Engineering Technician Eng Tech IEI. Application for the registered title

Transcription

1 Engineering Technician Eng Tech IEI Application for the registered title

2 This page to be retained by applicant Why should you become an Engineering Technician? Your ability to apply and practice your engineering skills and knowledge is certified by your professional body, Engineers Ireland. You gain national and international recognition through holding the registered title, Engineering Technician. You will have opportunities, through Engineers Ireland, to further develop your expertise and insight in your engineering discipline. You enhance your engineering career potential and prospects. You will find opportunities to network with other Engineering Technicians from your own and other engineering disciplines. Application Procedure Full details of the application procedure are described in our publication Engineering Technician which are available to download on our website Please read carefully before completing this application form, especially the check-list in the Appendix. Membership Subscription Rates are published on our website. NOTE: Applicants applying for transfer should ensure that their annual subscription is paid. The requirements in respect of all grades and titles are published in the Membership Regulations on our website

3 Application form for the title Engineering Technician TYPE or BLOCK CAPITALS please Provisional No. Membership No. Mobile: (applicant): Date of Birth / / Mr/Ms/Miss/Mrs Address for Correspondence: n Home n Business Engineering Qualifications a certified copy of each parchment awarded must be enclosed, if not already submitted Qualification Grade Duration of Full-time Year of Year of Awarded Awarded College Course Part-time Discipline Entry Graduation Membership of other Professional Bodies please forward a copy of each parchment awarded Name of Organisation Grade Abbreviated Title Current or Past Year of Admission Have you applied for the Professional Title (EngTech, etc.) of any other Engineering Professional body? Yes n No n Engineering Science Division (Please tick up to three boxes) n Agricultural & Food n Civil n Extractive Industries n Inf./Comms Tech n Biomedical n Electrical & Electronic n Fire and Safety n Local Government n Chemical n Energy and Environment n Mechanical & Manufacturing n Structures & Construction Supporters Declaration I confirm that I have personal knowledge of the applicant s career of part thereof, have read the applicant s Engineering Practice Report and support his/her application for the title of Engineering Technician. Signature of First Supporter Signature of Second Supporter Applicants who work for companies involved in Engineers Ireland s Continuing Professional Development (CPD) Accreditation Scheme should complete the following section: Has your company formally agreed the CPD Protocol with Engineers Ireland n Yes n No Has your company achieved Engineers Ireland s CPD Accreditation: n Yes n No (Note: for further details on Engineers Ireland s CPD Accreditation Scheme, please refer to the website, Applicant s Declaration: I agree that the College(s) from which I graduated may release details of my qualifications to Engineers Ireland. I undertake that if elected I will abide by the Code of Ethics, Bye-Laws and Regulations of Engineers Ireland. I accept responsibility for the accuracy of the particulars contained in this form including my qualifications and my Engineering Practice Report and I agree that if admitted to membership the validity of my admission shall depend upon the accuracy of such particulars. Signature: Date: EngTech 2005

4 Information to accompany Application Form for applicants for the title: Engineering Technician Eng Tech IEI Current Employer Job Title of Applicant Surname of Applicant Forenames Subject Area of Experience (Select up to three and rank in order of importance by ticking boxes) Airports n n n Food Processing n n n Power Generation/Distribution n n n Automation/Controls n n n Gaming Technology n n n Process Engineering n n n Biomedical n n n Geotechnical Engineering n n n Project Management n n n Bridges n n n Health and Safety n n n Quality Standards n n n Computer Hardware n n n Harbour and Docks n n n Railways n n n Concrete Structures n n n Hydrology n n n Roads and Highways n n n Dams/Reservoirs n n n Irrigation/Land Drainage n n n Sewage Treatment n n n Drainage n n n IT + Computing n n n Software Engineering n n n Electrical Services n n n Manufacturing n n n Steel Structures n n n Energy Utilities n n n Mechanical Services n n n Telecommunications n n n Energy Renewables n n n Municipal Services n n n Timber Structures n n n Engineering Materials n n n Off-Shore Engineering n n n Transportation n n n Environment n n n Opto-electronics n n n Waste Management n n n Extractive Industries n n n Pharmaceutical n n n Water Supply and Treatment n n n Fire and Safety n n n Plant and Machinery n n n Web Development n n n Engineering Discipline (Select up to two and rank in order of importance by ticking boxes) Aeronautical n n Electrical n n Materials n n Agricultural & Food n n Electronic n n Mechanical n n Biomedical n n Environmental n n Mechatronics n n Building Services n n Food Processing n n Microelectronics n n Chemical/Process n n Industrial n n Production n n Civil n n Information Technology n n Software n n Computer n n Manufacturing n n Structural n n Areas of Activity (Select up to two and rank in order of importance by ticking boxes) Construction n n Education n n Process Industry n n Consultancy n n Maintenance n n Research n n Design n n Manufacturing Industry n n Telecoms n n

5 Supporters of this Application Applicants are required to have their application supported by a Chartered Engineer and an Associate Engineer, or two Chartered Engineers, familiar with all or part of the applicant s work and his/her engineering practice and ability. Each supporter is expected to read the candidate s Engineering Practice Report prior to signing this Application Form on Page 1. In exceptional circumstances, Engineers Ireland will consider alternative arrangements, where, because of the nature of an applicant s employment, he/she cannot provide supporters who are Chartered Engineers or Associate Engineers. In such cases, the applicant should make an application to Engineers Ireland at least one month before submitting this Form and the Engineering Practice Report. First Supporter Mobile: Membership Grade/Title: (Supporter): Second Supporter Mobile: Membership Grade/Title: (Supporter): For office use only Date Received: Date Acknowledged: Amount Paid: A. Sub n Pl fee n