Chartered Management Institute Guaranteed Membership Scheme

GMS Studying Member Application Form

Joining the Institute as a studying member on a Guaranteed Membership Scheme means that you can access the benefits of membership immediately. Studying membership is right for you if you are studying, full or part time, towards a qualification in management or business. Membership of the leading body for professional managers brings with it a wide range of benefits and support services. These are designed to aid your development as a manager at every stage of your career. To discover the benefits of membership, visit our website at: www.managers.org.uk/benefits Please complete each question using block capitals and black ink.
1. Name of your place of study: For Part Time studying members only 18. Job Title: 2. Name of programme: 3. Full time? Part time? 19. Name and address of employer organisation:

4. Programme start date: 5. Programme end date: Postcode: Country: 6. Title (Mr, Mrs, Ms, Other): 20. Work Email: 7. Surname: 21. Work Tel: 8. Forenames: 9. Date of Birth: (dd/mm/yy) 10. Male 11. Term-time Address: No. of employees: 22. Is your Business School funding your studying membership? Yes No If No, Payment details Your membership subscription offers you a years studying membership. Benefits can be found on our website. Studying Membership fee 55 Female Before submitting, please refer to the Classification Codes overleaf and complete as follows: Industry sector: Organisation type: Your position: Your job function:

Postcode: Country: 12. Mobile tel no:

I wish to receive Management Today (UK only) 21 BFPO and Republic of Ireland are treated as UK N.B. Please see www.managers.org.uk for the most up to date fees. a) I enclose a cheque for made payable to the

13. Your personal email*:

*so that we can contact you after graduation to offer you an upgrade to full membership. 14. Permanent Home Address:

Chartered Management Institute OR b) Please charge my MasterCard/Visa for Card No:

Expiry date: (mm/yy) Cardholders name: Postcode: Country: 15. Home tel no: 23. Signature: Date:

16. Ethnicity*:

We look forward to welcoming you into membership. Good luck on your course!
Please return this form to: Membership Operations, Chartered Management Institute, Management House, Cottingham Rd, Corby, Northants, NN17 1TT, United Kingdom. If you require any assistance in completing this form, please call Membership on +44 (0)1536 207307. You can access our website at www.managers.org.uk.
If you have been convicted of a criminal offence, or have a prosecution pending, this must be declared. A declaration must be made of insolvency or undischarged bankruptcy. Please note: This information will be treated in the strictest confidence and will only be taken into account if relevant. Spent convictions under the Rehabilitation of Offenders Act need not be disclosed.

*Please refer to the Classification codes overleaf 17. Do you consider yourself to be disabled? Yes No

1. Industry sector - in which industry sector does your employer operate? Please record one code only.
Code 2187 2188 2189 2190 2191 2192 2193 2194 2195 2196 2197 2198 2199 2200 Description Agriculture, forestry & fishing Business services Central government Construction Consultancy Creative/Media Defence - please specify: Air force Army Navy Defence other Education Electricity, gas & water supply Engineering Fire & Rescue Code 2201 2202 2203 2204 2205 2206 2207 2208 2209 2210 2211 2212 2213 2214 2215 Description Finance & insurance Health & social care Hospitality & catering Housing & real estate IT Justice/Security Legal & accounting services Leisure & tourism Local government Manufacturing & production Mining & extraction (incl oil & gas) Police Telecommunications & post Transport & logistics Wholesale & retail

2. Organisation type - please record one code for your employer.

Code CHAR PART PRILC Description Charity/Not for profit Partnership Private limited company Code PLC PRISEC SOLE Description Public limited company Public sector Owner managed/sole trader

3. No of employees - please record one code for total no. of employees.

Code N075 N076 N077 N078 Description Sole trader 1 to 9 10 to 49 50 to 249 Code N079 N080 N081 Description 250 to 999 1,000 to 10,000 Over 10,000

4. Your management position - please record one code.

Code M031 M032 M033 M034 M035 Description Chairman Chief executive/Managing partner Director/Partner Non-executive director Senior manager Code M036 M037 C1579 C799 M040 Description Middle manager Junior manager Self employed Retired Other

5. Your job function - please record one code.

Code 2216 2217 2218 2219 2220 2221 2222 2223 2224 Description Administration Advertising/PR/Corporate affairs Distribution/logistics Engineering Facilities Finance/Accountancy HR/Personnel/Training IT Legal Code 2225 2226 2227 2228 2229 2230 2231 2232 Description Operations Production Purchasing/Contracting Customer services R&D Sales Marketing Other

6. Your ethnicity - please record one code.

Code E058 E059 E060 Description White British Irish Any other white background Mixed White and black Caribbean White and Asian White and black African Any other mixed background Code E065 E066 E067 E068 Description Asian or Asian British Indian Bangladeshi Pakistani Any other Asian background Black or black British Caribbean African Any other black background Chinese or other ethnic group Chinese Any other background Not specified

E061 E062 E063 E064

E069 E070 E071

E072 E074 E075