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HCPA TSI Training Partnership 2010/11 Please complete, sign and date this form and return it by post or pdf to the address at the foot of the page Form 4 Partnership Form NMDS-SC Ref No: 116586 To be completed by each member of the partnership Your Organisation name: Please give the name of your Home/Branch and, if applicable, the name of your organisation/group Gold Care Homes - Autumn Vale Your contact name: Deby O'Hare Name of Partnership/Lead Partner you are joining: HCPA TSI Training Partnership 2010/11 Lead Partner: Hertfordshire Care Providers Association (HCPA) Your NMDS-SC registered address: Danesbury Park Road Welwyn Hertfordshire Post code: AL6 9SN Telephone number: 01438 714491 Fax number: 01438 716877 Email address: [email protected] Partner's Declaration: My organisation/business is a member of this partnership and we are happy for the Lead Organisation to sign the proposal on our behalf. I understand that the Skills for Care funding is a contribution towards the cost of individuals in my organisation achieving relevant adult units of competence. I understand that I have a responsibility to inform the Lead Partner of adult units achieved and any relevant information that they need to maintain financial probity and a clear audit trail on funding spent. I can, where appropriate, fund the same candidate using other funding. (I understand this has to be based on a shortfall in the funding and real cost and that no profit can be made from this contribution). I am not funding individuals in this proposal with funding from other Skills for Care funding partnerships to which I might belong. I understand that I am only able to claim for staff employed by this organisation. I understand that I must keep a clear and robust audit trail of the funding received from Skills for Care. I have completed the NMDS-SC organisation questionnaire. I have updated my NMDS-SC organisational data. I will complete the required individual NMDS-SC worker records before claiming, or * —We already completed entering/updating 90% of our NMDS SC individual worker records Qfi-(DD/MM,fYY) I I * Please delete/complete as appropriate Name: (please print) MARGARET WALLBRIDGE Position in organisation OPERATIONS DIRECTOR Signature: Date: 27 08 10 HCPA Ltd., Albany Chambers, 26 Bridge Road East, Welwyn Garden City, Herts AL71HL Tel: 020 3167 4680 Email: [email protected]

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  • HCPA TSI Training Partnership 2010/11Please complete, sign and date this form and return it by post or pdf to the address at the foot of the page

    Form 4 Partnership FormNMDS-SC Ref No:

    116586To be completed by each member of the partnership

    Your Organisation name: Please give the name of your Home/Branch and, if applicable, the name of yourorganisation/group

    Gold Care Homes - Autumn Vale

    Your contact name: Deby O'Hare

    Name of Partnership/Lead Partner you are joining:

    HCPA TSI Training Partnership 2010/11

    Lead Partner: Hertfordshire Care Providers Association (HCPA)Your NMDS-SC registered address:Danesbury Park RoadWelwynHertfordshire Post code: AL6 9SNTelephone number: 01438 714491 Fax number: 01438 716877

    Email address: [email protected]

    Partner's Declaration:

    My organisation/business is a member of this partnership and we are happy for the LeadOrganisation to sign the proposal on our behalf.

    I understand that the Skills for Care funding is a contribution towards the cost ofindividuals in my organisation achieving relevant adult units of competence.

    I understand that I have a responsibility to inform the Lead Partner of adult units achievedand any relevant information that they need to maintain financial probity and a clear audittrail on funding spent.

    I can, where appropriate, fund the same candidate using other funding. (I understand thishas to be based on a shortfall in the funding and real cost and that no profit can be madefrom this contribution).

    I am not funding individuals in this proposal with funding from other Skills for Care fundingpartnerships to which I might belong.

    I understand that I am only able to claim for staff employed by this organisation. I understand that I must keep a clear and robust audit trail of the funding received from

    Skills for Care. I have completed the NMDS-SC organisation questionnaire. I have updated my NMDS-SC organisational data. I will complete the required individual NMDS-SC worker records before claiming, or *We already completed entering/updating 90% of our NMDS SC individual worker records

    Qfi-(DD/MM,fYY) I I *

    Please delete/complete as appropriate

    Name: (please print) MARGARET WALLBRIDGE Position in organisation OPERATIONSDIRECTOR

    Signature: Date: 27 08 10

    HCPA Ltd., Albany Chambers, 26 Bridge Road East, Welwyn Garden City, Herts AL71HLTel: 020 3167 4680 Email: [email protected]

  • HCPA TSI Training Partnership 2010/11Please complete, sign and date this form and return it by post or pdf to the address at the foot of the page

    Form 4 Partnership FormTo be completed by each member of the partnership

    NMDS-SC Ref No:116586

    Your organisation name: P/ease give the name ofyour Home/Branch and, if applicable, the name of yourorganisation/group

    Gold Care Homes - Halcyon Days

    Your contact name: Dawn Richmond Turner

    Name of Partnership/Lead Partner you are joining:

    HCPA TSI Training Partnership 2010/11

    Lead Partner: Hertfordshire Care Providers Association (HCPA)Your NMDS-SC registered address:The Old RectoryChurch LaneGraveley, Nr Stevenage Post code: SG4 7LUTelephone number: 01438362245 Fax number: 01438 312587

    Email address: [email protected]

    Partner's Declaration:

    My organisation/business is a member of this partnership and we are happy for the LeadOrganisation to sign the proposal on our behalf.

    I understand that the Skills for Care funding is a contribution towards the cost ofindividuals in my organisation achieving relevant adult units of competence.

    I understand that I have a responsibility to inform the Lead Partner of adult units achievedand any relevant information that they need to maintain financial probity and a clear audittrail on funding spent.

    I can, where appropriate, fund the same candidate using other funding. (I understand thishas to be based on a shortfall in the funding and real cost and that no profit can be madefrom this contribution).

    I am not funding individuals in this proposal with funding from other Skills for Care fundingpartnerships to which I might belong.

    I understand that I am only able to claim for staff employed by this organisation. I understand that I must keep a clear and robust audit trail of the funding received from

    Skills for Care. I have completed the NMDS-SC organisation questionnaire. I have updated my NMDS-SC organisational data.I will complete the required individual NMDS SC worker records before claiming, or * We already completed entering/updating 90% of our NMDS-SC individual worker records

    on (DD/MiwvY) 27 708 / 10 *

    Please delete/complete as appropriate

    Name: (please print) MARGARET WALLBRIDGE Position in organisation OPERATIONSDIRECTOR

    Signature. Date: 2708 10

    HCPA Ltd., Albany Chambers, 26 Bridge Road East, Welwyn Garden City, Herts AL71HLTel: 020 3167 4680 Email: [email protected]

  • HCPA TSI Training Partnership 2O10/11Please complete, sign and date this form and return it by post or pdf to the address at the foot of the page

    Form 4 Partnership FormTo be completed by each member of the partnership

    NMDS-SC Ref No:116586

    Your Organisation name: P/ease give the name of your Home/Branch and, if applicable, the name of yourorganisation/group

    Gold Care Homes - Queensway House

    Your contact name: Chris Larner

    Name of Partnership/Lead Partner you are joining:

    HCPA TSI Training Partnership 2010/11

    Lead Partner: Hertfordshire Care Providers Association (HCPA)Your NMDS-SC registered address:Jupiter DriveHemel HempsteadHertfordshire Post code: HP2 5NPTelephone number: 01442266088 Fax number: 01442 261818

    Email address: [email protected]

    Partner's Declaration:

    My organisation/business is a member of this partnership and we are happy for the LeadOrganisation to sign the proposal on our behalf.

    I understand that the Skills for Care funding is a contribution towards the cost ofindividuals in my organisation achieving relevant adult units of competence.

    I understand that I have a responsibility to inform the Lead Partner of adult units achievedand any relevant information that they need to maintain financial probity and a clear audittrail on funding spent.

    I can, where appropriate, fund the same candidate using other funding. (I understand thishas to be based on a shortfall in the funding and real cost and that no profit can be madefrom this contribution).

    I am not funding individuals in this proposal with funding from other Skills for Care fundingpartnerships to which I might belong.

    I understand that I am only able to claim for staff employed by this organisation. I understand that I must keep a clear and robust audit trail of the funding received from

    Skills for Care. I have completed the NMDS-SC organisation questionnaire. I have updated my NMDS-SC organisational data. I will complete the required individual NMDS-SC worker records before claiming, or * We already completed entering/updating 90% of our NMDS-SC individual worker records

    on (DD/MWYY) 27 708 / 10 *

    Please delete/complete as appropriate

    Name: (please print) MARGARET WALLBRIDGE Position in organisation OPERATIONSDIRECTOR

    Signature: Date: 27 08 10

    HCPA Ltd., Albany Chambers, 26 Bridge Road East, Welwyn Garden City, Herts AL71HLTel: 020 3167 4680 Email: [email protected]

  • HCPA TSI Training Partnership 2010/11Please complete, sign and date this form and return it by post or pdf to the address at the foot of the page

    Form 4 Partnership FormTo be completed by each member of the partnership

    NMDS-SC Ref No:116586

    Your Organisation name: Please give the name of your Home/Branch and, if applicable, the name of yourorganisation/group

    Gold Care Homes - Heath Lodge

    Your contact name: Nicky McVeigh

    Name of Partnership/Lead Partner you are joining:

    HCPA TSI Training Partnership 2010/11Lead Partner: Hertfordshire Care Providers Association (HCPA)

    Your NMDS-SC registered address:Danesbury Park RoadWelwynHertfordshire Post code: AL6 9SNTelephone number: 01438716180 Fax number: 01438 312587

    Email address: [email protected]

    Partner's Declaration:

    My organisation/business is a member of this partnership and we are happy for the LeadOrganisation to sign the proposal on our behalf.

    I understand that the Skills for Care funding is a contribution towards the cost ofindividuals in my organisation achieving relevant adult units of competence.

    I understand that I have a responsibility to inform the Lead Partner of adult units achievedand any relevant information that they need to maintain financial probity and a clear audittrail on funding spent.

    I can, where appropriate, fund the same candidate using other funding. (I understand thishas to be based on a shortfall in the funding and real cost and that no profit can be madefrom this contribution).

    I am not funding individuals in this proposal with funding from other Skills for Care fundingpartnerships to which I might belong.

    I understand that I am only able to claim for staff employed by this organisation. I understand that I must keep a clear and robust audit trail of the funding received from

    Skills for Care. I have completed the NMDS-SC organisation questionnaire. I have updated my NMDS-SC organisational data.*I will complete the required individual NMDS-SC worker records before claiming, or* We already completed entering/updating 90% of our NMDS-SC individual worker records

    on (DD/MiwvY) 2 7 / 0 8 / 10 *

    Please delete/complete as appropriate

    Name: (please print) MARGARET WALLBRIDGE Position in organisation OPERATIONSDIRECTOR

    Signature: Date: 27 08 10

    HCPA Ltd., Albany Chambers, 26 Bridge Road East, Welwyn Garden City, Herts AL71HLTel: 020 3167 4680 Email: [email protected]