Institute of Place Management                     
Application For Membership Promotion

1. APPLICANT’S INFORMATION (help?)

Please provide us with your Surname and the title and forenames that you prefer to be known by. Please note the address to which all hard copy correspondence should be sent and provide an up-to-date email address, as we will need this for most of our communications with you.

Required fields with (*) must be filled in.
Name*: Surname*:
DOB: Email*:
Address: Postcode:
Country: Contact Number :
 

2. EDUCATION (help?)

Please give full details of your degree level or higher qualifications. For degrees please state the name of the degree and the class awarded as well as the start and completion dates and whether you studied full or part-time. Finally, please identify at what level the degree is (degree or higher degree).

For degree-level equivalent qualifications (for example NVQs) please describe the name of the award, the awarding body, the start and completion dates and whether you studied full or part time. Please also state the institution that offered the award.

Please also list all other degree-level or higher qualifications in this section (e.g. the Introductory Diploma in Place Management or Diploma in Management Studies). Please note, this section is for degree-level (or higher) qualifications only, there is no need to include GCSE or ‘A’ level qualifications or their equivalents.
Degree/Class/Title: Start Date: (Month/Year) Completion Date: (Month/Year) Postgraduate/ Undergraduate Full-time/ Part-time
Degree/Class/Title: Start Date: (Month/Year) Completion Date: (Month/Year) Postgraduate/ Undergraduate Full-time/ Part-time
Degree/Class/Title: Start Date: (Month/Year) Completion Date: (Month/Year) Postgraduate/ Undergraduate Full-time/ Part-time

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Degree/Class/Title: Start Date: (Month/Year) Completion Date: (Month/Year) Postgraduate/ Undergraduate Full-time/ Part-time
Degree/Class/Title: Start Date: (Month/Year) Completion Date: (Month/Year) Postgraduate/ Undergraduate Full-time/ Part-time
Degree/Class/Title: Start Date: (Month/Year) Completion Date: (Month/Year) Postgraduate/ Undergraduate Full-time/ Part-time

3. TRAINING UNDERTAKEN, CONFERENCES ATTENDED AND DETAILS OF ANY OTHER DEVELOPMENT ACTIVITIES (help?)

In this section you should list any training undertaken, conferences attended and any other development activities that are relevant to your role as a place manager. Please list the name of the training/conference or development activity, the delivery organisation, the venue, the dates and the facilitator or Conference Chair
Training/Conference or Development Activity Delivery Organisation: Venue Details: Facilitator or Conference Chair (optional) Date (Month/Year):
Training/Conference or Development Activity Delivery Organisation: Venue Details: Facilitator or Conference Chair (optional) Date (Month/Year):
Training/Conference or Development Activity Delivery Organisation: Venue Details: Facilitator or Conference Chair (optional) Date (Month/Year):

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Training/Conference or Development Activity Delivery Organisation: Venue Details: Facilitator or Conference Chair (optional) Date (Month/Year):
Training/Conference or Development Activity Delivery Organisation: Venue Details: Facilitator or Conference Chair (optional) Date (Month/Year):
Training/Conference or Development Activity Delivery Organisation: Venue Details: Facilitator or Conference Chair (optional) Date (Month/Year):

4. CURRENT MEMBERSHIP OF OTHER PROFESSIONAL INSTITUTIONS (help?)

Please indicate the name of the professional institute(s), your level of membership and the date of election.
Institution Name   Name of Professional Institute   Level of Membership   Date of Election
     
Institution Name   Name of Professional Institute   Level of Membership   Date of Election
     
Institution Name   Name of Professional Institute   Level of Membership   Date of Election
     
 

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Institution Name   Name of Professional Institute   Level of Membership   Date of Election
     
Institution Name   Name of Professional Institute   Level of Membership   Date of Election
     
Institution Name   Name of Professional Institute   Level of Membership   Date of Election
     

5a. RELEVANT PLACE MANAGEMENT POSTS HELD (help?)

Please list in reverse chronological order all the posts you have held (paid or voluntary) within the place management industry. For each post, please give the period for which you were employed, the post title, whether it was full or part-time (and in the case of part-time the number of hours per week worked) as well as your employer’s name, address and telephone number. Confirmation of your employment may be sought, so please make sure you provide accurate contact details.
Start Date (Month/Year): End Date (Month/Year): Post Title: FT/PT: Employer’s Name; Contact Number;
Start Date (Month/Year): End Date (Month/Year): Post Title: FT/PT: Employer’s Name; Contact Number;
Start Date (Month/Year): End Date (Month/Year): Post Title: FT/PT: Employer’s Name; Contact Number;

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Start Date (Month/Year): End Date (Month/Year): Post Title: FT/PT: Employer’s Name; Contact Number;
Start Date (Month/Year): End Date (Month/Year): Post Title: FT/PT: Employer’s Name; Contact Number;
Start Date (Month/Year): End Date (Month/Year): Post Title: FT/PT: Employer’s Name; Contact Number;

5b. CURRENT JOB DESCRIPTION (help?)

Please paste your current job description into your application or alternatively enter your current duties and responsibilities. If you do not have a job description please list your responsibilities and duties as fully as possible.
 

6. OTHER CONTRIBUTIONS TO INDUSTRY (help?)

In this section you should list all your other contributions to the place management industry. For example, contributing to regional or national bodies, mentoring others less experienced in the industry, writing or contributing to articles or case-studies, giving presentations or talks etc.
 

7. APPLICANT’S DECLARATION (help?)

Please read the statement and make sure the information contained within your application is accurate. By ticking the statement box you agree to comply with the Institute’s Code of Conduct and pay your annual membership fee upon acceptance into the Institute.

Required box with (*) must be ticked.
You wish to be elected as a Member of the Institute of Place Management and will take an oath to abide by the Institute’s Code of Conduct.  Upon acceptance into the Institute, I understand that I am liable for membership fees and will pay the appropriate fee upon request. The information I have given in this form is a full and accurate description and I consent to any of the individuals or institutions detailed in this form being contacted for the purposes of corroboration.
*By ticking this box you aggree to the terms and conditions
IMPORTANT: If, after submitting (below), nothing happens after 10 seconds please review your application for incomplete fields - highlighted in red