Affiliation Form

Affiliation is the main way that individuals and organisations access the services we provide. Organisations or individuals wishing to affiliate with Crossfields Institute are asked to complete and submit the online application form below. Upon receiving your form we will respond promptly to your application.

Please call us if you require further assistance or if you have any questions.

Office: +44 (0) 1453 808 118
Office hours: Monday to Friday, 9am – 5pm

YOUR NAME (required)

NAME OF ORGANISATION (required)

YOUR EMAIL (required)

YOUR PHONE NO.

YOUR PROGRAMME
Please write a brief description of your organisation
and/or programme(s).

Please tell us about your:

• History of provision
• Type of provision
• Legal status
• Existing or anticipated learner numbers
• Existing quality assurance
• Existing partnership agreements

Individual affiliates are invited to describe their occupation.

YOUR VISION
We would like to know how you envisage your organisation
or programme benefiting from affiliation with Crossfields
Institute. Individual affiliates are invited to describe reasons
for joining.