The Engineers Ireland Future Professionals Series

The Engineers Ireland Future Professionals Series

CPD ScholarshipApplication Form 2014

Deadline for Receipt:

CPD Certificate in Professional Engineering –Monday 12th January, 2015

CPD Diploma in Professional Engineering - Monday 12th January, 2015

Please complete this form as fully and accurately as possible using block capitals

This form is used for assessing CPD Scholarship Applications for both strands of the Engineers Ireland Future Professionals Series: the CPD Certificate in Professional Engineering (6 months)and the CPD Diploma in Professional Engineering (12 months) and is open to members of Engineers Ireland.

Engineers Ireland complies with the Data Protection Act. All details received will be treated as confidential. Engineers Ireland operates an Equal Opportunities policy.

I wish to apply for a CPD Scholarship place on the Engineers Ireland:
(delete as appropriate) / CPD Certificate in Professional Engineering
6 months
CPD Diploma in Professional Engineering
12 months
LOCATION FOR FUTURE PROFESSIONAL SERIES IS DUBLIN ONLY

Section 1: Contact Details

Surname/Family Name: / First Name:
Engineers Ireland Membership Number: / Known Name, if other than First Name:
Organisation Name: / Total number of engineers employed at allyour organisation’s locations:
Home Address: / Work Address:
Home Phone Number: / Work Phone Number:
Your contact email Address: / Mobile Number:
Date your employment commenced:
Nature of your contract i.e. full-time, part-time etc
Your job title:
Name of your HR Manager (or equivalent person if you do not have a HR Manager):
Contact email address for HR Manager or equivalent:
Contact phone number for HR Manager or equivalent:
Please confirm you have discussed this application with your HR Manager, or equivalent, and you are clear that you have the support and commitment of your organisation’s top management team to participate if selected for a CPD Scholarship.
(Delete as appropriate) YES, I have NO, I haven’t
Any other relevant comments regarding Contact:

Section 2: Education

1)Third Level Education

Degree Title / University/Institute / From: MM/YY
To: MM/YY
Overall Result:
(Anticipated result if applicable)
Post Graduate Qualification Course Title (if applicable)
University/Institute
Year Completed
Qualification Achieved
Main subjects covered
Title of Thesis

Section 2: Education contd.

Please give a short synopsis of relevant project work, thesis, degree subject etc. (If you have not completed a thesis as part of your degree, masters etc. please outline an example of some project work you have completed)
Other educational / developmental achievements e.g. self-driven development, academic awards, scholarships etc. which you think are relevant and will support your application

2)Languages

(Definitions: Excellent-highest skills/equivalent to native speakers. Good- able to conduct business but without total fluency. Fair- some fluency, will require assistance to conduct business)

NOTE: Applicants must have EXCELLENT English in all three categories

Languages / Read / Write / Speak
English

Others (Please describe)

Section 3: Previous Employment History

Complete this section starting with most recent employmentbeyond current position

From
Year / To
Year / Name and Address of Employer / Job Title / Description of Main Responsibilities

Section 4: Extracurricular Activities

*Please complete the column from the following choices

A. Sports TeamB. Student Organisation

C. Professional OrganisationD. Other Organisation (Please describe)

** Please complete the column from the following choices

A. President or Head PositionB. Assistant to President or Head

C. Member (But No position)D.Other positions (Please describe)

From / To / Nature of Organisation (*) / Organisation Name / Position Held (**) / Responsibilities (If applicable)

Section 5: References

Please give the names and addresses of at least two people who can comment on your academic/work ability and suitability for a CPD Scholarship
Name / Name
Address / Address
Position / Position
Telephone No: / Telephone No:
Do we have permission to contact them at any time? / Do we have permission to contact them at any time?

Section 6: Merit

Please outline in 300 words or less below why you feel you merit consideration for a CPD Scholarship. You may find it useful to address the 7 aspects under criteria on this page.

Supporting appendices of not more than two A4 pages can be attached

Declaration

I hereby declare that the information given on this application form is true and complete to the best of my knowledge and belief. I understand that any forms of dishonest non-disclosure or incorrect informationmay result in my disqualification for admission to the Future Professionals Series and, if discovered after accepting a CPD Scholarship offer, Engineers Ireland will be entitled to terminate and recoup the CPD Scholarship.

Signature below / Date below
DD/MM/YY

Please return by 5pm on Monday 12th January, 2015

for the CPD Certificate in Professional Engineering

Please return by 5pm on Monday 12th January, 2015

for CPD Diploma in Professional Engineering

BY EMAIL:

Printed and scanned (on headed paper if available) to:

CPD Director, Caríosa Kelly:

Email Subject line should be marked: CPD Scholarship

BY POST:

Printed (on headed paper if available) to:

CPDDirector, Caríosa Kelly, Engineers Ireland, 22 Clyde Road, Ballsbridge, Dublin 4.

Mark envelope: Strictly Private and Confidential

TERMS: The decision of the awarding panel is final. Correspondence cannot be entered into. No cash alternative or exchange is available. Applicants must reside on the island of Ireland. No expenses are covered. Engineers Ireland reserves the right to grant no CPD Scholarships. A CPD Scholarship granted will be rescinded where the inappropriate behavior of a recipient is likely to damage the reputation of Engineers Ireland. Non-attendance may render a CPD Scholarship void.

Engineers Ireland Future Professionals Series

CPD Scholarship Application Form

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