Application form for recognition as Aequor foreign learning establishment
	Introduction Using this form, you can submit your request to have your company recognised and registered as a foreign learning establishment for Dutch trainees.

	Company name	*
	Visitors address	*
	Place	*
	Correspondence address	*
	Postcode	*
	Place name	*
	Country of establishment	*
	Name of contact person	*	mf  (initials)  (surname)
	Position of contact person	*
	Telephone number contact person	*
	Telephone number company	*
	Fax
	E-mail address	*
	Internet address
	In which language should communication be sent to your company?
	Dutch  English  French  German  Spanish
	In which (qualification) subject(s) can students receive training within your company?
	Plant culture Flower and garden centre sector Green Space Environmental supervision		Animal care and veterinary support Horse breeding and equestrian sport Livestock husbandry Food industry
	Does your company hold national or international recognition as a learning establishment?
	Yes  No
	If yes, by which body was recognition issued?
	With what educational institution/school in the Netherlands does your company maintain contacts?
	Name of school
	Location of school
	Name of contact person
	E-mail address
	The undersigned declares that this application form for recognition as an Aequor foreign learning establishment has been truthfully completed.
	date of application		04/02/2012
	name of applicant

---