Professional Documents
Culture Documents
And Conditions
Licensed Affiliates (LA) are organizations involved in the delivery of accredited third party training programs in partnership with an Accredited Training Organization (ATO). An approved LA may order ITIL and CPDE certification exams directly from LCS. The LA will be invoiced separately and will receive exam summary results independently of the ATO. Ultimately, the actions of the LA remain the responsibility of the ATOs. The sponsoring ATO and LA must oblige to the following requirements and terms before accreditation may be granted. SECTIONS 1 and 2: The sponsoring ATO must complete sections 1 and 2 of this application. SECTION 1 Name and Address of Sponsoring Accredited Training Organization (ATO): SPONSORING ATO INFORMATION Authorized Representative Name and Email:
(contact person responsible for the information provided in this application and for ensuring compliance with LCS requirements)
Telephone:
SECTION 2
ITIL Planning Protection and Optimization (PPO) ITIL Service Offerings and Agreements (SOA) ITIL Release Control and Validation (RCV) ITIL Operational Support and Analysis (OSA) ITIL Managing Across the Lifecycle (MALC) ITIL Continual Service Improvement (CSI) English French Spanish Other________________________________ Yes No
ITIL Foundation ITIL Service Strategy (SS) ITIL Service Design (SD) ITIL Service Transition (ST) ITIL Service Operation (SO) In which language(s) will the training be delivered? Confirm the LA maintains compliance with the sponsoring ATOs Quality Management System.
ITIL is a Registered Trade Mark of the Cabinet Office CPDE is a Registered Trade Mark of ITSM Academy Inc.
Mailing/Billing Address:
(same as above or indicate below)
Website: Confirm the LA maintains compliance with the sponsoring ATOs Quality Management System.
Telephone: Yes
Fax: No
SECTION 4
LIST OF TRAINERS
Please provide a complete list of all trainers that will conduct courses on behalf of the LA.
Name of Trainer(s)
Name of Trainer(s)
Please confirm if your organization will be utilizing the sponsoring ATOs qualified trainers
Yes
No
ITIL is a Registered Trade Mark of the Cabinet Office CPDE is a Registered Trade Mark of ITSM Academy Inc.
SECTION 5:
The LA must complete Section 5 of this application and provide the applicable documentation below. Please be sure to read and understand the following requirements that must be fulfilled by your organization. Failure to follow these requirements, LCS may not be able to provide accreditation to your organization. If you need additional clarification, please contact accreditation@loyalistexams.com
SECTION 5
SUBMISSION CHECKLIST
Licensed Affiliate Application Form (ACAP-009) is completed. Copy of Third Party Agreement signed by both parties indicating the terms and the applicable ITIL and CPDE courses the LA is approved to deliver. Quality Management System - Must be in compliance with ATOs Quality Management System. (Please be sure you have checked this off in section 3 on this application form) Marketing Materials or URL is in-line with the Official Accreditor IPR Guidelines. LCS will contact the LA 20 business days after becoming accredited to confirm this requirement is fulfilled. Payment in full or Payment Arrangements made with LCS. Trainer Requirements: a) Resume/CV - with the following requirements: Minimum of 3 years ITSM practical experience At least 10 days experience delivering classroom based training within the past 24 months Adult education experience/certification b) Proof of ITIL and CPDE Certifications achieved (minimum of 9 ITIL credits). c) Trainer e-mail address LCS requires the trainers e-mail address to enter them into our system as a qualified trainer. *** ITIL LA Intellectual Property Sub-License Agreement and Fee completed
Once the license has been completed, The Official Accreditor will advise LCS and we can proceed with the approval process. The Official Accreditor will then invoice the LA. Should the LA fail to follow these requirements, The Official Accreditor will inform LCS to suspend ordering privileges until this requirement is resolved.
ITIL is a Registered Trade Mark of the Cabinet Office CPDE is a Registered Trade Mark of ITSM Academy Inc.
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A Licensed Affiliate AUTHORIZED REPRESENTATIVE is responsible for ensuring that all of the relevant conditions for accreditation are met. In order to apply, the applicants AUTHORIZED REPRESENTATIVE, must agree to the above conditions for accreditation and must attest that all statements made on the application are correct to the best of his/her knowledge and belief. As the applicants AUTHORIZED REPRESENTATIVE, to attain and maintain accreditation, I agree to the above conditions for accreditation. I attest that all statements made on this application are correct to the best of my knowledge and belief. I have read and understand the LCS Accreditation Guide and the above Conditions for Accreditation and agree with the rights and responsibilities as described in these documents. AUTHORIZED REPRESENTATIVE: PRINTED NAME AND TITLE: DATE:
ITIL is a Registered Trade Mark of the Cabinet Office CPDE is a Registered Trade Mark of ITSM Academy Inc.
ITIL is a Registered Trade Mark of the Cabinet Office CPDE is a Registered Trade Mark of ITSM Academy Inc.
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As the AUTHORIZED REPRESENTATIVE of LCS, I agree with the rights and responsibilities as described in the LCS Accreditation Guide and to the above conditions for accreditation. I attest that all statements made on this application are correct to the best of my knowledge and belief. AUTHORIZED REPRESENTATIVE: PRINTED NAME AND TITLE: DATE:
iAn
Authorized Representative is: an official who represents the organization in all matters related to attaining and maintaining LCS Accreditation. This official is LCSs point of contact with the organization. The Authorized Representative may be any senior person in th e organization and he or she should be in a position of authority to ensure that the organization complies with the LCS criteria and conditions for accreditation.
ITIL is a Registered Trade Mark of the Cabinet Office CPDE is a Registered Trade Mark of ITSM Academy Inc.