Lean Six Sigma Yellow Belt Level 6 In House Booking Form

Programme Name

Programme Date *

Title *

First Name(s) *

Surname *

Address 1*

Address 2*

Address 3

City/ Town*

Eircode/ Postcode *

PPS No. ++*

Gender ++*

Date of Birth ++*

Nationality ++*

++ Required for QQI Certification Purposes only

Mobile No. *

Email Address (Please use company email) *

The name provided here is the name which will appear on Delegate Certificate

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Organisation Name *

Address 1*

Address 2*

Address 3

City/ Town*

Eircode/ Postcode *

Telephone No. *

Email Address *

The Educational Entry Requirements for this course are as follows:

Minimum academic qualifications is a QQI Level 5 Certificate
OR
Relevant life and work experiences – APEL: learners are expected to have met minimum attributes for general learning at Level 5

I confirm I meet the Educational Entry Requirements *

Yes No

College Name *

Full Course Title *

IMPORTANT: Please use your highest level of qualification achieved when completing this section.

Qualification Level *

Part-Time/Full-Time *

Part-Time Full-Time

Duration *

Result *

Year Attained *

Important Notes

If you have a qualification from a non-Irish institution you must go to www.qualificationsrecognition.ie to find out where you are on the National Framework of Qualifications.
Your application will be reviewed on the basis of the information provided on this form, however copies of the above certificate(s) will be required by SQT.

Important: This section should only be complete if you have ticked "No" to the question above.
Admission to undergraduate programmes is based upon prospective students, with considerable life and work experience, demonstrating evidence of their ability to undertake the programme. The focus of APEL is upon the skills and knowledge gained through experience. The outline below uses generic indicators. Generally, level equates to issues of autonomy (how closely students have been supervised in their roles / how much responsibility they had) and the complexity of the task/role or context (how complex were the issues and tasks experienced).

Level of Experience Required

A minimum of 2 years supervisory experience in a position with responsibility for quality, problem solving, project management or in a similar non-supervisory technical support role.

Prior training as a Yellow Belt, Lean Practitioner plus 1 year supervisory or experience in a technical support role.

Please outline relevant work experience undertaken as part of your current or previous job roles, please use the following headings:

Problem Solving / Project Management Skills *

Analytical Skills *

Business Acumen *

Role / Insight *

Computer Skills *

Highest Educational Qualification *

Please outline your highest level of educational qualification achieved and please outline any other training undertaken as part of your current or previous job roles

Job Title *

No. years in this Position *

Outline of Responsibilities *

I have the necessary skills for successful participation in the programme *

i.e. willingness to learn (reading, research), good communication skills, ability to self-direct, business acumen, assertiveness

Yes No

I am aware I will need to identify a suitable company based project to complete in advance of the training. *

A "Pre-Course Project Charter" must be submitted to SQT in advance of training (one to be submitted per team - you will be supplied with guidance documents on selecting a suitable project)

Yes No

English is my first language *

Yes No

Please select your first language *

Please note that Students whose first language is not English must provide evidence of equivalent competence in English Language of greater than or equal to B2+ in the Common European Framework of Reference for Languages (CEFRL).

Please indicate if you can provide the following evidence.

A recent International English Language Testing System certificate at the appropriate level (or equivalent, such as Duolingo online test) *

Yes No

A recent qualification (in the past two years) that has been taught and examined in English. *

Yes No

Important Note: If these minimum criteria cannot be evidenced by the conventional means above, you may request that their own evidence be considered. Our Lean Six Sigma Course Manager will discuss these options with you.

Do you have any specific learning difficulty? *

Yes No

Confidentiality / Non-Disclosure Agreement

Lean Six Sigma training to be effective, requires the analysis of work-related problems. To facilitate learning, sharing of this information is necessary. To allow delegates to do this in a safe environment, we ask that all learners confirm agreement below.

Anything discussed by the group or submitted to SQT for the purpose of assessment will be treated as being confidential both during and after the period of the programme.

I agree to respect the confidentiality of all fellow delegates and their respective organisations (if the programme is run on a public basis) *

I commit to working collaboratively as part of my project team and share relevant information with team members in a timely manner *

Consent for Sharing Personal Data for the purpose of Certification

I understand that I am undertaking a programme leading to a QQI award and that in order for that award to be made I am required to submit the following personal information to SQT Training Ltd for onward submission of that information to QQI. *

I understand that QQI will maintain and retain this data indefinitely for the purpose of verification and confirmation of my QQI award, for example to employers, to other training providers and to myself. *

There may be circumstances where I give permission to have this information shared, for example with the Department of Education and Skills. *

I understand that certificates of attendance and awards are provided to employers who have funded the programme, feedback relating to course participation and assessment will be provided to the employer on request. *

Data collected in relation to learners to whom QQI makes awards may include-
PPS number
Access ID Number
Gender
Date of birth
First name(s)
Family name(s)
Programme name
Programme code
Award name
Award code
Result for award (as appropriate)
Grade for award (as appropriate)
Address
County
Eircode
Certification Fee status- Exempt/Not Exempt

How did you hear about this course?

I have read and accepted the Terms and Conditions. * View Terms and Conditions

I certify that the information given on this application form and the supporting documentation (if applicable) is true and accurate to the best of my knowledge. I also agree to the processing of this data for the purposes of applying for this course. View our privacy statement here *