IET Member & Associate Application Form HR

Membership
Application Form
If you require assistance or advice please telephone +44 (0)1438 765678 or visit www.theiet.org/contactmembership. Your annual subscription must accompany this
form. Your subscription year will run annually from the date that you joined the Institution of Engineering and Technology. Please send the completed application form to:
Member Assessment Team, The IET, Michael Faraday House, Six Hills Way, Stevenage, Herts SG1 2AY UK.
PLEASE USE BLACK INK AND WRITE CLEARLY IN THE BOXES IN BLOCK CAPITALS.
ALL FIELDS ARE MANDATORY. PLEASE COMPLETE ALL FIELDS TO AVOID ANY DELAY IN PROCESSING YOUR APPLICATION.
Your Details
Personal Details
Title
First Name(s)
Surname/Family Name
Date of Birth
Home Address
County/State
Postcode
Home Telephone
Personal Mobile
Country
Home Email Address

Employer Details
Job Title
Employers Name
Work Address
County/State
Postcode
Work Telephone
Work Mobile
Country
Work Email Address
Preferred Name for Membership Card e.g. Mr A Jones

Please specify the address that you would like all correspondence sent to:
Home
Work
Please specify your gender:
Male
Female
Membership Number (only required for previous Associates or Members wishing to re-join the IET):
Is your membership fee being funded by your employer?
Yes
No
If yes, please ensure you have completed the work details section above.
Data Protection
I understand and consent to the information provided on this form being processed by the IET for its sole use and that of its associated organisations, including my Local Network, for the purpose of
promoting, delivering and improving my experience of the IET and its product and services or such other purposes as are described in the IET Privacy Statement. If either now or in the future I am based
outside the European Economic Area (the EEA), my information may be transferred outside the EEA (for example to my Local Network or IET Global Office) to enable me to benefit from the IET
opportunities overseas or, where required, to enable the IET to meet any legal or other legitimate obligations in that country. IET products and services are enjoyed by our members and customers
globally. However if you do not wish to receive notification of products and services which may be of interest and benefit to you (by post or electronic means) please tick this box.
Membership Details
Membership Category Options
To find out about the requirements for each category of membership visit www.theiet.org/membership/types
Member Application Section
Please refer to the guidance notes on the IET website www.theiet.org/requirements for further guidance in completing this section
I wish to apply for Member with the designatory letters MIET.
I wish to apply for Member with the designatory letters TMIET.
I wish to apply for Associate
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18/12/2014 14:13
Qualifications
Please provide details of engineering or technology qualifications you hold or are in the process of completing in the table below (if you are applying for either the
Advantage or Signature membership programme this section must be completed in full):
Award/Course
e.g. BEng, MSc, NVQ3 etc
Course Title
e.g. Electrical Engineering, Computing etc
Name of University/College/Awarding Body

and Country
Period of Study
(start and end date)
Work Experience
Depending on the Qualification that you hold we may need to assess your work experience to determine your eligibility for the level of membership selected. Following the
assessment of your qualifications, we may contact you to provide a CV that clearly details your present employment position, previous employment positions, roles and
responsibilities together with any other qualifications that are relevant to the interests of the IET.
Supporters Details
Your supporter can be your employer/line manager, a Member of the IET or someone that knows you in a work capacity e.g. client, previous employer etc.
If you cannot find a suitable person to support your application, please contact the Membership Services Team on +44 (0)1438 765678.
My supporter is not currently available to complete this section. Please contact me later to provide this information.
Title
First Name(s)
Surname/Family Name
Line Manager
Job Title
CEng
IEng
EngTech
ICTTech
Associate
TMIET
MIET
FIET
Please detail membership of other Institutions e.g. MIMechE, MIEAust:

IET Membership No. (if applicable)
Address for communication
County/State
Postcode
Telephone
Mobile
Country
Email Address
In my opinion this person has achieved the required knowledge and understanding and is a suitable candidate to become a Member of the IET and use the letters
MIET*
or
TMIET*
after their name
(*please select as appropriate)
Signature of Supporter
Date
The IET will contact your supporter for further background to your application for membership. It is not IET policy to disclose comments made by supporters and we
would recommend applicants to discuss their membership application with the supporter prior to submission.
Declaration
I declare that the statements made on this form are to the best of my knowledge true. I agree to comply
with the Royal Charter and Bye-laws and Rules of Conduct of the Institution of Engineering and
Technology (IET) and understand that this is a commitment to behave ethically within my profession. I will
do my best to promote the interests of the IET. I confirm that I have not committed any offence of which
the IET would require me to give notice under its Rules of Conduct. The Rules of Conduct and the Royal
Charter and Bye-laws are published on the website www.theiet.org/byelaws and the Terms and Conditions
of Membership can be found www.theiet.org/membership-terms
IET Member & Associate Application Form.indd 2
Signature
Date
V1.0
18/12/2014 14:13

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Membership

Home Email Address

Work Email Address

Preferred Name for Membership Card e.g. Mr A Jones

Please specify your gender:

Member Application Section

I wish to apply for Member with the designatory letters MIET.

I wish to apply for Member with the designatory letters TMIET.

I wish to apply for Associate

IET Member & Associate Application Form.indd 1

Name of University/College/Awarding Body

Please detail membership of other Institutions e.g. MIMechE, MIEAust:

after their name

(*please select as appropriate)

IET Member & Associate Application Form.indd 2

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