Assessment entry form April 2016 Thanks for studying with CIM. Please read the below before completing this form and making your assessment booking. 1. Fill in your personal details *Title (Dr, Mr, Mrs, Ms, Miss, Other) Remember, the fastest and easiest way to book your CIM assessments is online via MyCIM. *Forenames Fields marked with an asterisk (*) are compulsory. *Family name All students must have current CIM membership. Visit www.cim.co.uk/join/ to register as a studying member. *Membership number Assessment cancellations and deferrals Assessments can be cancelled within seven days after receiving confirmation of your assessment bookings from CIM. Fees are non-refundable so please take care to select the correct assessment. You may apply to defer assessments to the June session for £25 per unit. See the Learning Zone for details, deadlines and conditions. Assessment entry checklist Before you submit your assessment entry form, please check that you have: Signed and dated your form Made the correct selection of examinations or assignments as appropriate Assignments Assignments sent directly to CIM will not be accepted. ALL assignments must be submitted through your Accredited Study Centre (ASC), along with a copy of your assessment booking confirmation. All students taking CIM assignments will be required to sign a candidate declaration. Any assignments received by ASCs or sent to CIM directly without a booking first being made, will not be marked. Please note that assignment briefs change each session, even for resits. Identified your study centre and preferred area to attend examinations Enclosed payment of the correct fee, or provided credit/debit card details Examinations All students sitting CIM examinations (written or online) will be required to provide photographic identification to the invigilator along with the final confirmation letter or a current CIM membership card. Photographic ID can be in the form of a driving licence or national ID card. You will be assigned an examination location by CIM. If you cannot sit your examination at the designated location, you must inform us within seven days of receiving your confirmation letter. Please note that exam case studies change each session, even for resits. Reasonable adjustments If you have reasonable adjustments for your assessments or believe you may require them, please tick this box. Contact Exam Services at reasonable.adjustments@cim.co.uk if you have any permanent or temporary condition that you wish to be taken into consideration when taking an examination, even if you have received adjustments for examinations before. You are strongly advised to read the Reasonable Adjustments and Special Consideration policy and deadlines on the Learning Zone to see if you are eligible for a reasonable adjustment. Assessment entry form deadlines Entries via study centre, British Council or CIM Sri Lanka: 5 February 2016. This is the date by which applications need to be received at CIM. The date by which they must be submitted to your institution will be earlier. Please contact them for details. Entries via MyCIM: 19 February 2016 Late Entry Deadlines: 18 March 2016 (exams) or 25 March 2016 (assignments). In addition to the assessment fee, a fee of £100 per unit is applicable for bookings made between 20 February and the above deadlines. CIM Assessment entry form 2016 | 1 Assessment entry form April 2016 2. Fill in your contact details *Address Line 1 *Address Line 2 Address Line 3 *Country 3. Enter details of your current CIM/CAM Accredited Study Centre (ASC) CIM/CAM qualifications are taught through a global network of around 300 Accredited Study Centres. This means that each Centre has been quality-audited and approved to teach CIM qualifications. Bookings cannot be accepted unless you are registered with an ASC. *Postcode (UK only) *Date of birth Telephone number/Mobile *E-mail This e-mail address should correspond with the email address registered with CIM, and will be used to communicate your assessment confirmation letters and results. *Name of your current CIM/CAM ASC *Enter your nearest city/town and we will allocate the exam centre closest to you, depending on availability. Usually this will be your ASC. If you are unable to attend your examination at one of our established examination venues, we may be able to make special arrangements for you. These centres are not available to book online. However, this will incur additional fees, payable to the exam centre. CIM Assessment entry form 2016 | 2 Assessment entry form April 2016 4. Select your assessment subjects Please enter a ‘tick’ in the box to indicate which subject(s) you wish to enter for examination or assignment. You may wish to check with your ASC which units you need to book for. Please take care that you select the correct module. 4a. CIM Awards Foundation Certificate in Marketing Date Time Cost Marketing Principles Non-emerging market Please liase with your ASC Exam - £100 Emerging market* Please liase with your ASC Exam - £100 Customer Communications Non-emerging market Assignment - £100 Emerging market* Assignment - £100 Certificate in Professional Marketing Marketing Non-emerging market 5 April 2016 09:30-11:30 Exam - £130 Emerging market* 5 April 2016 09:30-11:30 Exam - £115 Integrated Communications Non-emerging market Assignment - £130 Emerging market* Assignment - £115 Customer Experience Non-emerging market Assignment - £130 Emerging market* Assignment - £115 Digital Marketing Non-emerging market Portfolio - £130 Emerging market* Portfolio - £115 Diploma in Professional Marketing Strategic Marketing Non-emerging market 5 April 2016 14:00-17:00 Exam - £170 Emerging market* 5 April 2016 14:00-17:00 Exam - £135 Mastering Metrics Non-emerging market Assignment - £170 Emerging market* Assignment - £135 Driving Innovation Non-emerging market Assignment - £170 Emerging market* Assignment - £135 Digital Strategy Non-emerging market Portfolio - £170 Emerging market* Portfolio - £135 CIM Assessment entry form 2016 | 3 Assessment entry form April 2016 4b. CIM Chartered Postgraduate Diploma in Marketing Chartered Postgraduate Diploma in Marketing Emerging Themes Analysis and Decision Assignment - £90 5 April 2016 9:30-12:30 Exam - £90 Marketing Leadership and Planning Assignment - £90 Managing Corporate Reputation Assignment - £90 Leading Marketing Project - £360 4c. CAM Awards Diploma in Marketing Communications Date Time Marketing and Consumer Behaviour Cost Assignment - £85 Public Relations Exam next available in July Direct Marketing and Sales Promotion Exam next available in July Advertising Exam next available in July Integrated Media Assignment - £85 Diploma in Digital Marketing (Core modules) Marketing and Consumer Behaviour Assignment - £85 Digital Marketing Essentials Assignment - £85 Digital Marketing Planning Assignment - £85 Diploma in Digital Marketing (Media and Branding) Integrating Digital Media and Branding Assignment - £85 Diploma in Digital Marketing (Mobile) Mobile Marketing in Practice Assignment - £85 Diploma in Digital Marketing (Metrics and Analytics) Web Analytics and Social Media Monitoring Assignment - £85 5. Please sign your declaration I understand and agree to CIM’s Booking Assessment Policy. I also agree to comply with the examination and assignment regulations as published by CIM in Assessment Rules for Candidates. Details of these regulations can be found at www.cimlearningzone.com Signature: Date: CIM Assessment entry form 2016 | 4 Assessment entry form April 2016 6. Your payment details Membership I wish to renew my membership and authorise you to take the relevant fee Assessment(s) I wish to pay using money in credit on my CIM account I wish to pay by cheque I enclose a cheque for £ payable to The Chartered Institute of Marketing (for section 4a or 4b) payable to The CAM Foundation Ltd (for section 4c) I wish to pay by credit/debit card I authorise you to debit my credit/debit card with the amount of £ Please indicate type of card. Sorry, but we are not able to accept payment by Diners. Visa Mastercard Delta Maestro/Switch American Express Electron or Solo My credit/debit card number is Valid from Expires Issue number (for Maestro/Switch/Delta/Connect): Security code (Use last three digits on the reverse of your card. For American Express, use the four digit verification number on the front of your card) Signature Date Payment notes • Payments for assessments are non-refundable. • A cheque or credit/debit card details must accompany this form in order for it to be processed, unless you have money in credit on your CIM account. • For students taking examinations outside the UK, additional local fees may be charged by the examination centre. Students are advised to contact their examination centre in advance for confirmation. • Please note we cannot invoice companies and/or individuals. • CIM or your study centre will offer you the facility to sit any examinations you have booked in one of our exam venues. CIM will endeavour to but cannot guarantee that a bespoke centre will be available if you are unable to attend these venues. If you do opt not to sit your examinations at a designated location, please note that you may be liable for an additional charge to accommodate alternative arrangements. • If you are based in Africa, the British Council may collect your application and assessment fees on your behalf in local currency. 7. Return this completed form Please e-mail your completed assessment entry form to examentry@cim.co.uk Alternatively, post your booking form to: Customer Experience, CIM, Moor Hall, Cookham, Maidenhead, Berkshire, SL6 9QH, UK We aim to process your booking within 10 working days of receiving this form. You will be sent a confirmation by email. Thank you for your booking. CIM Assessment entry form 2016 | 5 Assessment entry form April 2016 * Emerging markets The below countries are eligible for differentiated assessment rates: Afghanistan Albania Armenia Bangladesh Benin Bhutan Bolivia Bosnia and Herzegovina Burkina Faso Burundi Cabo Verde Cambodia Cameroon Central African Republic Chad Comoros Congo, Dem. Rep. Congo, Rep. Cote d’Ivoire Djibouti Egypt, Arab Rep. El Salvador Eritrea Ethiopia Fiji Gambia, The Georgia Ghana Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras India Indonesia Jordan Kenya Kiribati Korea, Dem. Rep. (North Korea) Kosovo Kyrgyz Republic Lao PDR Lesotho Liberia Macedonia, FYR Madagascar Malawi Mali Marshall Islands Mauritania Micronesia, Fed. Sts. Moldova Mongolia Morocco Mozambique Myanmar (Burma) Nepal Nicaragua Niger Nigeria Pakistan Papua New Guinea Paraguay Philippines Rwanda Samoa Sao Tome and Principe Senegal Sierra Leone Solomon Islands Somalia South Sudan Sri Lanka Sudan Swaziland Syrian Arab Republic Tajikistan Tanzania Timor-Leste Togo Tokelau Tonga Tunisia Tuvalu Uganda Ukraine Uzbekistan Vanuatu Vietnam Wallis and Futuna West Bank and Gaza Western Sahara Yemen, Rep. Zambia Zimbabwe CIM Assessment entry form 2016 | 6