COMPETENCE AND COMMITMENT REPORT Associate Member (AMIChemE) with Incorporated Engineer (IEng) Registration Complete this report to provide evidence of your skills and experience in chemical, biochemical or process engineering as part of an online application for Associate Member (AMIChemE) with Incorporated Engineer (IEng) registration. Refer to the relevant guidance document for advice on how to complete the report. Please complete this report electronically, within approximately 2,000 words [each subsection will expand to allow you to provide sufficient evidence], then sign the applicant’s statement, obtain confirmation and upload as part of an online application. Family name: (enter) Given name: (enter) Title: (enter) A Requires that you provide evidence, showing that you have the ability to apply the fundamental principles of chemical and general engineering to practical situations Provide Evidence i) To support your use of the principles of chemical engineering in identifying or defining a problem, opportunity or project: (expand as necessary) ii) Of applying your chemical engineering skills in a multidisciplinary working environment: (expand as necessary) iii) Showing that you apply a sound theoretical basis in the implementation of chemical engineering technologies: (expand as necessary) iv) Showing where you participate in the operation of chemical engineering processes: (expand as necessary) v) Of organising or performing technical work to implement or validate solutions, designs etc: (expand as necessary) vi) Showing where you contribute to the evaluation of projects to improve processes and systems: (expand as necessary) vii) Other: (expand as necessary) C&C Report IEng 24.2.15 V1.0 B Requires that you provide evidence showing that you have an understanding of the wider implications of your work as an engineer Provide Evidence i) To demonstrate your chemical engineering experience in handling health and safety: where possible highlight where you apply appropriate principles, good practice and meet legislative requirements etc: (expand as necessary) ii) To illustrate your experience in handling sustainability, environmental, public concern and other societal issues, recognition of risks etc: (expand as necessary) iii) Showing where you are involved in the commercial and economic aspects of chemical engineering: (expand as necessary) iv) Other: (expand as necessary) C Requires that you provide evidence which demonstrates your use of interpersonal, leadership and communication skills Provide Evidence i) Showing where your interpersonal skills are used within a work situation or project: (expand as necessary) ii) Demonstrating where you have had leadership roles and have been accountable for decisions in your professional career: (expand as necessary) iii) Showing where you communicate engineering ideas and plans by report writing and oral presentation: (expand as necessary) iv) Other: (expand as necessary) D Requires that you provide evidence showing that you are committed to high standards of professional and ethical conduct in your day to day work and throughout your career i) Professional conduct: (expand as necessary) ii) Ethical decision making: (expand as necessary) C&C Report IEng 24.2.15 V1.0 E Requires that you provide evidence showing a commitment to your continuing professional development (CPD) i) Report of recent CPD already undertaken (eg within last two years): Benefits received: (expand as necessary) (expand as necessary) ii) Future CPD plan: Expected benefits: (expand as necessary) (expand as necessary) Applicant’s statement and signature This competence and commitment report presents a true account of my professional work experience and of my CPD report and plan. Signed: …………………………...............……………Date: ……………..............………………………….. Confirmation If the experience described in your report covers more than one employment, each section should be verified by someone who was familiar with it and senior to you at the time. Space for additional verifiers’ details, if applicable, is available below. If signature is not possible, please obtain electronic verification and save as part of your report, then upload one single document for your C&C report as part of an online application. The people who sign do not have to be professionally registered as technicians or engineers, nor the referees of your application. They should however indicate any professional qualifications they hold, as well as their working relationship to you. This is a true account of the applicant’s work experience and CPD report and plan. Family name: …………….........……………..Given name: ……...............................Title: ……..………….. Job title: ……………………………...............Company name: ………………………………………………... Professional qualification(s): ………………………….............................……………………………............. Relationship to applicant: ………………………….............................………………………………………… Signed: ………………………...............………………Date: …………..............……………………………… If you are not verifying the whole report, please tick the sections you are verifying below: Section A Section B Section C Section D Section E i i i i i ii ii ii ii ii iii iii iii iv iv iv v vi vii Confirmation 2 (if applicable) This is a true account of the applicant’s work experience and CPD report and plan. Family name: …………….........……………..Given name: ……...............................Title: ……..………….. Job title: ……………………………...............Company name: ………………………………………………... Professional qualification(s): ………………………….............................……………………………............. C&C Report IEng 24.2.15 V1.0 Relationship to applicant: ………………………….............................………………………………………… Signed: ………………………...............………………Date: …………..............……………………………… If you are not verifying the whole report, please tick the sections you are verifying below: Section A Section B Section C Section D Section E i i i i i ii ii ii ii ii iii iii iii iv iv iv v vi vii Confirmation 3 (if applicable) This is a true account of the applicant’s work experience and CPD report and plan. Family name: …………….........……………..Given name: ……...............................Title: ……..………….. Job title: ……………………………...............Company name: ………………………………………………… Professional qualification(s): ………………………….............................……………………………............. Relationship to applicant: ………………………….............................………………………………………… Signed: ………………………...............……………………....Date: …………..............……………………… If you are not verifying the whole report, please tick the sections you are verifying below: Section A Section B Section C Section D Section E i i i i i ii ii ii ii ii iii iii iii iv iv iv v vi vii Footnote - Confidentiality It is understood that this document may contain confidential information. IChemE will endeavour to respect the confidentiality of the information provided and this C&C report will be disclosed only to those few IChemE Members dealing directly with your application. Kuala Lumpur - London - Melbourne - Rugby - Singapore - Wellington Contact details for IChemE global office locations can be found at www.icheme.org/contactus Institution of Chemical Engineers | Davis Building, Railway Terrace, Rugby, CV21 3HQ, UK Incorporated by Royal Charter 1957. Founded 1922 A registered charity in England & Wales and a charity registered in Scotland (SC 039661) C&C Report IEng 24.2.15 V1.0