Engineering Council Registration (CEng/IEng) Experience Statement Surname/Last/Family name: First names: Title (Mr/Mrs/Ms etc): Date of birth (DD/MM/YY): Membership number: Please provide specific examples for each of the categories below. Our assessors will be looking for clear evidence, so this is your opportunity to demonstrate relevant skills and experience in support of your application. Before completing this form we strongly recommend that you familiarise yourself with the UK Standard for Professional Engineering Competence pages 12-27 which cover CEng and IEng, and use this as a basis for the examples you provide below. A: You use a combination of general and specialist engineering knowledge and understanding to optimise and/or apply existing and emerging technology. (Where appropriate provide examples of leadership / management). B: You can apply appropriate theoretical and practical methods to the analysis and solution of engineering problems and/or design, develop, manufacture, construct, commission, operate, maintain, decommission and re-cycle engineering processes, systems, services and products. C: You provide technical and commercial informed technical leadership / management. D: You demonstrate effective interpersonal skills. E: You demonstrate a personal commitment to personal standards recognising obligations to society, profession and the environment. Continuous Professional Development (CPD) Please provide details of relevant CPD activities you have undertaken, with dates. Again, we recommend you review the UK Standard for Professional Engineering Competence pages 12-27 before completing this section. Once completed please return to: BCS The Chartered Institute for IT Membership Department First Floor Block D North Star House North Star Avenue Swindon SN2 1FA United Kingdom Tel: +44 (0) 1793 417 424 Fax: +44 (0) 1793 417 444 Email: processing@hq.bcs.org.uk Website: www.bcs.org © BCS, The Chartered Institute for IT, is the business name of The British Computer Society (Registered charity no. 292786) 2011 If you require this document in accessible format please call +44 (0) 1793 417 600 01254/M/FORM/0112