Application Form

Guidance note G3 is available on request to assist with the filling out of this form.

Surname (family name)

Given Names

Title, Honours

Address Line One

Address Line Two

Address Town

Address County

Address Country

Address Postcode

Mailing Address

Home Tel

Business Tel

Mobile Tel

Email

Business Email

Date of Birth

Existing Membership

For membership we reserve the right to ask for a referee and to follow up accordingly. The referee should be an individual of professional standing and preferably registered with an appropriate professional institution.

Data Protection

I understand and consent to the information provided on this form being processed by the IAgrE for its sole use (including my Local Branch), for the purpose of promoting, delivering and improving my experience of the IAgrE and its products and services or such other purposes as are described in the IAgrE Privacy Statement and Disclaimer. I give my permission for IAgrE to access my information for management, administration and registration purposes. I confirm that I wish to receive notification (by post or electronic means) of IAgrE products, events and services which may be of interest and benefit to me.

Please tick the box to confirm you have read and accepted these Data Protection Terms and Conditions

Declaration

I declare that the statements made on this form are to the best of my knowledge true. I agree to comply with the Memorandum and Articles of Association, and associated Regulations of the Institution of Agricultural Engineers (IAgrE). I understand that this is a commitment to behave ethically within my profession. I will do my best to promote the interests of the IAgrE. I confirm that I have not committed any offence of which the IAgrE would require me to give notice under its Rules of Conduct. The Rules of Conduct, Memorandum and Articles of Association, and associated Regulations are published on the website www.iagre.org

Membership of IAgrE implies compliance with IAgrE’s Continuing Professional Development (CPD) requirements, a copy of which is available at www.iagre.org or on request. I further undertake that I will pay any fee or subscription from time to time prescribed in the Articles, and, if at any time I desire to resign from the Institution, I will forthwith pay to the Institution all arrears of subscription or other payments due from me.

Please tick the box to confirm you have read and accepted these Membership Terms and Conditions

Society of the Environment only

Tick to opt in to receive newsletters, event details and general opportunities from the Society for the Environment via email.

Tick to opt in for the Society for the Environment to announce your new registration via their public facing platforms. Announcement to include forename, surname, registration level, Licensed Member, job title and employer

1. Personal Information

2. If applying for membership or transfer please select requested grade

3. If applying for professional registration please select requested level

4. Please state existing memberships and registrations of professional bodies

5. Please list your technical education and training (most recent first) or provide a comprehensive CV. Note, digital or photocopies of qualification certificates are required

6. Current/Last Employer

7. Referee (only required for Fellow and professional registration applications)

8. Declarations (to be ticked & signed without alteration)

9. Checklist