INITIAL APPLICATION
FOR REGISTRATION AS A CHARTERED SCIENTIST (CSci)
Please read the CSci Standards and Applicants Short Guide before completing this form
Title:
Forename(s):
Membership No:
Surname:
Date of Birth:
Email:
Postal Address:
Post Code:
Tel No:
Mobile:
Are there any adjustments that need to be in place to facilitate your participation in the review
process? (Eg If you are dyslexic, we can provide extra time to read material or provide information in
large text)
Yes ☐ Please provide details of adjustments required below
No ☐
Are you currently applying or have you previously applied for this level of registration through
another professional body?
Yes ☐ Please provide details of professional body below:
No ☐
APPLICATION
I have read and understood the Chartered Scientist Standards and I wish to apply for registration as a
Chartered Scientist. I understand that my competence as a Scientist will be assessed against these
standards through the Professional Review process. I have completed the table or enclosed a
Masters Equivalence Report to demonstrate I have the required level of knowledge (Masters level
degree or equivalent) and responsible practical experience (ordinarily four or more years) and have
obtained the support of two Sponsors, one of which holds Chartered status. Please advise if I am
eligible to proceed to Professional Review.
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 and that details will be held on
computer. I agree to my contact details being used for the purposes of establishing and maintaining
registration as a Chartered Scientist.
Signed:
Print Name:
Date:
Please ensure that every section of this form is completed legibly and that you and your Sponsors
have signed and dated the form. Send the form, together with:
1.
2.
3.
4.
a detailed CV giving qualifications and relevant training and employment
a job description for your current (or latest) post
documented evidence of qualifications and training (signed copy certificates - no originals)
a Masters Equivalence Report (only if you do not hold a relevant Masters level degree)
to: Institute of Water, 4 Carlton Court, Fifth Avenue, Team Valley, Gateshead, NE11 0AZ
Your application will be sent to an Institute of Water assessor and you will be advised by Head Office
how to proceed.
Please complete the table below to demonstrate achievement of required levels of knowledge and
experience. Enclose copies of academic certificates signed by one of your Sponsors who has seen
the original(s). If you do not hold a relevant Masters level degree or equivalent you must submit a
Masters Equivalence Report (refer to “Masters Level – Requirement for Registration as CSci or
CEnv”)
Qualification
Work Experience
Year Awarded
From
To
No. of Years
Example: Principal Scientist
2009
2012
3
Example: Quality Science Manager
2007
‘2009
2
Chartered Scientist status establishes professional scientists on a par with other professionals such
as Chartered Engineers and Chartered Environmentalists. As a sponsor you must be familiar with the
applicant in a work context and believe them to be ready for Professional Review. One sponsor
must have sight of original certificates for any qualifications claimed in the table and should
sign one copy of each certificate. Both sponsors should be registered with at least one
sponsor holding Chartered status. Sponsors should have been professionally registered for at
least 2 years before being eligible to sponsor an applicant.
SPONSOR 1
Title:
Forename(s):
Surname:
Email:
Day Time Telephone No:
Professional Qualifications:
Date Awarded:
Job Title:
Please state how long you have known the applicant and in what capacity:
I confirm I understand the standards required for Registration as a Chartered Scientist and I believe
that (enter applicant’s name)
is ready to be assessed against
these standards.
Signed:
Date:
...................................................................................................................................................................................
SPONSOR 2
Title:
Forename(s):
Surname:
Email:
Day Time Telephone No:
Professional Qualifications:
Date Awarded:
Job Title:
Please state how long you have known the applicant and in what capacity:
I confirm I understand the standards required for Registration as a Chartered Scientist and I believe
that (enter applicant’s name)
is ready to be assessed against
these standards.
Signed:
Date: