ODA Registration Form

As part of the signup process, you are required to have read and agreed to the NNAS Provider terms – it is worthwhile reading this at this stage before you start to fill in the form.

Organisation

Organisation website

Contact Name

Contact Number

Address

Town/City

County

Postcode

How the NNAS stores your data

The NNAS uses an online database, developed and hosted by Azolve Ltd (JustGo), to manage its Providers. All registered ODA Providers will have their details added to this online database.

Do you wish your contact details to be publicly available on the NNAS website and on the NNAS online management system.

Yes No

Insurance

NNAS does not provide insurance. It is the Provider's responsibility to ensure they have appropriate insurance.

I enclose a copy of the organisation’s public liability insurance cover page and ensure that this cover will be kept up to date

Data Protection Legislation

As you will be processing client data, it is a requirement that your organisation is registered with the Information Commissioner's Office. Please add your ICO Number below.

ICO Number

Group Leader Names

Additional group leaders can be added at any time via your NNAS Provider profile on our candidate management system

How did you hear about NNAS, and how do you feel being a Provider will enhance your organisation?

Any Comments you'd like to add?

and finally!

By submitting this form you are agreeing for the NNAS to contact you to progress this application.

NNAS Provider terms

I confirm I have read and agree to the NNAS Provider Terms. (Opens in a new tab)