Dunstan House 14a St Cross Street London EC1N 8XA T: +44 (0)20 7940 3100 E: CLapplications@ciol.org.uk www.ciol.org.uk FOR OFFICE USE ONLY Application Number CHARTERED LINGUIST APPLICATION Only members of the Chartered Institute of Linguists (CIOL), the Institute of Translation and Interpreting (ITI) and the Association Internationale d’Interprètes de Conférence (AIIC) are eligible to become Chartered Linguists. The application form must be submitted with the documents listed in the checklist (see Section 12) below. Applicants should read the Chartered Linguist Admissions Criteria, FAQs and other guidance documents available on the CIOL website www.ciol.org.uk. 1 Personal details Title/full name Click here to enter text. Designations Click here to enter text. Full address Click here to enter text. Telephone/mobile/email Click here to enter text. Nationality Click here to enter text. Dual nationality or previous nationality if applicable Click here to enter text. 2 Membership of CIOL, ITI or AIIC Please state current membership of each body as applicable. CIOL Membership number Click here to enter text. Membership grade Click here to enter text. Language(s) of qualification Year of admission Click here to enter text. Click here to enter text. ITI Membership number Click here to enter text. Membership grade Click here to enter text. Language(s) of qualification Year of admission Click here to enter text. Click here to enter text. AIIC Membership number Click here to enter text. Membership grade Click here to enter text. Language(s) of qualification Click here to enter text. 1 Year of admission Click here to enter text. 3 Professional conduct Has a complaint of professional misconduct ever been upheld against you by any professional association? ☐ Yes ☐ No If yes, give information including the professional body and the relevant dates on a separate sheet. 4 Section of the Chartered Linguist register for which you are applying (tick all that apply) ☐ Translation ☐ Interpreting ☐ Education ☐ Business, Professions and Government ☐ Specialist Language Services 5 Language(s) for which you are applying for registration as a Chartered Linguist Mother tongue Variety/dialect Mother tongue Variety/dialect Mother tongue Variety/dialect Click here to enter text. Click here to enter text. Click here to enter text. Please state the language(s) in which you are seeking registration as a Chartered Linguist. You may only apply for registration in your language(s) of qualification with CIOL, ITI or AIIC as listed above. Language Click here to enter text. Variety/dialect Language Click here to enter text. Variety/dialect Language Click here to enter text. Variety/dialect 6 University degree(s) and other relevant qualifications Continue list on separate sheet if necessary First degree (undergraduate): University Town/City/Country Click here to enter text. Title of degree Click here to enter text. Class of degree Click here to enter text. Year of award Click here to enter text. Postgraduate degree (Masters): University Town/City/Country Click here to enter text. Title of degree Click here to enter text. Class of degree, distinction awarded Year of award Click here to enter text. Click here to enter text. Postgraduate degree (Doctorate): University Town/City/Country Click here to enter text. Title of degree Click here to enter text. Title of thesis Click here to enter text. Year of award Click here to enter text. 2 Specialised language qualifications. Continue list on separate sheet if necessary. Diploma in Translation (DipTrans IoLET) Language combination Click here to enter text. Year of award Click here to enter text. Diploma in Public Service Interpreting (DPSI) Language combination Click here to enter text. Year of award Click here to enter text. Diploma in Police Interpreting (DPI) Language combination Click here to enter text. Year of award Click here to enter text. Other qualification Title Click here to enter text. Language Click here to enter text. Awarding body Click here to enter text. Year of award Click here to enter text. Other qualification Title Click here to enter text. Language Click here to enter text. Awarding body Click here to enter text. Year of award Click here to enter text. 7 Employment history Please give details of employment in the last three years. Freelance or self-employed work should be indicated as “Self”. From/to (MM/YYYY) Click here to enter text. Company/agency name and address Click here to enter text. Job description Click here to enter text. Full-time/part-time Click here to enter text. Languages used Click here to enter text. From/to (MM/YYYY) Click here to enter text. Company/agency name and address Job description Click here to enter text. Full-time/part-time Click here to enter text. Click here to enter text. 3 Languages used Click here to enter text. From/to (MM/YYYY) Click here to enter text. Company/agency name and address Job description Click here to enter text. Full-time/part-time Click here to enter text. Languages used Click here to enter text. Current working practice Days per year normally engaged in relevant work Click here to enter text. Click here to enter text. 8 Referees Two references are required for each section of the register you wish to be listed in (see Section 4 above). Applicants must send reference forms direct to their referees for completion and submission to CIOL. Continue on a separate sheet if necessary. Title/full name of referee Click here to enter text. Full address of referee Click here to enter text. Telephone/mobile/email of referee Click here to enter text. Capacity in which you are known to the referee Click here to enter text. Title/full name of referee Click here to enter text. Full address of referee Click here to enter text. Telephone/mobile/email of referee Click here to enter text. Capacity in which you are known to the referee Click here to enter text. 9 Unspent criminal convictions Do you have any unspent convictions (as defined under the Rehabilitation of Offenders Act 1974)? ☐ Yes ☐ No If Yes, details should be provided on a separate sheet. 10 Payment The application fee of £50.00 can be made as follows: Online payment via PayPal can be made via the CL section of www.ciol.org.uk You can call us on 0207 940 3100 to make payment by card over the phone. Please do not email or post us your card details. Cheques should be made payable to ‘Chartered Institute of Linguists’ and sent by post to: Chartered Institute of Linguists, CL Admissions, Dunstan House, 14a St Cross Street, London EC1N 8XA. 11 Declaration ☐ I apply for admission to the Register of Chartered Linguists as indicated above. ☐ I declare that the particulars given above are complete and accurate and that I have read the CL Admissions Criteria and relevant guidance documents. 4 ☐ I confirm that I have disclosed all information concerning any unspent criminal conviction(s), as defined under the Rehabilitation of Offenders Act 1974. ☐ I consent to the use of the personal data provided herein as necessary for the processing of my application and, if admitted as a Chartered Linguist, for the maintenance of the Register of Chartered Linguists; I have noted that this may include processing by any of the bodies named above, as applicable. [Note: All data will be used in accordance with the Data Protection Act 1998.] If admitted as a Chartered Linguist: ☐ I declare that I understand and undertake to be bound the CIOL Code of Professional Conduct, and such other rules and regulations as may be promulgated concerning Chartered Linguists from time to time, and to be subject to the disciplinary procedures applicable. ☐ I undertake to use the designation Chartered Linguist and/or CL only while my registration (renewed annually) remains valid, and to return my Practising Certificate if for any reason I should cease to be registered within its period of validity. ☐ I consent to the following personal data being held on an online, open-access, searchable database maintained by the Chartered Institute of Linguists: name, registration number, section(s) of the Register (Translation/Interpreting/Education/Business, Professions and Government/Specialist Language Services), professional memberships and qualifications. Signature ______________________________________________ ______________________________ Date 12 Checklist The documents listed below must accompany your application ☐ A CV (no more than two sides of A4) giving details of professional experience. ☐ Photocopies or scans of qualifying certificates. ☐ A record of continuing professional development (CPD) undertaken over the last two years. ☐ A reflective statement of 500 to 1000 words on your past CPD activities and CPD plans for the next 12 months. ☐ Details of relevant experience for each section of the Register in which you wish to be listed, according to Appendix 1 of the CL Admissions Criteria. ☐ ☐ Any additional information necessary. The application fee. 5