Application Form for Graduate Membership Scheme

advertisement
The Chartered Institute of Logistics & Transport in Hong Kong
Application Form for Graduate Membership
Section A: PERSONAL PARTICULARS (please write in BLOCK letters)
Title:
Mr.
Mrs.
Ms.
Miss
Other:
English Name:
(Surname)
Chinese Name (if any):
(Other name)
CILT Membership No.:
Passport/ HKID Card No.: (optional)
Correspondence Address:
Tel.: (Office)
E-Mail:
(Mobile)
Section B: NATURE OF APPLICATION

Upgrade/Re-title for to be a GRADUATE MEMBER
(if you are applying for an upgrade/re-title for to be a “Graduate Member ONLY”, you need to complete the 1st page of this
Application Form.)

Apply for the GRADUATE MEMBERSHIP SCHEME
(if you are also interested in applying for the “Graduate Membership Scheme”, please complete ALL SECTIONS in this
Application Form.)
Section C: ACADEMIC QUALIFICATION
I declare that I have satisfied the Graduate Membership requirement by means of satisfactory completing:

CILT fully accredited programme

CILTHK Professional Qualifying Examination
* Please attach copy(ies) of graduation certificate/ letter or transcript/ CILTHK letter(s) of PQE
results.
DECLARATION
I declare that the information given above is true, correct and complete. I understand that if I willfully give
any false information in this Application Form or withhold any material information, it will render me liable to
disqualification for this application or termination of membership even already granted by CILTHK.
Signature of Applicant:
Date:
NOTES FOR APPLICANTS
Please carefully read the following notes before completing this form
1.
Your application may not be further processed if you fail to provide sufficient supporting documents, and properly complete
your application.
2.
This application will be held in strict confidence and the information provided will be only used for membership
evaluation/participation of scheme purpose in the Institute.
3.
Annual Subscription Fee for Graduate Member (non-refundable): HK$520.00
Should there be any change or correction of personal particulars after submission of this application, please contact the
Administration Office at (852) 2866-6336.
For Office Use only:
Date Received:
Membership Number:
Date Approved:
Date Completed:
Application Form for Graduate Membership
GRADUATE MEMBERSHIP SCHEME (GMS)
Section D: CAREER DEVELOPMENT
Stream of Expertise/
Professional Development:

Logistics Stream

Transport Stream
Employment History (in chronological order)
Job No.
Date (MM/YY)
From
To
Full/ Part
Time
Name of Employer
Appointment Held
1
2
3
4
Section E: PERSONAL PROFILE
(Remarks: You may consider including the following points: A summary to introduce yourself; reasons for you to join the GMS;
the ways how you design your plans under GMS to meet your career aspiration and career objectives in the next 5 to 10 years;
details of your plans, your commitment towards fulfilling the goals stated; and all other relevant materials that would facilitate
the Assessment Panel to consider your case.)
Please use supplementary sheet if necessary.
Page 2
Application Form for Graduate Membership
Section F: CONTINUING PROFESSIONAL DEVELOP (CPD) PLAN
Period Covered:
to
Key Knowledge Areas:
Selection of one or more of the five professional areas for the GMS:

Passenger Transport

Transport Infrastructure and Network Planning

Freight Transport

International Trade and Transport

Supply Chain
Structured CPD Activities
Date/
period
What do I want to achieve?
(Objective)
How am I going to achieve this?
(Action)
No. of
Hours
a) Attendance at
conferences, seminars of
professional bodies
b) Distance learning with
feedback or some form
of assessment
c) Studying for a
professional qualification
d) Undertaking research
e) Attendance at job related
short courses
f) Teaching and making
presentations (repeated
presentations of the
course should not be
considered)
g) Writing of technical or
professional articles,
papers or books
h) Undertaking technical
research for a new piece
of work
i)
j)
Participating in seminar
organised by CILTHK
with similar nature in
logistics & transport
industry
Participating in other
activities (including site
visit) recognised by
CILTHK for CPD
purpose
Total CPD Hours:
Note: (1) A plan with a minimum of CPD activities of 800 hours is required.
(2) The total hours in any of the above 10 areas (a to j) shall be counted for a maximum of 200 hours.
Page 3
Download