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Section 1 - Booking Information

* Assessment Type: | Is this a Money Advice Service assessment?:

Organisation Detail

* Organisation Name
(This is be shown on your certificate)

Registration Number with Companies House:

* Address 1:

Address 2:

* City / Town:

* County/State:

* Postcode:

Primary Contact Details

* Title:

* First Name:

* Last Name:

* Email:

* Telephone:

* Position:

Section 2 - Invoicing Information

Invoice Contact Details (If Different from Organisation Information Above)

Title:

First Name:

Last Name:

Email:

Telephone:

Invoice Address (If Different)

Address 1:

Address 2:

City / Town:

County:

Postcode:

County:

Does your company require a Purchase Order when invoiced: Please provide a Purchase Order Number:

Section 3 - Information about your organisation

* Organisation Type:

* Sector:

* What Service do you Deliver?

* Total number of clients receiving the organisation's service or services being assessed in the last year?


* Please provide a short profile of your organisation, the service, and who your clients are (max 100 words):

* Has your Organisation been accredited to matrix before? (If no skip to section 4)

Organisation Name: (If different from current legal name)

Date of Achievement: Pick

Section 4 - Assessment Information

Please record the number of managers, supervisors, and/or staff involved on the management and delivery of information, advice and guidance to clients

Senior Managers:


Managers:

Staff:


Supervisors:

Volunteers:


Others:


* Total Number of employees within the whole organisation:

* What is your preferred Assessment Date or Period?

Department to be Assessed?
If Applicable


*How many locations is your service delivered?:

If this is a Review and you require a new assessor please tick the box:

If more than one please enter all additional postcodes below

Please provide details of any specific details regarding any specific requirements that the assessor should be aware of regarding the clients / staff involvement in the assessment:
This may include information regarding the nature of client groups, outreach delivery, remote working, recent re-structures

What are your desired outcomes/expectations from your assessment?

Other Please State:


If you have used a Registered matrix Advisor in the last year, please provide details below.

Name of Advisor:

Date of most recent visit: Pick

*How did you hear about the Standard?