APPLICATION FOR REGISTRATION ON THE CENV IN A DAY WORKSHOP AS A CHARTERED ENVIRONMENTALIST
This form acts as a registration for both workshop and subsequently as registration for Chartered Environmentalist (providing you meet the criteria).
Carefully read the CPD, Code of Ethics, Data Protection Agreement and Confidentiality Agreement on the next page and sign and date.
Please return this form with the workshop fee.Places will be allocated on a first-comefirst-served basis. The fee covers the workshop, assessment and interview fees, and your CEnv subscription to the end of the calendar year.
Date of the workshop you want to attend:
PERSONAL INFORMATION ------
FirstNameSurname
PAYMENT INFORMATION ------
I have called 020 7601 1920 and paid by credit/debit card or
I am enclosing a cheque made to: ‘Institution of Environmental Sciences’ and sent to IES,Floor 3, 140 London Wall, London EC2Y 5DN or
I would like an invoice sent to(email address):
DIETRY REQUIREMENTS------
No special requirements Vegetarian Vegan Other (please specify)
DISABILITY ------
If you consider yourself to have a disability that may affect your ability to access the IES office, complete your report, or undertake your professional review interview in the timescales available, please provide details in the space below or contact the IES office.
HOW DID YOU HEAR ABOUT CENV IN A DAY? ------
IES Website ESMonthly LinkedIn Twitter Word of Mouth Other

OFFICE ONLY:
Approve? / Name / Signed / Date
Assessor 1
Assessor 2
Assessor 3 (if required)
NOTE: In exceptional circumstances where these conditions are not met by a small margin but the Assessors still wish to recommend registration, they may make a positive recommendation, provided theymake a case for dispensation from the normal guidelines. This MUST NOT be out of kindness but because there is evidence which cannot be otherwise be accounted for on the form. Make notes below.

CPD, Code of Ethics, Data Protection Agreement and Confidentiality Statement

CPD------

I agree to annually revalidate my award annually against the IES standards in order to retain the designation. This will involve submitting CPD on an annual basis through the IES online CPD recording tool. Failure to do this will result in losing my CEnv status.

CODE OF ETHICS------

As a Chartered Environmentalist I will:

  • Act in accordance with the best principles for the mitigation of environmental harm and the enhancement of environmental quality;
  • Strive to ensure that the uses of natural resources are fair and sustainable, taking account of the needs of a diverse society;
  • Use my skills and experience to serve the needs of the environment and society;
  • Serve as an example to others for responsible environmental behaviour;
  • Not engage in conduct involving dishonesty, fraud, deceit or misrepresentation or discrimination; and
  • Commit to maintaining my personal professional competence and strive to maintain the integrity and competence of my profession.

I declare that I have read and understood the Code of Ethics for the Society and will endeavour to uphold these principles in my professional capacity.

DATA PROTECTION------

I understand that the information contained in this form will be processed in accordance with the data protection principles enshrined in the 1998 Data Protection Act. I also understand that details pertinent to my application, registration and Chartered Status history will be held on computer in terms of theData ProtectionAct 1998. I agree to my contact details being used for the purposes of establishing and maintaining registrationor support for the Society for the Environment or providing or administering activities forChartered Environmentalists.

CONFIDENTIALITY STATEMENT------

All information you hear about participants in the workshop will be considered Confidential Information, unless the subject of that information clearly states otherwise. This information may be personal or business and includes their presence at the workshop. By signing this form, you confirm that you have read the terms of this Confidentiality Statement and agree to abide by its terms.

CANCELLATION, REFUND AND TRANSFER POLICY------

Due to the high demand for these workshops, no refunds will be permitted if cancellation occurs within 3 weeks of the workshop date. This includes transferring your space to an alternative workshop; in this event, you will be charged for an additional workshop space.Cancellations prior to this date will be entitled to a fullrefund,or an alternative workshop date.


Date

Signed

Please email a scanned copy to or post to Institution of Environmental Sciences, Floor 3, 140 London Wall, London, EC2Y 5DN.