Member Assessment Application Form: Please Refer To The Before Completing This Form

Member Assessment application form
Please refer to the member assessment guidance before completing this form
Application to assess eligibility for:
Chartered Professional Review (to achieve CEng MICE, Chartered Civil Engineer)
Member Professional Review (to achieve IEng MICE)
Professional Review intentions

Please indicate your intended application date and preferred centre for your Professional Review from the
ICE key membership dates webpage. This information is just for planning purposes and does not commit you
or ICE to attend or arrange a Review as indicated.
I am planning to apply for Professional Review in

(year)
I would prefer to attend a Professional Review in
(location)
About you
ICE membership no*
*You can find this within “My Profile” in your MyICE account
Family name Title

Other names Date of birth
Nationality Gender
Email*
*Please note that all communication from ICE concerning your application will be made using this email address
Home address
Address line 1
Address line 2
Address line 3
Country
Telephone Postcode
Employment
Employers full
name
Department Position held
Address line 1
Address line 2
Address line 3
Country Telephone
Postcode E-mail
Member Assessment application Institution of Civil Engineers is a Registered Charity in

1 Version 2 Revision 0 – 02 January 2019 England & Wales (no 210252) and Scotland (SC038629)
Your academic qualifications
You need to provide evidence of your academic qualifications with your application. Please refer to the
member assessment guidance for more information about this.
Awarding Qualification Course Title Attendance Class or Start End Date

College/University (HND, BEng, Type Grade Date (mm/yy)
(in order attained) BSc etc.) (Full/part time, awarded (mm/yy)
sandwich etc.)
Additional information (if relevant): Please state if you are including a letter from your course provider or
awarding university about partial completion of a programme:
Your Professional Experience

You need to provide an extended CV and an attribute achievement form with appendices with this
application as evidence of your initial professional development (IPD).
Please refer to the member assessment guidance for more information about this.
Please tick to confirm that you are not currently undertaking an ICE training agreement or mentor-supported
training, or training scheme A in the civil or geotechnical discipline with HKIE.
Please confirm that you are not a graduate member of ICE
Continuing Professional Development (CPD) records

You need to submit your CPD records with this application. Please refer to the member assessment
guidance for more information about this. When you apply, you must have completed a minimum of 90
hours CPD for IEng MICE and 180 hours for CEng MICE.
Please confirm your current number of CPD hours:
Unspent convictions
No person with an unspent conviction relating to a Serious Criminal Offence will be admitted to any grade of
membership unless there are special circumstances that show beyond reasonable doubt that the person is a
fit and proper person to be admitted to membership of the Institution.
If you have an unspent conviction relating to a serious criminal offence, please complete this form and have
it signed by your sponsors, and submit with your completed application. A member of staff will contact you
directly and in confidence.

2 England & Wales (no 210252) and Scotland (SC038629)
Version 2 Revision 0 – 02 January 2019
Submitting your application
You must include the following documents within one PDF file, no larger than 10mb:
Signed and dated member assessment application form (with equal opportunities monitoring form,
unless you have entered your diversity data online within your MyICE account)
A certified copy of each your academic qualifications and any supporting documents. Please
group together all documents related to each separate academic qualification (eg the certificate, its
translation, mark-sheet, its translation, one-page summary).
An extended CV
Attribute achievement form
Appendices of your work to support your attribute statements

CPD records
Application fee
1. Pay online (payment must be made before sending your application)
To pay online, using a credit card or UK debit card, log in to your MyICE account then go to our
application fees webpage and select the pay online button for member assessment.
Please note you will be asked to log into your MyICE account before being redirected to the secure
payment system. If you are not already registered with MyICE please register online.
2. Alternative method of payment

If you are unable to pay online, please contact the ICE Membership Services Team for alternative ways
to pay.
t: +44 (0)207 665 2227 or e: subs@ice.org.uk
Important undertaking to be signed by the applicant:

I apply for admission as a graduate member of the Institution of Civil Engineers. I promise that in the event of my admission I will be
governed by the Royal Charter and By-laws of the Institution and I will accept as final and binding the decisions of the Trustee Board. I
also promise to promote the object of the Institution to foster and promote the art and science of Civil Engineering and to attend its
meetings as often as I conveniently can. I declare the information in this application to be complete and correct. I confirm that if I have an
unspent criminal conviction, I have informed ICE about it and provided the information required.
I agree that the College(s) and/or Universities from which I graduated may release details of my qualifications to the Institution of Civil
Engineers and I agree that if any of the qualifications I have claimed are found to be false, the Institution of Civil Engineers may inform
any other interested third parties such as my employer, any other professional bodies of which I am a member and any qualifying body
from which I claimed a false qualification, and the Institution of Civil Engineers may also provide copies of the documents containing
these false details to these other interested third parties.
I also understand that if any of the qualifications I have claimed are found to be false my application will be rejected and the Institution
will notify the person(s) supporting my application of the reason why my application has been rejected. I agree that the Institution of Civil
Engineers may contact employers and other parties connected with my application to verify the information provided.
General Data Protection Regulation (GDPR)

The Institution of Civil Engineers and Thomas Telford Ltd maintain data on all members. We also maintain data on non-members who
use our services. This will be used confidentially for normal purposes, including subscription and donation collection, mailing of
publications, contract fulfilment when purchasing TTL products and services and notification of conferences and events.
Overseas members may have their data transferred to International Country representatives for administration of local events in their
country of residence. Member data will also be shared with the ICE Benevolent Fund.
Personal data relating to ICE membership may be stored securely in perpetuity for historical purposes. Personal data relating to non-
members and/or TTL customers will only be held for as long as needed to fulfil the purpose for which it was collected.
We may wish to use this information to inform you of professional knowledge products that ICE and TTL provide such as training,
books, journals and model engineering contracts. To join our mailing list please opt in:
For more information on how and why we collect and use personal data and your rights as an individual please review the ICE Privacy
Notice.
Signed: Date:
Please return via email to member.assessment@ice.org.uk

Equal opportunities monitoring form
ICE is fully committed to valuing and representing the diversity of our members and applicants. As part of
your application for membership, we would like to ask you a few questions about your background to help us
achieve this. As an alternative to completing this form you can submit this data directly online within “My
Profile” of your MyICE account.
The information you provide will only be used in an aggregated form and you will never be individually
identifiable. You can opt to decline to answer each or any of the questions if you wish.
Find out more about ICE’s equality and diversity policy.
Religion (please select one option only) Disability (please select one option only)
None None
Christian Specific learning difficulty (eg dyslexia)

Buddhist Blind or partially sighted
Hindu Deaf
Jewish Wheelchair or mobility difficulties
Muslim Autistic Spectrum Disorder or Asperger

Syndrome
Sikh Mental Health difficulties

Other Unseen disability (eg diabetes, epilepsy,
heart condition)
Prefer not to say Multiple disability (2 or more of the

above)
Other
Ethnicity (please select one option only) Prefer not to say
White British
White Irish Sexual Orientation (please select one option
only)
Mixed – White & Black Caribbean Bisexual
Mixed – White & Black African Gay man
Mixed – White & Asian Gay woman/Lesbian
Indian Heterosexual/Straight
Pakistani Other
Bangladeshi Prefer not to say
Black – Caribbean
Black – African Is your gender the same as the gender given at
birth?
Chinese Yes
Other No
Prefer not to say Prefer not to say


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Member Assessment application form

Application to assess eligibility for:

Professional Review intentions

I am planning to apply for Professional Review in

Family name Title

Member Assessment application Institution of Civil Engineers is a Registered Charity in

Awarding Qualification Course Title Attendance Class or Start End Date

Your Professional Experience

Please confirm that you are not a graduate member of ICE

Continuing Professional Development (CPD) records

Member Assessment application Institution of Civil Engineers is a Registered Charity in

Attribute achievement form

Appendices of your work to support your attribute statements

2. Alternative method of payment

Important undertaking to be signed by the applicant:

General Data Protection Regulation (GDPR)

Please return via email to member.assessment@ice.org.uk

Member Assessment application Institution of Civil Engineers is a Registered Charity in

Christian Specific learning difficulty (eg dyslexia)

Muslim Autistic Spectrum Disorder or Asperger

Sikh Mental Health difficulties

Prefer not to say Multiple disability (2 or more of the

Member Assessment application Institution of Civil Engineers is a Registered Charity in

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