CHARTERED METEOROLOGISTS � APPLICATION FORM

							  CHARTERED METEOROLOGISTS – APPLICATION FORM

            PLEASE SEE ATTACHED GUIDANCE NOTES FOR APPLICANTS
                       BEFORE COMPLETING THIS FORM

1 Identification

         Names and title:    …………………………………………………………………..
         (as they should appear on your accreditation certificate)

         Position:          …………………………………………………………………..

         Employer:          …………………………………………………………………..

         Office Address:    …………………………………………………………………..

                            …………………………………………………………………..

                            …………………………………………………………………..

         Post Code:         …………………………………………………………………..

         Office Telephone
         Number:            …………………………………………………………………..



         Home Address:      …………………………………………………………………..

                            …………………………………………………………………..

         Post Code:         …………………………………………………………………..

         Home Telephone
         Number             …………………………………………………………………..

         Email:             …………………………………………………………………..



FOR OFFICE USE ONLY

Applicant reference number…………… Date application received ……………...
Last revised July 2007             1(4)
2 Education and professional training (list most recent first, please)

          Institution    Dept/Specialisation   Qualification    Grade (if   Date of
                                                                awarded)    award

a)……………………………………………………………………………………………….

Address………………………………………………………………………………………..

………………………………………………………………………………………………….

b)……………………………………………………………………………………………….

Address………………………………………………………………………………………...

…………………………………………………………………………………………………..

c)………………………………………………………………………………………………..

Address………………………………………………………………………………………...

…………………………………………………………………………………………………..

d)………………………………………………………………………………………………..

Address………………………………………………………………………………………...

…………………………………………………………………………………………………..


3 Relevant work experience

Employer & Address                     Duration                Nature of work

……………………………………..                       ……………                   …………………………..

……………………………………..                       ……………                   …………………………..

……………………………………..                       ……………                   …………………………..

……………………………………..                       ……………                   …………………………..

……………………………………..                       …………...                 …………………………..

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(Please include additional information on a separate page if needed)




Last revised July 2007                 2(4)
4 Scientific, technical or professional output

(List up to five publications, reports or details of other professional activities with dates.
Brief descriptions of each item should be provided. If available, send copies of two of these
items.)

a) ………………………………………………………………………………………………………

………………………………………………………………………………………………….

b)………………………………………………………………………………………………

………………………………………………………………………………………………….

c)……………………………………………………………………………………………….

………………………………………………………………………………………………….

d)………………………………………………………………………………………………

…………………………………………………………………………………………………

e)………………………………………………………………………………………………

…………………………………………………………………………………………………




5 Professional recognition
(eg membership of professional associations and societies, awards)

a) ………………………………………………………………………………………………

b)……………………………………………………………………………………………….

c) ………………………………………………………………………………………………



6 Working languages
(State any languages in which you can proficiently conduct business – oral and
written

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..




Last revised July 2007                        3(4)
7 References
    (Provide name, position, address and telephone number of three professional referees
    who may be contacted by the Society)

Name………………………..                       Name…………………………                         Name…………………………


Address……………………..                     Address……………………...                     Address………………………

……………………………….                         …………………………….....                       ………………………………..

……………………………….                         …………………………….....                       ……………………………......

……………………………….                         …………………………….....                       ……………………………......

Position………………………                     Position……………………...                    Position……………………….

…………………………….....                      …………………………….....                       ……………………………......

Tel…………………………….                       Tel…………………………….                        Tel…………………………….

Email…………………………                       Email…………………………                        Email………………………….


8 Areas of specialisation
     (List up to five areas in which you consider your main expertise lies: a list of such areas
     is shown in the guidance notes)

a)………………….…….……………………………………………………………………………….

b)………………………………………………………………………………………………..

c)………………………………………………………………………………………………..

d)………………………………………………………………………………………………..

e)………………………………………………………………………………………………..

9 Declaration
I certify that the statements made by me in this application and attachments are true and
complete.
I hereby apply to become/be reinstated as a Chartered Meteorologist of the Royal
Meteorological Society and agree to abide by the regulations for Chartered Meteorologists
as laid down by the Council of the Society from time to time.
I hereby authorise the Accreditation Board of the Royal Meteorological Society to contact my
employer, previous employers and the professional referees nominated by me in this
application.
If admitted as a Chartered Meteorologist, I undertake to abide by the Code of Conduct, as
set out in the current description of the Accreditation Scheme.


Signature………………………………………………. Date………………………….………….

Completed form, together with the fee (which is not returnable) should be mailed to the Chief Executive
Last revised July 2007                                 4(4)