SQP Register Enrolment Form

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer Contact Name *

First Name

Last Name

Employer/ Business Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

SQP Type *

Please tick one or more boxes to confirm which category or combination of categories you studied.

Avian (A)

Companion (C)

Equine (J)

Farm (L)

Payment *

Please note that if you have completed the VetSkill Level 3 Veterinary Nursing Qualification, Level 5 Advanced Veterinary Nursing Qualification or the Level 4 Suitably Qualified Persons Qualification, you do not need to pay for your first year of Registration. Please pay for your Registration online via the link in bold at the top of this page. This will redirect you to our secure Stripe Payment page. Please ensure that your full name is included during checkout.

I have paid the registration fee

I am exempt from paying the registration fee

I confirm: *

All SQPs joining the VetSkill Register must accept the following points: a) To the best of my knowledge the details on this form are correct b) I have provided my up to date personal contact details c) I have provided my current employer contact details d) I understand that it is my professional responsibility as an SQP to notify VetSkill of any change to my personal or employer details including: name, address, or contact details e) I have confirmed the SQP type I hold from the list above f) I have undertaken and passed the SQP re-instatement examination, if applicable g) I have made a BACS Transfer or sent a cheque for the enrolment fee payable, if applicable h) I am required to pay the annual re-accreditation fee no later than 31st December in order to remain on the SQP Register for the following year i) I have declared if any professional organisation ever previously removed me from its register or refused to register me j) I have declared any reason why I cannot continue my SQP duties during the next registration period k) I understand that I am required to undertake mandatory CPD as set out by VetSkill in order to remain on the SQP Register. l) I understand that VetSkill may share my CPD information with my Employer or other regulatory bodies

I have read and understood all of the conditions outlined above

I confirm I have read and agree to the VetSkill privacy notice