Application for the Conservation Accreditation
Register for Engineers ICE 3925
Section 1 - Current ICE Member
If you are a current ICE member we ask that you state your ICE Membership No, Family Name (Surname), and Date of
Birth below:ICE membership no:
Date of birth:
Family name:
First name:
You are now asked to log on to MyICE via the ICE website at www.ice.org.uk/myice and review/update your personal contact
details which the ICE currently holds. If you have not previously registered to use MyICE visit the ICE website home page,
www.ice.org.uk/myice and follow the guidelines for registering. To register, all you need is your membership number.
It is important that you do this to make sure that all future correspondence relating to your register application reaches you.
Once you have confirmed your details via MyICE please proceed to section three of the application form located on page two.
I have verified my personal details via MyICE and updated where necessary
If you are not a current ICE member please make sure that you complete all sections of this form
Section 2 – Not an ICE member
Personal information:
Surname:
First name(s):
Nationality:
Title:
Date of Birth:
Gender:
Membership of host Professional Institution/Body:
Name of Professional Institution/ Body:
Membership Number:
Grade of membership:
Home address:
Address Line 1:
Address Line 2:
Address Line 3:
Country:
Postcode:
Telephone:
Fax:
E-mail*:
*all contact will be made using this email address
Employment:
Employers name*:
Address line 1:
Address line 2:
Address line 3:
Country:
Postcode:
Position held:
Telephone
:Fax:
E-mail:
*If accepted onto the Register the employer’s name stated here will appear on ICE’s website
Academic qualifications:
Awarding University
Course details
Class
(in order attained)
Please list title of award (MEng, BEng etc), full time,
part time and level (ie. Hons, Pass etc)
(1st, 2;i,
etc)
Membership Division
ICE3925
Page 1 of 3
Start
Date
End
Date
(mm/yy)
(mm/yy)
Version 1 Revision 8 – 04 December 2013
Registered Charity 210252
Statement of philosophy of conservation:
Please outline, in approximately 500 words, your philosophy of conservation:
Section 3 – Assessment Information
Interview locations
Interviews will be arranged at a date, time and location mutually convenient to both you and your Assessors. The Registers
Coordinator will be able to provide further information upon receipt of application.
Preferred region:
Applications may be submitted electronically to register@ice.org.uk. If submitting a hard copy please ensure you have included
the original and three copies of the following with your completed and signed application form:
A copy of your CV detailing your involvement and recent practice in key conservation projects and activities
A record of Continuing Professional Development relating to the previous three years, particularly relating to conservation
matters. Records in ICE and ISTructE formats are accepted
Five Case Studies using the form ICE3927 for each case study. For each case study you should attach no more than five
additional pages of commentary, two pages of supporting photos and two pages of illustrations.
Application Fee - Details available on the ICE website (www.ice.org.uk/registerfees)
1. Pay Online - (Should you wish to follow this method then payment must be made before sending your application)
You are now able to pay for your CARE application via the ICE website using a debit or credit card. To pay online please go to
www.ice.org.uk/registerfees and select the pay online button located next to the application fee you wish to pay.
Please note you will be asked to log into your MyICE account before being redirected to the secure payment system. If you are not
already registered with MyICE please register online. Once you have paid online you will receive a payment confirmation email from the
ICE which contains an eight digit reference number (please provide this reference number below).
Reference Number:
2. Pay with application
If you wish to pay by Cheque, please make the Cheque payable to ‘Institution of Civil Engineers’.
Membership Division
ICE3925
Page 2 of 3
Version 1 Revision 8 – 04 December 2013
Registered Charity 210252
Important undertaking to be signed by the applicant
I apply for admission to the Conservation Accreditation Register for Engineers. I give consent to my name and name of my employer, as
appropriate, being made publicly available. I declare the information in this application to be complete and correct.
I agree to the objectives of the Register and I agree to be bound by the Register’s Code of Ethics, Annex A 3009(3).
Signed:
Date:
Data Protection Act (DPA) 1998: The ICE maintains data on members, including addresses, professional history and interests where notified. This will be
used confidentially for normal purposes, including subscription collection, mailing of publications, and notification of conferences and meetings.
Occasional mailings are undertaken on behalf of carefully screened third parties. If you DO NOT wish to receive any promotional material, please tick this
box:
Please complete electronically and send to registers@ice.org.uk or, alternatively, send by post to:
Registers Coordinator,
Institution of Civil Engineers, One Great George Street,
London, Westminster, SW1P 3AA, UK
T: 020 7665 2102 W: www.ice.org.uk/care
Membership Division
ICE3925
Page 3 of 3
Version 1 Revision 8 – 04 December 2013
Registered Charity 210252