Registration form Training Providers

Registration form Training Pro-

viders

Version Control

Document title: Registration form Training Provider

[810938365.docx]

Document owner: WG Training

Version: Version 2-2

Release date: 2023-06-01

Distribution Public

Status Released

810938365.docx Version 2-2 1

Registration form Training Providers
Return this application to your responsible registration body:

ECQA Piaristengasse 1
European Certification & Qualification E: [email protected]
3500 Krems
Association
(for all assessment models except Austria
Automotive SPICE®)
VDA-QMC Behrenstraße 35, T: +49 (0)30 89 78 42 0
(for Automotive SPICE®) 10117 Berlin F: +49 (0)30 89 78 42 605
E: [email protected]
Germany

Please read the procedures for training provider registration carefully and provide with your registration form
the required evidences.
Please send two forms if you want to register for Automotive SPICE® and any other model.

List of Trainings to be registered

Provisional Courses:
Provisional Assessor Automotive SPICE®
Provisional Assessor ISO/IEC 33xxx
Provisional Assessor Medical SPICE®
Provisional Assessor SPICE for IT Services
Provisional Assessor Test SPICETM

Competent Courses:
Competent Assessor Automotive SPICE®
Competent Assessor ISO/IEC 33xxx
Competent Assessor Medical SPICE®
Competent Assessor SPICE for IT Services
Competent Assessor Test SPICETM

Model Extensions:
Agile SPICE
Cybersecurity SPICE
Data Management SPICE
Hardware SPICE

Attention:
*) Be aware to provide for each course the necessary information, like course material to be used and name
of qualified trainers.
*) for each modell to have to pay the published registration fee.

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Registration form Training Providers

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Registration form Training Providers

Type of registration per model:

Automotive SPICE®
Provisional Assessor Automotive SPICE®: first registration
Provisional Assessor Automotive SPICE®: re-registration, without material changes
Provisional Assessor Automotive SPICE®: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment
Competent Assessor Automotive SPICE®: first registration
Competent Assessor Automotive SPICE®: re-registration, without material changes
Competent Assessor Automotive SPICE®. Re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment

ISO 33xxx (SPICE)

Provisional Assessor ISO/IEC 33xxx: first registration
Provisional Assessor ISO/IEC 33xxx: re-registration, without material changes
Provisional Assessor ISO/IEC 33xxx: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment
Competent Assessor ISO/IEC 33xxx: first registration
Competent Assessor ISO/IEC 33xxx: re-registration, without material changes
Competent Assessor ISO/IEC 33xxx: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment

Medical SPICE®
Provisional Assessor Medical SPICE®: first registration
Provisional Assessor Medical SPICE®: re-registration, without material changes
Provisional Assessor Medical SPICE®: re-registration, with material changes
Material to be used: (intacs material or company specific material)

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Registration form Training Providers
*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment
Competent Assessor Medical SPICE®: first registration
Competent Assessor Medical SPICE®: re-registration, without material changes
Competent Assessor Medical SPICE®. Re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment

SPICE for IT-Services

Provisional Assessor SPICE for IT-Services: first registration
Provisional Assessor SPICE for IT-Services: re-registration, without material changes
Provisional Assessor SPICE for IT-Services: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment
Competent Assessor SPICE for IT-Services: first registration
Competent Assessor SPICE for IT-Services: re-registration, without material changes
Competent Assessor SPICE for IT-Services. Re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment

Test SPICETM
Provisional Assessor Test SPICE: first registration
Provisional Assessor Test SPICE: re-registration, without material changes
Provisional Assessor Test SPICE: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment
Competent Assessor Test SPICE: first registration
Competent Assessor Test SPICE: re-registration, without material changes
Competent Assessor Test SPICE. Re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment
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Registration form Training Providers

Agile SPICETM
Extension training Agile SPICETM: first registration
Extension training Agile SPICETM: re-registration, without material changes
Extension training Agile SPICETM: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment

Cybersecurity SPICE
Extension training Cybersecurity SPICE: first registration
Extension training Cybersecurity SPICE: re-registration, without material changes
Extension training Cybersecurity SPICE: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment

Data Management SPICE

Extension training Data Management SPICE: first registration
Extension training Data Management SPICE: re-registration, without material changes
Extension training Data Management SPICE: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment

Hardware SPICE
Extension training Hardware SPICE: first registration
Extension training Hardware SPICE: re-registration, without material changes
Extension training Hardware SPICE: re-registration, with material changes
Material to be used: (intacs material or company specific material)

*) Be aware that the use of intacs material requires paying a license fee or active work in develop-
ment

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Registration form Training Providers

Proof of trainer qualification

Provide list of Trainers for courses. Provide Name and intacs certification (number)
Provide for each Trainer Names of courses (e.g. provisional Automotive SPICE®) and the contractual status
(employee or contract).
List of Trainers.
Name and certification number Trainer 1:

Contractual status: (employee, contract)

Qualified for: (name courses, e.g. Provisional Automotive SPICE®)

Name and certification number Trainer 2:

Contractual status: (employee, contract)

Qualified for: (name courses, e.g. Provisional Automotive SPICE®)

Name and certification number Trainer 3:

Contractual status: (employee, contract)

Qualified for: (name courses, e.g. Provisional Automotive SPICE®)

Name and certification number Trainer 4:

Contractual status: (employee, contract)

Qualified for: (name courses, e.g. Provisional Automotive SPICE®)

In case of more trainers just add these on additional pages.

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Registration form Training Providers

Organizational Information
Contact Details for training organization

Name of organization:
Name of contact per-
son:
Position of contact
person:
Address:
ZIP/City:
Country:
Phone:
Fax:

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