Short Course Approval Renewal Application

All information collected is treated in strict compliance with the Data Protection Act. You can read our Privacy Policy here.

Consent for storing data. *

Yes, I give permission to store and process my data.

Before submitting your renewal application for Short Course Approval please read the guidance notes here.

Applications cannot be considered unless accompanied by a purchase order for the application fee (current fees can be obtained here).

Renewal applications must be submitted no less then six weeks prior to the expiry of the current approval.

If your course was previously approved, but the approval has lapsed, please complete the application form for new applications.

Date existing approval ends *

If IPEM approval has lapsed, please complete the form for NEW applications.

Please confirm your preferred duration of approval. (Please see the IPEM website for current fees, or contact training@ipem.ac.uk) *

1 year

3 years

5 years

You are applying to renew a course which is currently approved by IPEM. Please confirm whether there have been any changes to the course content since your course was originally approved. *

No change to course or staffing

Changes made to staffing only

Changes made to course content

Course title *

Organisation running the course *

Organisation address *

Postcode *

Course organiser name *

The individual with prime responsibility for the course

Course organiser email address *

Course administrator contact name

If different from above

Course administrator email address

Programme/Course webpage address *

Date next course to run from *

Who is the course aimed at? *

Please give details of education/professional background of intended students.

What FHEQ level or range of levels is the course aimed at? *

This should be FHEQ level 4-8

Further guidance about FHEQ levels can be found at: https://www.qaa.ac.uk/docs/qaa/quality-code/qualifications-frameworks.pdf

Briefly, FHEQ 4-6 cover undergraduate levels, FHEQ 7 covers masters level and FHEQ 8 is for doctorate and peer publication level

Method of delivery

(Online or face to face, lectures/tutorials, e-learning, simulation, other).

Entry requirements *

Please give details of entry requirements and any special conditions required

Approximate number of students on each delivery *

Details of length and frequency *

How many hours is each attendee expected to commit (including class time).

Facilities available to students or facilities the students will need access to *

Please give details of laboratories, computer workshops and other facilities.

Learning Outcomes *

List the intended learning outcomes of the course.

Outline how the course delivers these learning outcomes *

Is any assessment carried out? If so, please provide details. Do students receive any feedback on this assessment? If so, please provide details.

Has the course content changed since original approval was given?

Yes

Have there been any changes in the staff teaching on the course?

Yes

	Name of trainer(s)	Position and affiliation	Qualifications and experience	Topic taught in programme	Hours contact	Is this trainer new or are they no longer working on the course?
1.
2.
3.
4.
5.
6.
7.

Please only enter details on new staff or staff no longer working on the course.

Additional space to include further trainers if needed

Fees charged per student *

Does the course have commercial sponsorship? *

Yes

What do students receive on successful completion of the course? *

e.g. certificate of attendance

Please provide a purchase order, no less then six weeks prior to the expiry of the approval. *

Applications cannot be processed without a PO. Accepted file formats are PDF, DOCX, PNG, JPG and GIF.

If you have any supplemental materials you wish to submit with the renewal, please do so below. *

Any documents you wish to submit, such as changes to timetables, course structure, etc. Accepted file formats are PDF, DOCX, PNG, JPG and GIF.

name *

To act as a digital signature. (this should be the course organiser or course administrator).

Date *

signature

Please ensure you have completed the application in its entirety, including uploading any supplemental documents and a purchase order.

Payment *

Please attach your Purchase Order. Please note applications cannot be processed without a purchase order document detailing the hospital/company details, including finance department contact details.

Where did you hear about IPEM Short Course Approval? *

IPEM Newsletter

IPEM website

Linkedin/Social Media

Colleague

Other