Accreditation Application Form

Accreditation Application FormChief Editor2023-07-24T11:11:58-04:00

To submit your courses for Accreditation & Certification by the Canadian College for Leadership & Management ‘CCLM’, please fill in and submit the below form. Once your application is received, it will be reviewed, and you will be required to submit the fees and have further discussions with our team.

The form comprises of 5 sections:

Section-1: Personal Details
Section-2: Organization Details
Section-3: Training Courses
Section-4: Fee Schedule
Section-5: Agreement

Section-1: Personal Details
Enter the name and details of the person who will act as a point-of-contact with CCLM.
Name*
First Last
Email*
Enter Email Confirm Email
Job Title*
Phone*
Organization*
Organization Website*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Section-2: Organization Details
Enter the following details about your organization.
Legal Name of Organization*
Legal Address of Organization*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
What best describes your organization?*
- University/College/School
- Training Company
- Non-For-Profit Organization
- Government Agency
- Company/Organization
How do you deliver your training courses?*
- Traditional Classroom
- Online
In what languages do you provide your training courses?*
- English
- French
- Italian
- Spanish
- Portuguese
- Arabic
- Hindi
- Turkish
- Russian
- Others
Provide a brief description about your organization*
Upload a valid-governmental-issued identification
Accepted file types: jpg, pdf, gif, png, jpeg, Max. file size: 10 MB.
Upload a scanned copy of a valid governmental-issued identification to confirm a company registration and its legal status in your country of registration with this application. If upload doesn't work, please send the document to Hello@CCLMCanada.org
Section-3: Training Courses
List down the following details about the training course you intend to get certified. Upon successful processing of the application, you will be required to submit soft-copies (as PDF version) of the training courses.
Training Courses*
Course Code Course Name Delivery Methods Course Languages

- Course Code: Unique code for the course - Course Name: Unique name for the course - Delivery Methods: In-Class, Online, or Both - Course Languages: Indicate the languages of the course material
Section-4: Fee Schedule
Fees are in US Dollars. Upon processing your application, payment will be due. Payment can be made online using a Credit Card or Bank Transfer.
Commercial License*
Price:
A One-Time Application Fee
Annual Certification Fee per course Quantity*
Price: $1,500.00
Fee for certification of a Training Course with training materials in one language
Additional Language per course per annum Quantity*
Price: $500.00
Fee for training materials in one additional language
Total Fees
$0.00
Section-5: Agreement
Consent*
I agree to the Certification Agreement & Quality Policy.
I HAVE READ AND AGREED WITH ALL TERMS & CONDITIONS AS STATED IN THE “CERTIFICATION AGREEMENT & QUALITY POLICY”, AND HEREBY I DULY PROVIDE MY OFFICIAL E-SIGNATURE.
Your Name*
First Last
Date*
MM slash DD slash YYYY
Your e-Signature*

Enter your name as your e-Signature as: /First Name Last Name/
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Accreditation Application Form

Accreditation Application Form

Section-1: Personal Details

Section-2: Organization Details

Section-3: Training Courses

Section-4: Fee Schedule

Section-5: Agreement

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Course Code	Course Name	Delivery Methods	Course Languages