Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone Number
*
Employer/Business Name
*
Nature of Business
*
Employer Contact Name
*
First Name
Last Name
Employer/ Business Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer Phone
*
(###)
###
####
Employer Email
*
SQP Type
*
Please tick one box to confirm the SQP type you hold.
Payment
*
Payment
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 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
Do you have any conviction or caution for a criminal offence, binding over, conditional discharge or report to the Procurator Fiscal, with the exception of 'spent' convictions under the Rehabilitation of Offenders Act 1974, and fixed penalty motoring offences?
*
No
Yes
