vehicle Service and Maintenance Technician (Light Vehicle) ST0033/AP03 Heavy vehicle service and maintenance technician ST0068/AP02 Bus and coach engineering technician ST0067/AP01 Autocare Technician ST0499/AP01 Customer Service Practitioner ST0072/AP02 Customer Service Specialist ST0071/AP01 Land-based Service Engineer ST0242/AP02 Land-based Service Engineering Technician ST0243/AP03 Team Leader/Supervisor ST0384/AP02 Please list relevant technical/occupational competence at or above the Apprenticeship level you are applying to assess. Enter detail of technical/occupational competence and dates CPD Please provide information on CPD completed in the last 12 months (must be technically relevant) and dates. Declaration Please accept the declaration Yes, I have read the Confidentiality Agreement. I hereby agree to be bound to and abide by this confidentiality arrangement and meet the requirements listed. I have read the Declaration of Assessor Agreement, and I hereby agree to be bound to and abide by this declaration I certify that I have fully read and understood IMI’s Data Protection Policy and the information provided is accurate and a true account of the subject matter. Qualifications Please list relevant qualifications achieved Workshop Please note that this will be checked before confirmation of booking. Please enter the date of the half-day workshop you wish to attend Declaration Please read and agree the declaration Yes, I have read the Confidentiality Agreement. I hereby agree to be bound to and abide by this confidentiality arrangement and meet the requirements listed. I apply to be an IMI Accredited Assessor at the level shown, and I confirm that I have previously been an MOT Tester and have completed the annual assessment as required by the DVSA. Please include last test date Declaration continued I declare that the information given in this Application Form and the supporting documentation provided is correct to the best of my knowledge. I agree to pay the relevant fees to be accredited as an IMI assessor. My Centre will pay the relevant fees to be accredited as an IMI assessor. I understand that if successful in this application I will have to attend and pass the IMI Accredited Assessor Workshop and understand and IMI Education And Training Professional Standard before becoming accredited I certify that I have fully read and understood IMI's Data Protection Policy and the information provided is accurate and a true account of the subject matter. Routes Available - please tick route(s) you wish to achieve Non Technical Senior Sales Executive Senior Customer Service Finance & Insurance Senior Parts Advisor Accident Repair Senior Panel Technician Senior Paint Technician Senior MET Technician Autoglazing Master Technician Autoglazing Grade 2 Senior Cosmetic Technician PDR Technician Technical Light Vehicle Master Technician Light Vehicle Diagnostic Technician Light Vehicle Service Maintenance Technician Light Vehicle Inspection Technician Senior MET Technician Roadside Master Technician Motorcycle Master Technician Motorcycle Diagnostic Technician Electric Vehicle Technician Air Conditioning Diagnostic Technician Air Conditioning Refrigerant Handler Please enter date and location of the workshop you wish to attend Qualifications Please list relevant qualifications achieved. If IMI Accredited, please enter existing IMI number. Personal Expertise and Knowledge Please indicate your assessing and coaching expertise - indicate where this has been automotive sector specific and the level that it applied to. Assessing experience/Level/Automotive or other, and give specific examples where criteria based assessment techniques have been used. It is essential that assessors have a minimum of 3 years automotive industry experience within the area you are applying to assess. Please indicate your experience of working with or within the motor industry. Please provide evidence that you have an up to date knowledge of good practice for the area you will be assessing and list the CPD you have undertaken in the last 5 years. Declaration By signing this form, I have read the Confidentiality Agreement. I hereby agree to be bound to and abide by this confidentiality arrangement and meet the requirements listed. I apply to be an IMI Accredited assessor at the level shown I declare that the information given in this Application Form and the supporting documentation provided is correct to the best of my knowledge. I agree to pay the relevant fees to be accredited as an IMI assessor. My Centre will pay the relevant fees to be accredited as an IMI assessor. I understand that if successful in this application I will have to attend and pass the one-day IMI Accredited Assessor Workshop and understand and sign the IMI Education And Training Professional Standard before becoming accredited. I declare that I have sufficient and relevant technical/occupational competence in the IMI Accreditation route, at or above the level of the route being assessed which will be as a minimum Relevant Industry/trade experience. I certify that I have fully read and understood IMI's Data Protection Policy and the information provided is accurate and a true account of the subject matter. Qualifications Please list relevant qualifications achieved Personal Expertise and Knowledge Please indicate your assessing and coaching expertise - indicate where this has been automotive sector specific and the level that it applied to, e.g. Service Maintenance Technician, Advanced Technician, Master Technician/Inspection Technician. Assessing experience Training/Coaching experience It is essential that assessors have a minimum of 5 years automotive industry experience within the Heavy Vehicle/Passenger Carrying Vehicle Repair sector. Please indicate your experience of working with or within the motor industry. Please provide evidence that you have an up to date knowledge of good practice in Heavy Vehicle/Passenger Carrying Vehicle Repair, Maintenance & Inspection, include all CPD you have undertaken in the last 5 years Please enter dates and location of the workshop you wish to attend Declaration By signing this form, I have read the Confidentiality Agreement. I hereby agree to be bound to and abide by this confidentiality arrangement and meet the requirements listed. I declare that the information given in this Application Form and the supporting documentation provided is correct to the best of my knowledge. I agree to pay the relevant fees to be accredited as an IMI assessor. My Centre will pay the relevant fees to be accredited as an IMI assessor. I understand that I will have to attend and pass the two-day irtec Accredited Assessor Assessment and agree to abide by the irtec Assessor Code Of Conduct before becoming accredited. I understand that in agreeing to participate in the irtec Assessor Assessment, I am bound to conduct all prescribed preparatory work – I acknowledge that failure to do so could seriously compromise my chance of success. I certify that I have fully read and understood IMI’s Data Protection Policy and the information provided is accurate and a true account of the subject matter. Leave this field blank Pre-requisites Accident Repair Pre-requisitesIRTEC Pre-requisitesMOT Pre-requisitesNON-Technical Pre-requisitesTechnical Pre-requisites
