Dyslexia Friendly Quality Mark for Individual Schools

Registration Form

Name of School: …………………………………………………………………………………….

Contact Name: ………………………………………………………………………………………

Position: ………………………………………………………………………………………………

Address: ……………...………………………………………………………………………………

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Daytime Tel No: …………………………………………………………………..…………………

Email address: ………………………………………………………………………………………

CReSTeD (Council for the Registration of Schools Teaching Dyslexic Pupils) Upon your successful verification, your school will be listed in the CReSTeD register for Maintained Sector (MS) Schools/Centres of Learning. Further details available at: www.crested.org.uk If you do not wish to appear on the register, please tick this box. q

Data Protection Act 1998 The information you provide on this form will be processed by the BDA and used to process your application for the BDA Quality Mark Initiative.

From time to time we would also like to send you information about the BDA’s other services, offers, activities and appeals. If you would like to receive this information please tick here q

We may also share your information with other organisations within the European Economic Area upon their request. If you are happy for your details to be used in this way please tick here q

Disclaimer In awarding the BDA Dyslexia Friendly Quality Mark for Schools, the British Dyslexia Association cannot guarantee, or be responsible for, the individual programmes of education provided for, or levels of attainment achieved by, an individual learner studying within that school.

Please note that all fees are non-refundable.

BDA Dyslexia Friendly Quality Mark for Individual Schools © November 2015 Page 1 of 2 Fees Fee before Fee incl. VAT VAT at 20% Registration payment £150.00 £180.00 Due with your application form. Annual Maintenance Fee £100.00 £120.00 Due one year after registration Verification payment £750.00 £900.00 Due before your verification visit and within 2 years of registration Annual Quality Mark Status Maintenance Fee £50.00 £60.00 Due annually after QM status is achieved. Re-Verification payment £750.00 £900.00 Due every 3 years after the Quality Mark is awarded. *Please note that fees are non-refundable I wish to pay by:

 Cheque Please make all cheques payable to “British Dyslexia Association”  Invoice Order Number: Invoice address:

Declaration I am applying for the BDA Dyslexia Friendly Quality Mark and agree to pay the fees as outlined above. I understand that fees paid are non-refundable.

I understand that the initial Quality Mark fee must be received in full before the registration is processed and that all fees are non-refundable.

I undertake to adhere to all decisions made by BDA.

Signed: ...... Date:

Print Name:

Please return this form to:

The Quality Mark Administrator, British Dyslexia Association, Unit 6a Bracknell Beeches, Old Bracknell Lane, Bracknell, RG12 7BW Tel: 0845 251 9003 / Email: [email protected]