Educator Application Form

Formal Application to join as an Educator - By Invitation only.
Please Note: If you have already completed the 'Fellow Prime Dispute - FPD' application (which has already been approved by the Executive at Prime Dispute) and you feel we have all the relevant information, you do not need to complete all the boxes below except for: Name, delivery of training, development and events areas , provide two Referees' contact details, tick and declare the information is correct. Please note no fee is required to join as an Educator, if you are an existing FPD (Fellow Prime Dispute) and joined before 1 October 2019.
Do not complete this form if you do not want Prime Dispute to collect, store, share and process your information.

* Indicates required field

Title: *

Name *

First

Last

Job title *

Company name: *

Address *

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Line 2

City

State

Zip Code

Country

Work Telephone: *

Mobile: *

Email: *

Website Address: *

Social Media Links: *

Primary Professional Qualifications: *

Other (relevant) Academic Qualifications: *

Academic Qualifications: *

Please give details of any other languages in which you are fluent: *

Please indicate the Industry and sectors you are active within: *

Please state your professional experience/background: *

Please list your specialisations: (or attach a CV below) *

Are you a member of another membership body/organisation? *

Are you currently supporting any other organisations in delivering; training, development or events ? *

Please list any conflicts of Interest: *

Please attach a copy of your CV which indicates your experience recognised in the market as an Educator in dispute avoidance and resolution.

CV *

Max file size: 20MB

Additional Upload File *

Max file size: 20MB

Please state any additional information to support your skills in joining as an Educator: *

Have you ever been convicted of a criminal offence, other than a minor motoring offence such as parking os speeding? If so, please give details. *

Please give names and addresses of two professional individuals who are active in your sphere of professional practice, and who have first hand knowledge of your involvement in delivering; training, development or events in dispute avoidance/resolution. Please note referees may be contacted by Prime Dispute during the application process. We also reserve the right to make wider enquiries if necessary.

Title *

Name *

First

Last

Title *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Please indicate it you prefer to 'pay online' or 'receive an Invoice to pay directly' once your application has been approved and accepted? *

Pay Online Receive an invoice and pay directly No fee required - I am an existing FPD member

Please note: Once you click 'submit' your application will be sent to our team to review. Please note a fee will be charged unless you are an existing FPD (Fellow Prime Dispute) member and an invoice will be sent to you or you can pay online. The invoice will include the name and address you have provided above. If you prefer an alternative name or department within the organisation to be named, please specify in the below box. *

I declare that the information I have given on this application form is true and correct. I also agree to abide by the; User Agreement, Business Ethics and Conflict of Interests Policy, Professional Conduct Policy for Members, Policies relating to training, development and event, Academy policies/guidance/documents*** and Terms & Conditions** (Please do not tick yes, if you do not want Prime Dispute to collect, store, share and process your information) or similar and understand an administrative fee is required of £499, unless you are an existing FPD member) . *

Yes

** Please read our Terms & Conditions fully. Prime Dispute will collect, store, share and process Educator information within and outside the UK and comply with all data protection laws. If you have any questions, please contact Prime Dispute.

Name *

First

Last

Date *

Submit

CONTACT US | JOIN PRIME DISPUTE

About Prime Dispute

Prime Dispute / Is a global membership organisation for qualifications and standards in law, dispute avoidance, management & resolution

Our purpose / Helping industry create a more prosperous and conflict free working world.

Our Vision & Mission

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Terms & Conditions | User Agreement | Business Ethics and Conflict of Interests Policy

Please email all correspondence to [email protected]

71-75, Shelton Street, Covent Garden, London, WC2H 9JQ, United Kingdom

EducatorAPPLICATION FORM

Educator
APPLICATION FORM