Additional Member in an Existing Studio This application form is for an additional member in an existing studio that already has a UKAPP member: Additional member for existing studio New application of full UKAPP membership PLEASE NOTEThis application will take approximately 2 hours to complete, it will not save midway. You will be required to answer multiple questions regarding the industry and be asked to provide many studio documents. Name* First Last Name you would like on your certificate* First Last Home address (private)* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number (Private)*Email Address (will be displayed on member listing)* Studio Name*Studio address (will be used for correspondence and members listing)* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Studio Phone Number (if applicable - will be displayed on member listing)Existing UKAPP member at this studio*Business Website (will appear on member listing)*Please submit a short description of yourself, studio and or services to be used on the locator map. Found on http://www.ukapp.org.uk/memberslistings*Please submit a photo and or logo to be used on the locator map.* Drop files here or Accepted file types: jpg, gif, png, pdf. Documentation sectionMany items in this list will be required to be submitted each year to maintain your membership.CPR certification, must be valid for whole year*Accepted file types: jpg, gif, png, pdf.First aid certificate, must be valid for whole year*Accepted file types: jpg, gif, png, pdf.Blood Borne Pathogens certificate, must be valid for whole year*Accepted file types: jpg, gif, png, pdf.Evidence to show over 1 year piercing experience* Newspaper/Magazine article Dated advertisement Notarized statement from employer/co-worker Online portfolio Select from the following options and link or upload evidence to show piercing experienceLink per previous question Upload per previous questionAccepted file types: jpg, gif, png, pdf.Piercing licence / Studio registration (Please send BOTH)* Drop files here or Accepted file types: jpg, gif, png, pdf. Photo or copy of Liability Insurance certificate* Drop files here or Accepted file types: jpg, gif, png, pdf. Health & Safety agreementHealth and Safety Agreement* I agree to adhere to the UKAPP logo specification and guidelines. I agree to never use a piercing 'gun' or 'machine' I agree to never use any type of anesthetic I agree that it is the moral, ethical, and professional responsibility of all piercers to continue to seek out, absorb and share health and safety information relevant to the craft throughout my career. I agree to consider all new health and safety suggestions, as they become known to me and to make appropriate changes in my technique as applicable. I agree not to misrepresent myself, my abilities, or my standards in any way. I agree to meet or exceed all health, safety and legal standards as required by my state and local authorities. I agree to maintain my certification in First Aid, CPR, and Bloodborne Pathogen training. I agree not be under the influence of legal or illegal substances which might compromise my abilities while working. I will use only appropriate jewelry (meets current standards) for initial piercings as listed in the current UKAPP minimum standard. I recognize that this standard may change periodically. I will be informed of any changes and will update my practices accordingly. I agree that all jewelry for initial piercings will be sterilized prior to insertion. I agree that the piercing room, sterilization room, bathrooms, and all other common areas will be kept scrupulously clean and shall be disinfected frequently. All surfaces shall be nonporous thus allowing them to be cleaned with an EPA-approved disinfectant solution throughout the day and whenever cross-contamination might occur. I agree that the room used for piercings will be an enclosed room and used exclusively for piercing and jewelry insertion. This room must also be kept separate from the area used to decontaminate tools. I agree not to use ear-piercing guns in my studio due to the impossibility of properly sterilizing the equipment and the inappropriateness of ear piercing gun jewelry. I agree that all needles will be sterilized, used on one person only in one sitting, and will be immediately disposed of in a medical sharps container. I agree that all forceps, tubes, etc. will be sterilized. If they are not used immediately, they will be stored in sterile bags and used on only one person in one sitting. After one such use, instruments will be appropriately decontaminated, processed, and then sterilized in an autoclave. I agree that as many supplies as possible including corks, rubber bands, toothpicks etc., should be individually packaged and sterilized in an autoclave and disposed of immediately after a single use. I agree that a new pair of medical-grade gloves (sterile and/or non-sterile) will be donned appropriately and worn for every procedure and that gloves will be changed frequently, and whenever there is the slightest chance for cross-contamination. I agree to follow manufacturers recommendations on any and all products utilized. I agree to never use any 'worn' jewellery or its components in a new piercing You must agree to all terms. The UKAPP requires a signed agreement on record from each individual member. Violation of these basic, critical health and safety requirements is grounds for immediate revocation of membership. Please each numbered line as indicated to show that you have read and fully understand each point.I agree to all of the preceding Health & Safety principles and practices. By typing my name below, I am digitally signing this agreement*Please type your full name to proceedQuestionnaireTo ascertain your level of understanding we ask that you take time to answer each carefully. Your answers as well as all of your application will always remain private.1) List all equipment and surfaces in your studio that are sterile.*2) When do you consider items sterile and under what circumstances are they no longer sterile?*3) Describe the procedures used to process and sterilize piercing needles.*4) Describe the procedures used to process and sterilize contaminated tools*5) Describe the procedures used to process and sterilize equipment and surfaces in your studio.*6) Define the term "Disinfect"*7) What materials, equipment, or surfaces in your studio do you disinfect?*8) Describe the products and procedures used to disinfect objects or surfaces in your studio and the frequency in which they are used.*9) Define contaminated and describe the concept of cross-contamination.*10) Describe when and how you wash your hands (please be specific about technique and products used).*11) When and under what conditions is it necessary to change your gloves?*12) How is NEW jewelry processed prior to insertion into a new piercing?*13) How is PREVIOUSLY WORN jewelry processed prior to insertion into a new piercing?*14) How is previously worn jewelry processed prior to insertion into a healed piercing?*15) List the products and describe the procedures used for tissue preparation before performing a body piercing.*16) List the products and describe the procedures used for tissue preparation before performing an oral piercing.*17) List the products and describe the procedures used for tissue preparation before stretching a piercing.*18) List the products and describe the procedures used for tissue preparation before changing jewelry in a piercing.*19) How many times are piercing needles used before being disposed and how do you dispose of them?*20) What protocol do you have in place for a needlestick?*21) What are the specifications for jewelry that you insert into new piercings?*22) List acceptable jewelry materials and design styles.*23) Please describe your piercing apprenticeship/training. Include location, duration and curriculum.*24) To perform body piercing list how you are certified.*The UKAPP does not 'certify' piercers25) To perform body piercing list how you are legally qualified.* It is not possible to be 'legally qualified' within the UK as a body piercer 26) To perform body piercing list how you are regulated.27) List all of the continuing education you have received.*28) What is your policy on piercing persons under the age of eighteen?*29) Under what circumstances would you refuse to perform a piercing?*30) Mistakes happen, how do you deal with something that doesn't turn out how it was intended?*31) List the qualities that you feel are important as a piercer.*32) Please describe what a good bedside manner is.*33) What do you hope to achieve by becoming a member of the UKAPP?*34) List three blood-borne pathogens, briefly define them in your own words, and explain how they pertain to our industry.*Logo agreementUKAPP Name and Logo Usage Guidelines* I understand that The UKAPP does not certify piercers or piercing studios. Wording such as “UKAPP Certified” should never be used. While the UKAPP does provide education to piercers, we do not train piercers, so “UKAPP Trained” is never acceptable. Having a certificate of attendance to one of our conferences does not constitute certification or membership. Participation or attendance of classes from the UKAPP does not constitute UKAPP “certification”, training, or membership. I understand that The UKAPP gives free use of its logo to anyone, for any digital media, including, but not limited to, web sites, social media and networking pages, blogs, etc., as long as the following two conditions are met: I understand that The logo must point to the UKAPP homepage (http://UKAPP.org.uk). The logo must not be used in any way that states or implies membership in the UKAPP for any individual or organization. This logo may not be used in print media without express written permission. Patron Members: Patron Members may use this logo in the same fashion as non-members and the general public, but may not use the UKAPP name or logo in reference to piercing services or products of any kind. Associate Members, Business Members and Business Members-at-Large: Associate Members, Business Members, and Business Members-at-Large only may use the UKAPP Members’ Logos. They may be used in digital or print form, including—but not limited to—business cards, website, advertising, etc. When used, it must be used in a way that is clear the membership belongs to the individual, not the studio. I understand that If any UKAPP Associate Member, Business Member, or Business Member-at-Large uses the Members’ Logo in any print advertising, the Member is making a commitment to maintain his or her membership through the end of that print run. Failure for the piercer(s) to renew membership during the duration that the UKAPP name or logo is used in print will result in the member and/or studio being listed on the impostors page of the website, even if there were members on staff at the time that the printing was done. This includes business cards, flyers, print ads, yellow pages ads, and any other print and digital media. I understand that Anyone misusing the UKAPP name or logo to falsely state or imply membership will be listed on the UKAPP website as an impostor and may be subject to legal action. It is the responsibility of each individual UKAPP member to maintain an up to date logo in all print and digital media. I understand that I need prior written permission from the Board of Directors to use the UKAPP name or logo in any manner that is not listed above. Failure to comply with the UKAPP Name and Logo Usage agreement could result in suspension or revocation of membership and/or listing as an Impostor. I agree that the UKAPP is not responsible for any expenses I may incur from misuse of the UKAPP name or logo. Please replace all former logos with the current logos. Corporate Associate Members: See the guidelines for name and logo usage specific to Corporate Associate Members. Please sign below: I understand and agree to adhere to the above UKAPP Name and Logo Usage Agreement for the duration of my membership. I agree to immediately discontinue use of the UKAPP Members’ Logo if I discontinue my membership in the organization.By typing my name below, I am agreeing to the UKAPP Logo Usage Agreement. This is a digital signature.*Please type your full name to continue