Thank You for Applying to Study with CIH

Thank you for applying to study with CIH

CIH is the largest awarding body for housing qualifications in the UK - so if you’re looking to take the first or next step in your career then you’ve come to the right place!

What’s included
This form contains everything you need to apply for an online qualification:

·  Application form

·  CIH membership form

·  Equality and diversity monitoring form

·  Terms and conditions

What we need from you
to help us process your application as quickly as possible so you can begin your studies we will need:

·  All of the application forms completed

·  Photocopies of your previous qualification certificates

We’re here to help
Our friendly learning team is on hand to help you every step of the way. If you have any enquiries about your application please contact us:

·  Call us on 024 7685 1789

·  Email or

·  Fill in an online call back request form

Application form

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Personal details

Name:
Home address:
Home telephone no: / Home email address:
Have you lived in the UK or EU for the last three years?
(If no, our delivery partners will require further information and you may need to pay the overseas student rate to them) / Yes [ ] / No [ ]

Employment Information

Organisation:
Work address:
Phone: / E-mail: / Fax:
Work telephone no: / Work email address:
Job title: / Role level: / Role type:
Please indicate your preferred contact number / Home [ ] Work [ ]
Please indicate your preferred email address / Home [ ] Work [ ]

Choose your course

Which course do you wish to apply for? The following is a list of the courses currently being offered by CIH online learning. Please tick the box before the full title of the course you are applying from the list below:
Level 2 Certificate in Housing Practice
Level 3 Certificate in Housing Practice / Three specialist options are available focusing on the following areas:
Housing and communities
Housing and support choose either
Independent living for older people or
Housing & Younger People
Housing options and advice
Managing Properties
Please select one of the above.
Level 4 Certificate for the Housing Profession
MSc top up
Professional Diploma in Housing
Post Graduate Certificate in Housing Studies

qualifications

Please provide photocopies of your certificates when submitting your application

Please list your qualifications including CIH qualifications

Dates studied / Subject/level / Grade (if known)

career history

Please tell us about your employment history. If you are currently working in a voluntary position in housing, please specify the organisation you work for and your role
Date / Employer / Position

course start date

When do you want to start this course?

How did you hear about us?

Please tick one of the following that is most applicable to let us know how you heard about this course:
Advert
College referral
Event
Flyer
Press
Website
Word of mouth
Social network (please specify)
Other (please specify)

method of payment

Self-financing students
Either
Return the form by email/fax indicating that you will be sending a cheque and a hard copy of this form in the post (please note we will not be able to process your application form until we have received your cheque)
or
Return the form by email/fax and call us with credit card details – 024 7685 1789. Please note that we accept Mastercard/Visa/Switch/Maestro.
Sponsored students
Either
Return the signed form by email and scan/send a letter of authority (this should include the name of the student, the amount to be invoiced, purchase order number and the address for the invoice to be sent to). Please note we will not be able to process your application form until we have received your letter of authority).
or
Return the form by post completing the below declaration by employer or including a letter of authority (this should include the name of the student, the amount to be invoiced and the address for the invoice to be sent to).

Declaration by employer

I hereby declare that the course fees will be paid for this applicant upon receipt of an invoice.
If you are only paying part of the course, please state clearly what percentage this is.
Employer name:
Address for invoicing:
Authorised by (print name):
Authorised by (signature):

Declaration by applicant

I certify that the information given in this form is correct (please complete if faxing or posting this application form).
Where fees are paid by your employer or a sponsor, CIH will provide details of your progress to them. Please tick the box if you DO NOT agree to this.

(See terms and conditions for information on our refund policy)

By signing this form, you will accept that:

·  All information as published here or elsewhere in our promotional materials is correct at the time of printing. The CIH and its partnership institutions reserve the right to change any information including contents of the courses and assessment details where and when necessary within the requirements of the syllabuses;

·  You have read the course information and understand the level of time commitment needed to complete your studies and produce written assignments within the given deadlines. You have read and understood our refund policy.

Signature / Date

CIH MEMBERSHIP

You are entitled to be a CIH member as part of registering for a CIH qualification.

Are you already a CIH member? Y/N If yes, please indicate your membership no. ______

If you are not currently a CIH member, we will register you automatically and provide you with member benefits designed to support you in your role and your studies with access to a range of journals, including your own copy of the industry’s leading magazine Inside Housing, as well as website resources and discounts on other CIH products and services. Further information about how to access the full range of services will be sent to you as part of your membership welcome pack.

In order to obtain proof of the circulation figures provided for Inside Housing please sign below to formally request your copy.

Signature / Date

Membership terms and conditions

A full copy of the CIH Charter & Bylaws and Code of Conduct can be found at: www.cih.org/codeofconduct

In becoming a CIH member you are undertaking to observe the provisions of the Charter & Bylaws, to abide by the CIH Code of Professional Conduct, and to contribute, if able, to the activities of CIH.

Signature / Date

DATA PROTECTION STATEMENT

In making this application your contact details will be stored on our database. As a member of the CIH we will use these details to provide you with information and benefits relevant to your membership. From time to time membership details are passed to third parties for the sole purpose of providing you with products and services that you receive as part of your membership such as Inside Housing magazine.

The CIH does not sell its membership lists to any other organisation for marketing purposes. You can manage the information that we provide to you by opting in or out of receiving specific types of information by registering and logging in to your online account at www.cih.org/mycih

MENTOR

A mentor is someone from your employing organisation or voluntary placement who can offer you the support, guidance and advice you will need in order to complete your studies at a practical level. It could be for example, your supervisor, line manager or a senior colleague who you think can act as a ‘sounding board’, or you feel comfortable to turn to for sharing ideas or offering practical help. We strongly recommend you have one in place before you start your course.

If we need to contact your mentor, we will always seek your permission first.

Your mentor

Name:
Address:
Preferred tel no: / Email address:

CIH equality and diversity monitoring

CIH is committed to ensuring that its services are accessible to everyone regardless of race, gender, ability, religion, sexual orientation or age. The information you provide on this form will help us comply with our policy of ensuring equality in our services to you.

We recognise that some people may regard some of this information as personal and we have, therefore, included an option in most questions for “prefer not to say”. You do not have to complete all of this form but it will help us improve our services if you can complete as much as possible and return the form.

All information CIH collects around equality and diversity will be treated confidentially in accordance with the Data Protection Act and will be stored on the CIH database. Access to this information will be restricted to staff involved in the processing and monitoring of this data. It will be used to provide statistical information only.

Please give your consent below for your information to be stored and used in this way.

Signature / Date

Equality and diversity monitoring form

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Section a

Date of birth: DD/MM/YYYY Prefer not to say

Section b

The Equality Act 2010 defines a person as disabled if they have a physical or mental impairment, which has a substantial and long term effect (e.g. has lasted or is expected to last at least 12 months) on the person’s ability to carry out normal day-to-day activities. (If you fill in this section please see terms and conditions*)
Do you consider yourself to have a disability according to the terms given in the Equality Act 2010? / Yes No Prefer not to say
If yes, please indicate the type of impairment that applies to you. Please tick all that apply. If your disability does not fit any of these types, please mark other and specify.
Physical/mobility impairment, such as a difficulty using your arms or mobility issues which require you to use a wheelchair or crutches
Visual impairment, such as being blind or having serious visual impairment
Hearing impairment, such as being deaf or having a serious hearing impairment
Mental health condition, such as depression or schizophrenia
Learning disability/difficulty, such as Down’s syndrome or dyslexia or a cognitive impairment such as autistic spectrum disorder
Longstanding illness or health condition, such a cancer, HIV, diabetes, chronic heart disease or epilepsy
Other (please specify)

Section c

The following ethnic groups are based on the Census 2011 categories and are listed in alphabetical order
Asian, Asian British, Asian English, Asian Scottish, Asian Welsh or Asian Irish
Indian / Pakistani / Bangladeshi
Chinese / Other Asian background (please state)
Black, black British, black English, black Scottish, black Welsh or black Irish
Caribbean / African / Other black background (please state)
Mixed
White and black African / White and black Caribbean / White and Asian
Any other mixed/multiple ethnic background (please state)
Other
Arab / Other (please state) / Prefer not to say
White
English / Welsh / Scottish
Northern Irish / British / Irish
Gypsy or Irish traveller / Any other white background (please state)

Section d

Gender

Male / Female / Prefer not to say
Do you identify yourself as transgender?
For the purpose of this question transgender is defined as an individual who lives, or wants to live, in the gender opposite to that which they were assigned at birth.
Yes / No / Prefer not to say

Section e

Religion/belief
Buddhism / Judaism / Other (please specify)
Christianity / Islam / Prefer not to say
Hinduism / No religion / Sikhism

Section f

Sexual orientation
Bi-sexual / Heterosexual/straight / Other (please specify)
Gay man / Gay woman / Prefer not to say

Thank you for registering to study with CIH.

Terms and conditions
Your course materials will be made available on the Moodle website prior to the start of your course and you will be sent more details at this time.

Refund policy
The policy below will be strictly adhered to. All withdrawals from the course must be made in writing to CIH.

Stage / Policy
From acceptance of application to 6 weeks after 1st assignment opens / Full fee minus £75 admin fee
6 weeks after 1st assignment opens onwards / No refund

*If you have filled in Part B of the equality and diversity monitoring form it is important that you read and understand the CIH learning and support arrangement which we will send you to sign and return as part of your application. Please note that we will not be able to finalise your enrolment until we have received your signed copy of the arrangement document.

Learn with us. Improve with us. Influence with us | www.cih.org | 024 7685 1700