Application for Fellowship of the Landscape Institute 2012

The information note which accompanies this application form gives important information about how your application will be considered and the documentation you are asked to supply. Please read it carefully before making your application. The deadline for submission of applications and proposers letters for those wishing to apply for fellowship in 2012 is 1 June 2012

Your details

Last name ______

First name ______

Title ______

Address ______

______

Daytime Tel No: ______

E-mail address ______

LI Membership No ______

Professional experience

Please enclose a Curriculum Vitae detailing your relevant professional experience. You should

include full details of your career to date, including, for each position you have held, and where applicable, your job title, employer, dates of employment (month and year), brief description of position including level and nature of responsibility and details of projects or initiatives for which you held a lead role or particular responsibility. It is helpful to the Board if you can clarify any gaps or overlaps in your experience (for example, where you held more than one post or were also studying part time).

Please enclose evidence of your Continuing Professional Development (CPD)


Higher Education and Training

Please list, in chronological order, the relevant academic and vocational qualifications you have obtained to date and any other periods of relevant training you have undertaken which you feel may be relevant to your application for fellowship or academic fellowship of the LI. For each, where applicable, give the full title and level of qualification obtained and the date conferred. Please note that to assist the Board you are asked to complete this section even if this information is provided on your CV.

Title of qualification and level of attainment eg BSc Ecology / University, College or other institution / Date conferred

Research and Publications

Please give details of any academic research you have undertaken, either working independently or as part of a research group, and details of any relevant publications, awards, grants or prizes□. Please leave blank if not applicable.

Professional Membership and Decorations

If you are a member of any other relevant professional bodies or learned societies, either in the UK or in another country, or hold any designations or decorations, please give details below.

Professional body, society or other institution / Grade, designation or decoration eg MRTPI / Date conferred


Personal statement

Please enclose a brief statement in support of your application for Fellowship of a maximum of two sides of A4. Your statement should

1.  introduce and explain the evidence you have enclosed within your portfolio of supporting evidence, highlighting any particular points you would like to bring to the Board’s attention.

2.  comment on how you feel your professional experience, personal qualities and contribution to the profession would fit you for Fellowship of the Landscape Institute

3.  include any other information you wish the Board to take into account in considering your application.

Throughout your personal statement you should seek to address the criteria for Fellowship outlined in section 1 of our information note, Applying for Fellowship of the Landscape Institute, included in your application pack.


Portfolio of supporting evidence

Please enclose a small portfolio or resume of your more important professional work for the Board’s consideration. You should seek to include a range of material which will enable the Board to gain a good understanding of the breadth and quality of your work. Your portfolio should be no larger than A3 in format: please see the accompanying letter for further guidance on items you might wish to include in your portfolio.


Proposers

In support of your application you are asked to nominate two proposers, who have agreed to provide a confidential statement to the Chief Executive with regard to their knowledge of your professional experience and integrity. One of your proposers must be a Fellow of the Landscape Institute; your second proposer may be either a Member or a Fellow. Letters for you to forward on to your proposers are enclosed in your application pack.

Proposer 1 Your first proposer should themselves be a Fellow of the LI

Name / Daytime telephone number / Email address

Proposer 2 Your second proposer may be either a Chartered Member or Fellow of the LI

Name / Daytime telephone number / Email address


Data protection

The details you give of your name, contact details and the qualifications and designations on which you rely as the basis of you application will be used as the basis of your entry in the List of Members and will be recorded on the Institute’s database. The information you supply on this form will be used for automatic processing of your annual membership and for supplying you with information about the Landscape Institute and the profession. Additionally, your name and grade will be published on the Members Section (password protected) of the Institute’s website unless you indicate below that you do not wish your details to be published.

□I am content for my details to be published by the LI on the password protected Members Section

□I do not want my details published

Declaration

I, the undersigned, being a Chartered Member of the Landscape Institute, hereby apply for election as a Fellow of LI. I declare that the statements made by me in support of this application are a true account of my professional standing, experience, education and achievements. I further declare that I shall continue to be bound by the Charter, By Laws and the Code of Professional Conduct of the Institute and that, if elected as Fellow, I shall vigorously promote the Institute to the best of my ability. I understand that my membership shall continue until such time as I shall give written notice or my resignation.

Signed ______Date: ______


Monitoring form

The LI is committed to ensuring that the profession is accessible to all sections of the community. We monitor the profile of our membership to ensure that the Institute is compliant with equality and diversity legislation and that we carry out our work in accordance with best practice.

Please help us in this work by completing the section below. Your details will be stored on the LI’s secure database and will remain confidential.

Please note that the Institute may, from time to time, publish reports on the overall profile of the membership. These will present data in aggregated form, and will not be made available in any format which would enable you to be individually identified.

How would you describe your ethnic origin?

White: □ British Mixed: □ White and Black Caribbean □ Irish □ White and Black African

□ Other______□ White and Asian

□ Other______

Black: □ Black British Asian: □ Asian British

□ Black Caribbean □ Asian: Indian

□ Black African □ Asian: Indian

□ Other______□ Asian: Bangladeshi

□ Asian: Other ______

□ Chinese

□ Other Asian ethnic group

Other ______Prefer not to say □

Would you describe yourself as having a disability?

□ Yes □ No