Individual Membership Application Form

“Membership to KIM provides you

with opportunities to achieve professional

and personal success.”

The Kenya Institute of Management (KIM) is a membership-based not-for-profit management training and business development organisation established in 1954. Since its inception, the Institute has acted as a prime catalyst in the effective transfer of management and leadership thought, knowledge and practice to all sectors of the Eastern African economies. The mission of the Institute is to steer and champion excellence, integrity and competitiveness in individuals and organizations throughout Africa and beyond.

INDIVIDUAL MEMBERSHIP Individual membership to the Institute is open to all practising professionals in both public and private sectors who are eager to participate in the advancement of professional management knowledge and practice. Members have full voting rights at the KIM Annual General Meeting.Individual Membership Benefits

• ExclusiveaccesstotheKIMresourcecentrescountrywide

• Exclusiveaccesstoon-lineresourcesand services such as e-journals, business websites, and online databases

• FreeaccesstotheKIMMembershipDirectorywhich aggregates members in areas of specialisation for purposes of marketing, consultancy, job placement, networking and business development

• FreemailingoftheMANAGEMENT - East Africa’s premier business and management magazine

• OpportunitytoadvertiseintheKIMManagement Journal at discounted rates

• OpportunitytoattendKIMlecturesandmanagement forums on leadership, governance and management for free

• DiscountsonKIM’swiderangeofcontinuousprofessional development programmes

• FreeplacementofCVsinKIM’sExecutiveSelection Services database

• FreeKIMcareeradvisoryprogrammes• AccesstoKIMcoachingandmentorship

programme • Quarterlyluncheonsandanannualdinner

for networking and business development • Accesstonegotiatedservicesandproducts

from other third parties • Reciprocalagreementwithothermember

- based organisation that are in partnership with KIM

Membership Upgrade

Based on involvement in the Institute activities and contributions to the practice of management, members are eligible to apply for membership upgrade by filling the membership upgrade form available on the KIM website.

Which membership grade are you applying for? (Please tick where appropriate)

FullMember AssociateMember StudentMember

SECTION 1: GENERAL INFORMATION

Title:(Mr.,Mrs.,Miss,Prof,Dr,Others)

Surname/LastName: FirstName: OtherNames:

DateofBirth:(Day,Month,Year) I.D/passportNo:

Telephone Numbers: Mobile Landline Email:

PermanentAddress&Code: Town: Nearest KIM Branch of Service:

SECTION 2: EMPLOYMENT HISTORY

Company Name Job Title Period (Years)

MEMBERSHIP CATEGORY ELIGIBILITY ENTRANCE AND SUBSCRIPTION FEES (KSHS)

Fellows, FKIM

The grade of Fellow is the highest grade in KIM membership and is awarded to persons whose work and individual efforts have contributed immensely to the promotion of excellence and integrity in the practice of management in KIM and beyond. The grade is awarded on invitation by the Council.

Annual Subscription 10,000

Full member, MKIM

The grade of Full Member is awarded to persons holding executive management positions and have contributed towards the advancement of theory and practice of management as demonstrated by qualification, experience and size of the organization they lead. In addition, the person must show evidence of continuous professional development.

Entrance fee: 2,000

Annual Subscription: 6,000

Total: 8,000

Associate Member, AKIM

The grade of Associate member is awarded to persons who are actively engaged in industry, commerce or public organization and have demonstrated clarity in understanding management practice. In addition applicants must show evidence of continuous professional development.

Entrance fee: 2,000

Annual Subscription: 4 ,000

Total 6,000

Student MemberThe grade is open to students in universities, polytechnics and other middle level institutions recognized by KIM.

Entrance fee and Annual

subscription: 3,000

CATEGORIES OF INDIVIDUAL MEMBERSHIP AND ELIGIBILITY

Application Received by Date:

Recommended Grade Member No.

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SECTION 3: ACADEMIC AND PROFESSIONAL QUALIFICATIONS

Indicateyourhighestacademicqualification(Degree/MBA/EMBA/PHD/Other)

NameofInstitution: Certificate/Degreeattained: Dateofcompletion:

ProfessionalQualifications(CPA,CPS,CIB,DIPLOMAS,etc)Nameofinstitution/examiningbody: Qualificationattached: Dateofcompletion:

Qualificationcurrentlystudyingfor: Institution: Dateofcompletion:

List continuous professional development courses/examinations attended/undertaken in the last two years

Course Year Organization/institution Duration CPD Hours

Area of specialization/ Expertise:

Affiliation to other professional/membership organisations

Name of organisation Grade/Level of membership

SECTION 4: REFEREES

PleasegivethenamesandfulladdressofTWOrefereestosupportyourapplication.Theyshouldhaveknowledgeaboutyourprofessional responsibilities and should not be related to you.1st Referee: 2nd Referee:

Name: Name:

Position: Position:

CompanyName: CompanyName:

Address: Address:

Telephone: Telephone:

Email: Email:

SECTION 5: ATTACHMENTSInsupportoftheapplicationpleaseattachadetailedCVandcopiesofyouraccademicandprofessionalcertificates.

SECTION 6: DECLARATIONIunderstandthattheMembershipCommitteemayawardagradethatisdifferenttotheoneclaimedandthatthecommittee’s decision is final. I declare that the information given herein is correct to the best of my knowledge and belief, and, if selected, agree to be bound by the Memorandum and Articles of Association and the rules and regulations of the Kenya Institute of Management as they now exist and as may hereafter be altered.

Signature Date:

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Membership Services: TheKenyaInstituteofManagement,LutherPlaza,2ndFloor,NyerereRoad/UhuruHighwayroundabout

P.O.Box43706,Nairobi00100,Kenya•Tel:(+254)202610799,202445600/2445555Email:membership@kim.ac.ke•Website:www.kim.ac.ke

Promoting excellence and integrity in management practices since 1954.