APPLICATION FORM - Institute of Highway Engineers · PDF filePlease include an up-to-date copy...
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The first step to completing your Professional Review with the Institute of Highway Engineers APPLICATION FORM CENG PROFESSIONAL REGISTRATION Application form for: Chartered Engineer (Standard and Individual Route) Professional Registration 2.3.1.1
Transcript of APPLICATION FORM - Institute of Highway Engineers · PDF filePlease include an up-to-date copy...
The first step to completing your Professional Review with the Institute of Highway Engineers
APPLICATION FORM CENG PROFESSIONAL REGISTRATION
Application form for: Chartered Engineer(Standard and Individual Route)Professional Registration
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Please complete and affix this coversheet to the front of your folder with adhesive tape or glue.
Applications will only be accepted in folders as detailed in the ‘Completing your submission’ Section 17 of this form and with this coversheet affixed.
1. Coversheet
Area of specialism:
Date received: D D Y Y Y YM M
OFFICE USE ONLY
CEng
Name:
Membership number
Category of professional registration CEng
Individual route Standard route
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Title: First Name:
Surname:
Membership Number:
Date of Birth: D D Y Y Y YM M
Home Address:
Country: Postcode:
Home phone:
Mobile:
Email:
Employer:
Job title:
Address:
Country: Postcode:
Work phone:
Work Email:
Please tick one category that forms the basis of your CEng submission.
Highway Engineering Development Management Highway/ Road Design
Accident Investigation Highway Maintenance Traffic Signs
Traffic Signals Transport Planning Bridges/ Structures
Traffic Engineering Management
Other (Please specify):
Do your qualifications meet the criteria for Standard Route application? Yes No
If no, will you be applying through the Individual Route (Further Learning or Technical Report)? Yes No If yes, please include a copy of your Technical Report in your folder of evidence
If no, will you be applying via the Individual Route (Experiential Learning)? Yes No
2. Your details
3. Current employment details
4. Area of specialism
5. Route of application
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Please include an up-to-date copy of your CV with your application form.
Please list in this section any relevant further or higher education qualifications you have. Start with the most recent first, and provide as much detail as possible. If you are an overseas applicant, please indicate if you have obtained a NARIC Letter of Comparability.
Start Date End Date Course/Qualification Title/Course Ref
Institution/University NARIC Letter of Comparability
Please include authenticated copies of your relevant higher and further education qualification certificates with your application. These need to be signed by either your Line Manager, Proposer or Seconder who can confirm that these are true copies of the original certificates.
6. Your CV
7. Higher and further education
8. Your qualifications
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Please include, with your application, an up-to-date copy of your current Job Description.
Please list in this section your relevant professional employment history to date. Start with your most recent position first.
Start Date End Date Employer & Job Title Experience (please outline your responsibilities in this role)
Please include, with your application, an up-to-date copy of your Organisation Chart and highlight your position within the organisation’s structure. Self employed applicants do not need to complete this section.
10. Your current job
9. Career history
11. Mapping your organisation
Please include a record of your Continuing Professional Development (CPD). More information can be found in the accompanying guidance booklet.
12. Continuing Professional Development
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For CEng registration, you are required to map your recent engineering experience against each of the 17 Competence and Commitment Statements laid down by the Engineering Council in the UK-SPEC. Further guidance can be found in the accompanying guidance notes.
If you continue onto a separate sheet of paper, please attach this securely.
Statement – A Use a combination of general and specialist engineering knowledge and understanding to optimise the application of existing and emerging technology.
A.1 “ Maintain and extend a sound theoretical approach to the application of technology in engineering practice.”
A.2 “ Engage in the creative and innovative development of engineering technology and continuous improvement systems.”
Description of your relevant experience
Description of your supporting documents and document matrix reference
13. Personal competence statements
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Statement – B Apply appropriate theoretical and practical methods to the analysis and solutions of engineering problems.
B.1 “Identify potential projects and opportunities.”
B.2 “Conduct appropriate research and undertake design and development of engineering solutions.”
B.3 “Manage implementation of design solutions and evaluate their effectiveness.”
Description of your relevant experience
Description of your supporting documents and document matrix reference
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Statement – C Provide technical and commercial leadership.
C.1 “Plan for effective project implementation.”
C.2 “Plan, budget, organise, direct and control tasks, people and resources.”
C.3 “Lead teams and develop staff to meet changing technical and managerial needs.”
C.4 “Bring about continuous quality improvement through quality management.”
Description of your relevant experience
Description of your supporting documents and document matrix reference
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Statement – D Demonstrate effective interpersonal skills.
D.1 “Communicate in English with others at all levels.”
D.2 “Present and discuss proposals.”
D.3 “Demonstrate personal and social skills.”
Description of your relevant experience
Description of your supporting documents and document matrix reference
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Statement – E Demonstrate a personal commitment to professional standards, recognising obligations to society, the profession and the environment.
E.1 “Comply with relevant codes of conduct.”
E.2 “Manage and apply safe systems of work.”
E.3 “Undertake engineering activities in a way that contributes to sustainable development.”
E.4 “ Carry out and record CPD necessary to maintain and enhance competence in your own area of practice.”
E.5 “Exercise responsibilities in an ethical manner.”
Description of your relevant experience
Description of your supporting documents and document matrix reference
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Please detail a synopsis of your professional review presentation in this section.
15. Presentation synopsis
In your folder of evidence please include a matrix indicating how your supporting documentation meets the 17 Statements of Competence and Commitment you have answered in Section 13. An editable example can be found in the member’s area of our website at: www.theihe.org/professional-review/professional-review-forms (log in required)Experiential Route applicants do not need to complete this section.
14. Document matrix
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All submissions must be presented in a single ring binder or lever arch folder. You should use file dividers to enable us to easily identify the relevant parts of your evidence folder. These should cross reference with the relevant sections of this form.
The coversheet provided in section 1 at the front of this form must be affixed to the front of your folder.
Please note: Submissions presented in any other style of folder or binding, or without the coversheet affixed will be returned to you.
Please send your complete submission and this form to: Membership Institute of Highway Engineers De Morgan House 58 Russell Square London WC1B 4HS.
Please note: We reserve the right to reject and return any submission that does not include all of the documents and attachments marked on the checklist at the back of this form, or with sections of this application form incomplete or left blank unless not required.
Please ensure you include a digital copy of your entire submission (including this form) on a CD in your evidence folder. We cannot accept USB memory sticks.
Please sign and date the following declaration:
When you complete the form you are deemed to have agreed to the following: “(1) That the information you have given is complete and correct, (2) that you will abide by the Articles, Bye-Laws and Rules of the Institute and by the Codes of Conduct of the Institute and of the Engineering Council when you are registered, (3) that you undertake to meet your professional development commitments and (4) that you will promote the objectives of the Institute to the best of your ability”.
Signed:
Date: D D Y Y Y YM M
17. Completing your submission
18. Electronic copy of your submission
16. Statement by applicant
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Please ensure your employer completes the “Employer Proposal Statement”. This can be found in the member’s area of the IHE website at www.theihe.org/professional-review/professional-review-forms (log in required) and your employer should send it directly to us. This forms an essential part of your application. Alternatively, you can include your employer proposal statement in your folder of evidence.Please ensure your employer seals it an envelope and signs over the seal.Self employed applicants should ask a recent client to complete this form.
Please ask two CEng members of either IHE, ICE, IStructE or CIHT or any other Engineering Council recognised Institute to support your application by completing the following declaration:
“ I, the undersigned certify that all information given is, to the best of our knowledge, complete and correct and that the applicant is worthy of election to the grade applied for”.
Proposer
Proposer name:
Proposer signature:
Date: D D Y Y Y YM M
Phone:
Email:
Professional grade:
Membership institution:
Membership Number:
Seconder
Seconder name:
Seconder signature:
Date: D D Y Y Y YM M
Phone:
Email:
Professional grade:
Membership institution:
Membership Number:
19. Employer proposal statement
20. Proposer and seconder
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More detailed information and guidance on the payment we require can be found in the accompanying guidance booklet.
To pay for your CEng application and Engineering Council Registration Fee please complete the form below. You should also use this form to pay for the upgrade to your IHE membership subscription (if applicable)
Payment Type
Cheque (made payable to: “Institute of Highway Engineers”)
Credit or Debit card (please see below)
Amount: £ .
Credit/ Debit Card Details
Name:
Cardholder Address:
Post Code:
Country:
Card Type: Visa MasterCard
Card Number:
Security Number (CSV):
Expiry Date: Y YM M
Signature:
Date: D D Y Y Y YM M
If you would prefer to pay by credit or debit card by phone, please call 020 7436 7487 (Tuesday – Thursday 9am-5pm)
The payment above should cover: • Professional Review Fee • Engineering Council Registration Fee • Upgrade to IHE membership subscription (if applicable)
21. Payment form
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The final part of your submission is this checklist to make sure you have included everything. Please sign and date it once it’s complete so we can ensure we’ve received everything when we open your submission.
Completed all sections of this form
Included a copy of your Further Learning or Technical Report (Section 5 – If applicable)
Attached a copy of your CV (Section 6)
Attached authenticated copies of your certificates (Section 8)
Attached a copy of your current Job Description (Section 10)
Attached a copy of your Organisation Chart (Section 11 – If applicable)
Attached copies of your CPD record (Section 12)
Included a copy document matrix to map your evidence folder against the professional competence statements (Section 14)
Included all documents referenced in your professional competencies and document matrix (Section 14 – If applicable)
Ensure your employer completes the Employer Proposal Statement (Section 19)
Signed and dated the applicant statement (Section 16) and checked your proposer and seconder have signed and dated Section 20
Completed the payment section for the correct fees (Section 21)
Included a copy of your submission on CD (Section 18)
Completed and detached the coversheet in Section 1 and affixed it to the front of your submission folder
22. Checklist
Please note: We reserve the right to reject and return any submission that does not include all of the documents and attachments marked on the checklist at the back of this form, or with sections of this application form incomplete or left blank unless not required.
