SARA Service Provider Accreditation

1. SERVICE PROVIDER DETAILS

Registered Name:

Physical Address:

Postal Address:

Vat Number:

1. RESPONSIBLE PERSON’S CONTACT DETAILS

Please provide the contact details of the person with whom SARA will liaise:

MAIN CONTACT PERSON

Name:

Designation:

Work Telephone No:

Cell phone Number:

E-Mail Address:

ALTERNATE CONTACT PERSON

Name:

Designation:

Work Telephone No:

Cell phone Number:

E-Mail Address:

1. DESCRIPTION OF COURSE/ PROGRAM
Please complete a separate Application Form for each course.)

Title Of Course/ Program:

Brief Description of the Purpose, Content, Course outline and intended audience (the course material will be reviewed as part of the audit process followed)

Level of Reward Proficiency aimed

Reward Administrator/ AnalystReward Specialist/ Chartered Reward SpecialistMaster Reward Specialist

Assessment tools

Certification

Please provide an example of the certificate to be given to the delegate

NQF Level:

SAQA Accredited

Yes

Number of CPD points

(Annexure B)

1. TUTOR PROFILE/S

TUTOR

Name:

Designation:

Qualification(s)

Number of years of relevant experience in reward management

Please attach CV of all Tutors/Facilitators

VENUE

Name of Venue

(Please indicate if training is only offered at client premises)

Address of Venue

Facilities

Technical equipmentAblution facilitiesRefreshments availableLunch available (if required)

PAYMENT

An invoice will be sent to you shortly.

Contact Information

½ day (1-4 hours)	1 day (5 – 8 hours)
2 days (10 – 16 hours)	3 days
4 days	5 days
Other (please specify)