IGM Registration

 
 
IGM Registration Form
 
 
Personal Details
 
 
 
*
Full Name:
*
Date of Birth:
*
Martial Art:
*
Present Grade:
*
Telephone:
*
Mobile:
*
Email:
*
Website:
 
 
Address
 
 
 
*
House Number:
*
Street:
*
Town:
*
County:
*
Post Code:
*
Country:
 
 
Are you willing to serve on a committee or technical board?
Are you in possession of an Enhanced Criminal Records Certificate?
Give details of any pending or criminal convictions
 
 
Professional Record
 
 
 
These pages should be used to record any academic and professional qualifications you have gained to date.
 
 
 
Course / Subject
Grade
Date Registered
Venue
 
 
List any further or higher qualifications gained
 
 
 
Course / Subject
Grade
Date Registered
Venue
 
 
List any other recordable qualifications, certificates or diplomas gained
 
 
 
Course / Subject
Grade
Date Registered
Venue
 
 
List any martial arts master qualifications
 
 
 
Qualification
Grade
Date Registered
Venue
 
 
Give details of any martial art competition awards
 
 
 
Event
Position
Date
Venue
 
 
Employment History
 
 
 
This section should be used to record recent employment history.

List the last four posts held in date order and give a full description of duties.
 
 
 
Employer
From
To
Title
Duties
 
 
Professional Development Records
 
 
 
Continuing professional education and training
 
 
Use this section to record details of any professional educational and training you take part in giving as much detail as possible
Goals and action plans, any goals yet to be achieved and any plans to accomplish these
 
 
List any seminars, in-service training or conferences you have attended.
 
 
 
Event
Subject
Date
Duration
Organiser
 
 
Event
Subject
Date
Duration
Organiser
 
 
Additional Information
 
 
 
There are four parts to this section.

Record of significant achievements
In this section record any noteworthy achievements such as publications in journals or magazines, merit awards or public recognition.

Membership of professional organisations
Give details of any professional organisations to which you belong. Note length of membership.

Seminars, conferences, presentations and teaching experience
Give details of any talks you have given at meetings or conferences. Also note any education and training where you have been involved as a provider.

Hobbies, interests and leisure pursuits
Describe hobbies and leisure interests indicating level of involvement.

 
 
Record of significant achievements
 
 
Professional organisations
 
 
Duration of membership
 
 
Seminars,Conferences, Presentations & Teaching experience
 
 
Hobbies, Interests & Leisure Pursuits
 
 
A non-returnable processing fee of £5 (Sterling) must be sent with all applications

All applicants will be notified of acceptance, class of registration and fee payment details

The IGM blazer badge, relevant certificate and registration number will be sent following acceptance and payment of the correct annual registration fee or the first monthly payment if this option is selected
 
 
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