Essay Stage 2 Application Form

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Candidates are advised to apply for BHS
Membership at least 6 weeks before submitting an exam application. Membership subs may accompany an exam application but please allow extra time for processing.
If you have applied for Membership but have not received your number, you may still apply for an exam - please state the date you applied for membership, method of payment and whether your application was made by post, telephone or over the internet. Please return this form with fee to:
The Education Department,
BHS, Abbey Park, Stareton,
Kenilworth, Warwickshire, CV8 2XZ
Tel: 02476 840508 Fax: 02476 840501

FOR OFFICE USE ONLY:

CENTRE:
DATE:
CENTRE:
DATE:
CENTRE:
DATE:

BHS MEMBERSHIP NUMBER :
Date of Expiry :
MR / MRS / MS / MISS / OTHER

STAGE 2

SURNAME

Maiden Name

FIRST NAMES IN FULL

APPLICATION FORM
PERMANENT ADDRESS

EXAM REQUIRED (tick box)

BHS STAGE 2
CARE

Postcode

Tel:

OTHER ADDRESS (To which any correspondence should be sent)

RIDING
Tel:
UNITS ONLY

Date of Birth

(tick relevant boxes on form attached)

Unique Learner No

Height

Weight

(if applicable)

Date and Centre required:

Fee Enclosed:

£
2nd Choice:
3rd Choice:
4th Choice:

Receipt
Required YES/NO

Date Received:
CREDIT/DEBIT CARD (Give details inc. expiry date, security code and issue no. or valid from date, where applicable)
INVOICE
CHQ.
P.O.
CASH
From:

Please refer to the "Exam Bookings - Terms and Conditions" section on the reverse of this application form.
Especially with regards to cancelling or transferring exam dates.
All personal information including examinations results and qualifications will be held in accordance with the
Data Protection Act of 1998. Data may be released to the Regulatory Authorities and to government departments and agencies, prospective employers, training providers and educational establishments.
THIS FORM MUST BE SIGNED: This is to certify that I take the examination at my own risk, that in the event of my receiving an injury I have no claim against EQL or The British Horse Society, and I accept that the Assessors' decision is final.

Signed:

Witness (Signature):

Date:

Please print name:

g:\EXAMS\Application Forms \Web Stage 2 2015.p65

Continued overleaf

Pre-requisites:
A Current Gold Membership of the BHS
Having attained the minimum age of 16 years
BHS Stage 1 (Complete, or the appropriate section for Riding or Care)
BHS Riding and Road Safety Test (not needed for CARE only)
Copies of these Certificates should accompany this application

When applying please state dates of PASSING previous Examination(s) as follows:
RIDING STAGE 1 / CARE STAGE 1
BHS RIDING & ROAD SAFETY CERTIFICATE

(*please state date passed or date due to take)

*we regret we cannot accept your Stage 2 Riding application unless the date has been given.
If you need to arrange a Riding and Road Safety Test date, please contact the Education Department - 02476 840508

A copy of your BHS Riding and Road Safety Certificate should accompany this form. You can make a booking for your Stage
2 examination before passing your BHS Riding and Road Safety Test (see above) but your certificate must be presented to the Chief Assessor before the start of the examination, otherwise you will not be permitted to take the Riding Section of the Examination. Rules of the 4 week "closed period" (see booking conditions below) apply should your Riding and Road Safety Test be cancelled, postponed or you fail. Please do not send certificates to the Education
Department unless accompanying your Stage 2 application.
EXAM BOOKINGS - TERMS AND CONDITIONS
1.

DRESS: A properly well-fitted hat to current BSI or Euro standard must be worn. It is strongly recommended that hats should have shock absorbing material down to the lower rim. Body Protectors are mandatory in some examinations. Candidates are strongly advised to read the 'Guidelines on Dress for Examinations' (available from the Education Department).

2.

BOOKING CONFIRMATION: Candidates will receive written
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