Student application form

Section A: Personal details

Title ^* (required)

Forename(s) ^* (required)

Surname ^* (required)

Date of birth (please type in full including the year) ^* (required)

Term time address

Address ^* (required)

Address 2

Address 3

Town ^* (required)

County

Postcode ^* (required)

Telephone

Mobile number ^* (required)

Email ^* (required)

Permanent/parental address

Address ^* (required)

Address 2

Address 3

Town ^* (required)

County

Postcode ^* (required)

Telephone

Please select your main contact address ^* (required)

Term time address

Home/parental address

Employer details (if relevant to construction industry)

Employer

Practice address

Postcode

Work telephone

Work fax

Work email

Website

Job title

Please select which best describes your employment status ^* (required)

I am self-employed (solo practitioner/partner/director/LLP member)

I am employed on a freelance basis

I am an employee

I am unemployed

Please briefly outline the type of services and/or advice you are providing

Section B: Programme Details

Name of university/college studying at ^* (required)

I am studying a ^* (required)

Degree

Foundation degree

HNC

HND

NVQ

Other

The programme is ^* (required)

Part-time

Full-time

Sandwich

Programme title ^* (required)

Programme completion date (please type in full including the year) ^* (required)

Section C: Declaration - all applicants

I submit this form and additional documentation as accurate records in support of my application for election to student membership of the Chartered Institute of Architectural Technologists (CIAT).

I fully understand the requirements for membership as set out in the Becoming a Member booklet, the CIAT Code of Conduct and the list of current membership fees. I agree to accept the decision of the Institute regarding my eligibility for election. If elected to membership, I will abide by the rules and regulations specified in the Institute's Charter and any other directive specified by CIAT.

You may also wish to familiarise yourself with the Institute’s Byelaws and Regulations, which can be obtained by contacting us.

I will keep CIAT informed of any change in my circumstances in writing, which may affect my membership.

I have read and agree to the Code of Conduct.

Agreement ^* (required)

I agree

Disclosure

Data Protection ^* (required)

All personal data will be held in keeping with General Data Protection Regulation principles. If you have any queries or requests then contact [email protected]. N.B. You cannot elect to be excluded from CIAT related mailings (via mail or email). Please tick this box to agree.

Promotional messages

Promotional Emails

CIAT may partner with third parties who provide useful information and/or exclusive offers to members. If you would like to receive information from these organisations, please tick this box.

Section D: Referee - all applicants
The following person will act as a referee in support of my application and considers me suitable for election to membership. This referee is not related to me.

Name of referee ^* (required)

Job title ^* (required)

Address ^* (required)

Address 2

Address 3

Town ^* (required)

County

Postcode ^* (required)

Email ^* (required)