Risk Engineering society MEMBERShip application form - continued Applicants Declaration I agree, if admitted to membership to be bound by the provisions of the Royal Charter and Bye-Laws of the Institution of Engineers Australia and the ethical standards set out in the Institution’s Code of Ethics. I certify that the statements made by me in this application are correct. I understand that I have an obligation to inform the Institution of Engineers Australia of any mater that may affect my fitness for membership. Disclosure Statement (Please cross out as appropriate and sign) I note that my mailing address will be passed on to our wholly-owned subsidiaries Engineers Australia Pty Ltd (EA) and Engineers Media. I consent/do not consent to the disclosure of my mailing address details to other parties. Signature: Date: / Risk Engineering Society Contact Details Administrator – Risk Engineering Society Engineers Australia 11 National Circuit BARTON ACT 2600 Website: www.engineersaustralia.org.au/res Email: societies@engineersaustralia.org.au Tel: (02) 6270 6525 Fax: (02) 6273 2358 / To find out what fee you will be required to pay for membership of RES, please refer to the fee schedule in the Join us section of our web site: www.engineersaustralia.org.au/res Please make cheques payable to “Risk Engineering Society” and forward to PO Box 6283 KINGSTON ACT 2604 or please debit my Credit Card: Visa / Mastercard / Diners / Amex / Bankcard Card No: _ _ _ _ - _ _ _ _ - _ _ _ _ _ - _ _ _ _ Expiry Date: _ _ / _ _ Name on card: Signature: Send to: Administrator - Risk Engineering Society Engineers Australia 11 National Circuit, Barton ACT 2600 Or fax to: (02) 6273 2358 Amount: Date: / / www.engineersaustralia.org.au/res Risk Engineering Society Risk Engineering Society Member Benefits The Risk Engineering Society (RES) provides national leadership on the science, technology and philosophy of risk engineering and risk management. This focus contributes to safety, health, environmental protection and productivity for our society at large. Our objectives are: Membership of the RES provides a platform for you to promote risk engineering within the community. It allows you to contribute to government and non-government initiatives in the promotion of best practice and further your own professional development. By becoming a member of the RES, you will ensure: • Promote risk engineering and science for the management of risks in commercial, industrial, environmental and infrastructure applications Risk Engineering society MEMBERShip application form Personal Details Mr / Ms / Mrs / Title: Surname: Given Names: DOB: / / Gender: M / F • Being kept up to date on developments within the profession Address: • Communicate knowledge about risk engineering and risk management • Having an avenue for representation within the field of risk engineering and risk management State: • Promote collaboration between members, organisations and other societies • Having right of entry to forums and input in promoting the exchange of knowledge between members and professionals alike to encourage mutual free thinking Phone (work): As part of your membership to the RES, you have access to a range of technical information and channels to assist you with your professional and personal needs, including: Mobile: • Newsletters and Publications Professional Details Present Employer: • Develop and extend the practical application of the science, technology and philosophy of risk engineering and risk management; • Provide expert advice to industry, the community and the government to promote excellence in the practice of risk engineering and risk management • Promote education, training and research in all aspects of risk engineering and risk management. • On-line forums: provides opportunities for debate, collaboration, and resource sharing Postcode: Phone (home): Fax: Email: Address: • Technical presentations: a chance to view the latest developments in risk engineering and management Type of Industry: • Networking opportunities Position/Title: Professional Qualifications Becoming a Member Membership to the RES is open to members and nonmembers of Engineers Australia interested in the field of risk engineering and management. If you are interested in becoming a member of the RES or would like any further information about the Society or membership please visit the Engineers Australia website; www.engineersaustralia.org.au/res or contact the RES Committee Administrator directly. Member of Engineers Australia: Yes/No Membership No: Grade: Areas of Interest Or anything else you would like to include: please turn over> www.engineersaustralia.org.au/res Who We Are?