Please complete the following form to apply for Dialshifter status. Please enable JavaScript in your browser to complete this form. Name * First Last Role in Company * DirectorFinancial adviser (individual)Financial planner (individual)Paraplanner (individual)Other Individual FCA Number (IRN) If you are regulated by the FCA, please provide your IRN. If you selected 'Other' in the box above, please provide additional detail. Company Name * Firm FCA Number (FRN) * Email * Web address * Phone Regulatory status *Whole of marketRestricted Other / see note Name of network / service provider (if applicable) Does the home page of your website show that you offer advice on sustainable, responsible and/or ethical investment? * Yes No Other / see note Dialshifter status requires the answer to this to be 'yes' (or coming soon'). Do you ask all clients if they are interested in sustainable, responsible / ethical investment as part of your standard fact find? * Yes No Other / see note Dialshifter status requires the answer to this to be 'yes' Do you have processes in place to ensure that clients' personal environmental, social and/or ethical aims and opinions are identified, recorded and acted upon? * Yes No Other / see note This refers to your current practices and when you now discuss investment options with clients. (Dialshifter status requires the answer to this to be 'yes') Description of client fact find and advice processes * Please give a brief summary of how clients aims and opinions are identified, recorded and acted on Does sustainable investment form part of your (and other relevant team members) CPD? * Yes No Other / see note Dialshifter status requires the answer to this to be 'yes'. Are you / is your business listed on the Fund EcoMarket 'Find an Adviser' page? * Yes No - but we'd be interested in being listed there No Additional information Use this space to supply links, CPD evidence or additional information for SRI Services. Do you have a 'net zero' or 'Paris Alignment' statement articulating your commitment to help reduce carbon emissions? *Yes - we have a statement of that kind (see attached)No - but we are happy to work on one as part of this processNo - this is not something we would do Dialshifter Summary Maximum 100 words, please submit draft text, this can be amended later if necessary. (Optional) File Upload Click or drag files to this area to upload. You can upload up to 5 files. Upload documents here as evidence of sustainable investment being part of your advice processes (optional - to compliment text above). I / we consent to this information being used by the following; (those achieving Dialshifter status will be listed on our Dialshifter Directory) * SRI Services (pending discussion / correspondence) SRI Services verification partners (pending discussion / correspondence)) Publicly available Please confirm you understand and agree to pay £100+vat administration fee (non refundable) for the information you are submitting to be reviewed for Dialshifter status** * Yes **if you are a network or a firm of 5+advisers, please contact us to discuss pricing - dialshfiter@sriservices.co.uk I / we understand that, if I am / we are successful in meeting the Dialshfiter criteria, I / we agree to pay the remaining membership fee of £150+vat. (If you do not wish to pay the membership fee you will not be able to use the Dialshifter logo or be listed in the directory).** * Yes No **if you are a network or a firm of 5+advisers, please contact us to discuss pricing - dialshfiter@sriservices.co.uk Date / Time Date Time Name Submit