application for reinstatement to membership only) card holder signature date to enquire about any...

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Application for Reinstatement to MembershipYou can type directly into this form, but you cannot save a copy of the completed form on your computer. Thecompleted form must be printed and returned to the RTPI with original signatures.

We recommend that you first write and save text for the more detailed sections of the application form using aword processing programme. You can then copy and paste the text in the appropriate sections before printingthe form. This will prevent you from permanently losing data should you encounter problems while completingthe form.

Please note previous Student Members should use the Student Membership application form to reinstatedtheir membership.

Please refer to the Guidance for Applicants (Page 12 - 13) for instructions on how to complete this applicationform.

Your RTPI membership number, if known

Your previous membershipPlease choose appropriate class.

Licentiate

Technical Member

Chartered MemberChartered Fellow

Associate Member

Legal Associate

Royal Town Planning Institute41 Botolph Lane, London, EC3R 8DLCharity registered in England 261865 and Scotland SC037841

Previous Surname

A. Contact details

Surname

Contactaddress

Daytime Telephone

Email Address

Forenames

Title Mr Miss Mrs Ms Other Dr Please specify

Preferred Forename

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B. Your membership

How did your membershiplapse?

Resigned from membership

Removed from register for other reasons

Why did you resign from membership or allow your membership to lapse?Please tick all that apply.

Financial reasons:

Could not afford to pay subscription fees.

Could afford to pay fees but omitted to do so before payment deadline.

Employer unwilling to pay subscription fees.

Employer willing to pay subscriptions fee but omitted to do so before payment deadline.

Communication problems with the Institute:

Lost contact with the Institute after moving (did not inform the Institute of change of address).

Did not receive subscription reminders from the Institute.

Professional reasons:

Left planning to take up a post in another profession.

Retired from planning practice.

Took a temporary career break for personal reasons.

Membership of the Institute not relevant for career at the time.

Left the profession after redundancy.

Continuing professional development (CPD):

Unable to comply with the Institute's CPD requirements.

Unwilling to comply with the Institute's CPD requirements.

The Institute's policies:

Dissatisfaction or disagreement with the Institute's policies.

Did not consider costs of membership worth the benefits.

Other reasons: Please specify

If your membership lapsed because of difficulties with complying with the Institute's CPDrequirement, please explain what these difficulties were.

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B. Education

RTPI-accredited undergraduate degree (if applicable)

University

Title of degree

Date of commencement

Date of successful completion of degree (datedegree formally conferred by the university)

Full- or part-time?

RTPI-accredited postgraduate degree (if applicable)

University

Title of degree



Full- or part-time?

Other university degrees you have completed (if applicable)Please provide dates, degree titles and universities.

Non-accredited undergraduate or postgraduate degree (if applicable)Please provide information about degrees that you have completed which are not accredited by theRTPI. It is important to provide this information if you completed a non-accredited undergraduatedegree prior to doing a RTPI-accredited postgraduate degree.

University

Title of degree



Full- or part-time?

Full-time Part-time Distance learning



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Your current employment

Your job title

Date of commencement of your post

Name of organisation

Address oforganisation

Your previous employment

Your job title

Dates you were in this post




Your job title





Your job title




D. EmploymentPlease provide information on all relevant employment in spatial planning in chronological order. You mayattach additional sheets if necessary.

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What have I achieved to date in my career with regard to skills, knowledge and competence?

What are my future development needs with regard to skills, knowledge and competence?

What are my career goals?Please describe your short- and long-term career objectives.

Short-term objectives

Long-term objectives

How will my career objectives be met?

E. Professional Development Plan

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F. Evidence of Continuing Professional Development (CPD)

The Institute's obligatory CPD requirement for all members is a minimum of 50 hours of activity related to theundertaking of or managing of spatial planning in any two-year period. Further information and guidance about CPDare available on the Institute's website at www.rtpi.org.uk, or contact [email protected] for more details.

Applicants wishing to be reinstated to Chartered, Associate, Technical, Legal Associate or Student Membership mustprovide evidence of CPD unless they are engaged in full- or part-time study on RTPI-accredited courses.

Applicants wishing to be reinstated to Licentiate Membership are not required to complete this section.Instead, they should send copies of the last three months of their log books when submitting this form.

Please use the following codes to indicate mode of study; H (home-based learning), W (background reading for workpurposes), A (action-based learning), M (preparation of course material, publications, etc), R (supervised or academicresearch), P (professional work for the RTPI), C (conferences, seminars, etc), Q (courses leading to qualifications) andX (other). See the CPD guidance notes at www.rtpi.org.uk for a fuller description of these modes.

Mode What CPD activity Evaluate what you gained by participating Dates Number of did you do? in this activity (knowledge, skills, hours

competence, etc.)?

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Mode What CPD activity Evaluate what you gained by participating Dates Number of did you do? in this activity (knowledge, skills, hours

competence, etc.)?

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Sponsor's declaration

I the undersigned, being a Chartered Town Planner, hereby support the application of the above candidateto be reinstated to his/her former class of membership of the Royal Town Planning Institute. In addition tobeing satisfied as to the professional quality of the applicant's work, I consider that he/she is, by his/herpersonal qualities, worthy to be reinstated to his/her former class of membership. I know of no reason whythe applicant should not be reinstated. I have also read and approve his/her professional development plan(see Section E).

G. Sponsorship of application

Name of sponsor

Official position of sponsor

Name and address ofsponsor's employer

RTPI membership number of sponsor (if known)

Telephone number of sponsor

Email address of sponsor

Signature Date

Sponsor

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The information you provide in this application form will be held on the Institute's database in accordance with the Data Protection Act 1998.

This information will be used only for administrative purposes, to keep you informed of the Institute's activitiesand to offer goods and services of the Institute, including the services provided by its partners.

Your email addressThe Institute may need to contact its members by email from time to time. Please let us know if you are happyto receive email communications from the Institute.

Third-party mailings

Please tick here if you are happy to receive email communications from the Institute.

Please tick here if you are happy to receive third-party mailings (these are communications fromorganisations other than the Institute and its partners).

Applicant

I wish to be reinstated to my former class of membership of the Royal Town Planning Institute. I promise thatif I am reinstated I will abide by and observe the provisions of the Royal Charter and Byelaws and the Code ofProfessional Conduct, and that I will pay the appropriate subscription fee for the class to which I am reinstated.I promise that I will work to promote the objectives of the Chartered Institute. I confirm that I have, during theperiod since leaving the Institute, complied with the Code of Professional Conduct.

I confirm that all the details in this application are correct to the best of my knowledge.

Signature Date

H. Data Protection

I. Applicant's declaration

Please send your completed application form to:

Membership TeamRoyal Town Planning Institute

41 Botolph LaneLondon

EC3R 8DL

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All fees are payable (by cheque or credit/debit card) to the Royal Town Planning Institute at the point ofapplication. Please note that the institute does not accept BACS payments.

Please indicate below the amount of your payment.

Administration fee (£50 for Members and Fellows, £20 for other classes of membership,free for Licentiate and Student Members)

Membership subscription arrears (you may owe subscription fees for the year in whichyour membership lapsed) £

Reinstatement application administration fee payment details

Name

Payment by chequePlease make cheque payable to the RTPI and attach it to the front of the application.

Payment by credit or debit cardIf you prefer to make a card payment please provide the card holder details below. Please be awarethat we accept only MasterCard, Visa, Visa Debit, Maestro (Switch) or Solo.

Card type MasterCard Visa Visa Debit SoloMaestro (Switch)

Card holder's name (asit appears on the card)

Billing address

Card number

Expiry date

Valid from date (forsome Visa Debit, Maestro,Switch or Solo cards only)

Security code (last 3 digitson signature strip)

Issue number (for someMaestro, Switch or Solocards only)

Card holder signature Date

To enquire about any subscription arrears you might owe please contact the Subscriptions Team:

Tel: 0207 929 9491 or Email: [email protected]

£

£Total Amount:

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4) Do you have a disability as defined under the Disability Discrimination Act 1995?

Equality and diversity

The Institute regularly monitors the profile of itsmembership in order to comply with equality and diversitylegislation. Although it is not compulsory to provide the following information, it will be an invaluable aid for theInstitute to monitor its membership.

This page is detached from your application before it is considered by the Membership Panel.

This information will be held on the Institute's database in accordance with the Data ProtectionAct 1998. It will be treated confidentially and will not be divulged to other parties.

1) Your date of birth

2) Your gender

Please specify:

Please specify:

Please specify:

Male Female

Yes No

NoYes

White British

White English

White Scottish

White Welsh White Irish

White Northern Irish Irish Traveller

Other

Gypsy/Roma

Black African Black Caribbean

Other

Bangladeshi Indian

Other

Chinese

White + Black African White + Black Caribbean

White + Asian

White + Chinese

Other

Other

Information refused

Pakistani

3) Which ethnic category best describes you?

Please specify:

Please specify:

White orWhiteBritish

Gypsy/Roma

Black orBlackBritish

Asian orAsianBritish

Chinese orChineseBritishMixed

Other

Informationrefused

5) Are you a UK national?

If yes, what is the nature of your disability?

If you are not a UK national, are you a national of another EU country?

Please specify which country

If you are not an EU national, what is your country of origin?

Please specify which country

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Application for Reinstatement to MembershipGuidance for Applicants

General information

1. The Executive Board has the power to reinstate to membership of the RTPI anyperson who has resigned or whose membership has been terminated, eitherunconditionally or subject to such conditions as the Executive Board in its absolutediscretion may consider appropriate.

2. In cases where membership was suspended or terminated because of unprofessionalconduct (or would have been but for the member's resignation before action could betaken), the Executive Board may decide to exercise its discretion to excludeapplicants whose behaviour was such as to be of serious public concern and whosereinstatement would have a significant adverse effect on the image of the profession.

3. In cases where applicants resigned or had their membership terminated for non-payment of subscriptions on more than one occasion, the Executive Board mayexercise its discretion to refuse reinstatement or to impose conditions as to theprepayment of subscriptions.

4. Applications for reinstatement are considered by the Membership Panel which makesrecommendations to the Executive Board to reinstate former members.

Application deadlines

5. Applications for reinstatement to Corporate, Associate, Technical, Legal and Studentmembership are considered on the first working day of each month.

Licentiate Membership reinstatement applications are considered on a weekly basis.

Arrears and administration fees

6. Any person whose membership of the RTPI has lapsed will remain liable for anyoutstanding arrears of subscriptions which must be paid before an application forreinstatement can be considered.

7. In addition, an administration fee is payable in advance and a cheque, made payableto the RTPI, must be sent with the completed application. The fee is currently £50.00for Fellows and Members and £20.00 for other classes of membership. There is noadministration fee for reinstatement to Licentiate or Student Membership.

Subscriptions

8. Subscriptions are payable on reinstatement and the initial subscription is calculatedproportionately according to the date of reinstatement. Successful applicants will beadvised separately of the sum due.

Royal Town Planning Institute41 Botolph Lane, London, EC3R 8DLCharity registered in England 261865 and Scotland SC037841

Sponsorship of application

9. Applicants require a sponsor who must be a Chartered Town Planner and must agreeto and sign the Sponsor's Declaration statement in section G.

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Professional Development Plan (PDP)

10. Applicants are required to provide an up-to-date PDP setting out their strengths andweaknesses and describing what steps they will undertake to progress theirprofessional careers. Students enrolled full- or part-time on RTPI-accredited coursesdo not have to provide a PDP.

11. Applicants wishing to be reinstated to Licentiate membership are also not required tocomplete the PDP section of the form. However, they are required to send copies oftheir most recent PDP produced for the Assessment of Professional Competence.

Continuing Professional Development (CPD)

12. Applicants are required to show that they have taken part recently in continuingprofessional development and provide specific details of activities undertaken. Thisdoes not apply to students enrolled full- or part-time on accredited courses.

13. Applicants wishing to be reinstated to Licentiate membership are not required tocomplete the CPD section of the application form. However, they are required tosubmit copies of the last three months of their log books.

14. The Institute's Code of Professional Conduct requires members to take all reasonablesteps to maintain their professional competence. This applies to all membersengaged in whatever capacity as planners.

15. The Institute's obligatory CPD requirement for members is a minimum of 50 hours ofrelevant activity over any two-year period. Applicants for reinstatement tomembership are also required to show that they have undertaken CPD activityequivalent to 50 hours in the two years prior to submission of theirapplications.

Unsuccessful applications

independent of the Membership Panel but which also makes its recommendations tothe Executive Board.

Membership Panel's decision. Appeals must be made within three months of thenotification of the decision and are considered by the Appeal Panel which is

attempt. In such a case, the Membership Panel endeavours to give a clearexplanation of the reasons for its decisions and the applicant may be requested toprovide further information to reconsider the application at a future Panel meeting. Ifthe application is rejected, the applicant may make a formal appeal against the

16. On occasion, an application for reinstatement may not be successful at the first

Applicants wishing to transfer to the Retired class

the same time as the application for reinstatement. This can be obtained from theMembership Education and Lifelong Learning Department.

18. Applicants should submit an application for transfer to the Retired Members' class at

information about CPD activity and the submission of the professional developmentplan will not be required.

practice and who wish to transfer immediately to the Retired Members' class will beconsidered by the Membership Panel on an individual basis. In these cases,

17. Those applicants for reinstatement to corporate membership, who have retired from

Further information

[email protected] Education and Lifelong Learning Department (tel: 020 7929 9462, email:

19. Further information about completing this application form can be obtained from the

application for reinstatement to membership only) card holder signature date to enquire about any...

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