Application Form

IMCA is a Corporation Noble and a multinational professional association. It was originally established in 1964 in England, limited by the guarantee of its Members. IMCA is required to declare on this application form that the authority for the nomenclature used in its professional awards and professional and academic degrees is that of several multinational educational jurisdictions through IMCA's Common Agreement (1988) with multinational consituent institutions to work together in a single Professional and Academic Board.This Common Agreement (1988) as revised in 1999 continues and further extends authority for reciprocal transfer credits (see Regulation 20 ) towards professional and academic degrees, fellowships and degrees of membership, for all who successfully follow membership qualification programmes under these Ordinances that have been approved by the Professional and Academic Board whether they are conducted by IMCA in the United Kingdom or elsewhere.

Full details of IMCA's Refund Policy are provided in The Conspectus: Regulation 12.

IMCA undertakes to provide tutors, examiners and inspectors for the duration of your action learning programme as set out in IMCA's Conspectus.

  1. Fees in full are due six weeks before commencement of the programme.
     
  2. Graduation and Certification Fee due upon completion and prior to Graduation is £450.
     
  3. Fees for Graduate action learning studies inclusive of Internet courseware and resources (per Associate) are as set out in the published Conspectus.
     

Please note that fields marked with * are mandatory

 Programme/Degree Information   
Course / Action Learning Set Name:
Desired Programme/Degree:  
Commencing (MM/YYYY):
Your contact at IMCA:  
Please note. If your IMCA contact is not listed above please contact IMCA Membership services at imc@imcassociation.edu before completing this application form.

 

 Personal Information   
* Title (Mr/Mrs/Miss...):  
* First Name:  
* Family Name:  
* Preferred Name:
(e.g. Bill rather than William)		  
* Preferred Name on Certificate  
* Gender
* Nationality:  
* Preferred Correspondence
Date of Birth (dd/mm/yy):  

 

 Personal Address   
* Home Address:  
* Town/City:  
* County/State:  
* Postcode:  
* Country:  
* Telephone number:  
  Mobile Phone number:
  Fax number:
* Email Address:    

 

 Career information   
* Current Job Title:  
* Name of Organization:  
* Address:  
* Town/City:  
* County/State:  
* Postcode:  
* Country:  
* Telephone number:  
  Mobile Phone number:
  Fax number:
* Email Address:    

 

 Aptitude Tests   
What aptitude tests have you taken and what were the results? (please give details):
What are your highest qualifications or attainments in the English language:
What are your qualifications or attainments in Statistics and Computing:

 

 Degrees, diplomas or professional qualifications now held   
* Highest Qualification * Awarded By (Institute) Post-nominal initials * Dates from/to (DD/MM/YYYY)
     
Other Qualification(s) Awarded By (Institute) Post-nominal initials Dates from/to (DD/MM/YYYY)

 

 Work experience   

* Describing your present position first please give dates, Employer, Job title, Responsibilities, plus any other experience of responsibility and achievement

 


 

 References   
Reference 1
Name:  
Position:  
Address:  
Postcode:  
Telephone no.  
email Address (if available):
Reference 2
Name:  
Position:  
Address:  
Postcode:  
Telephone no.  
email Address (if available):

 


IMCA requests that all Associates complete the following questions
for internal record-keeping, management information purposes, for
the Higher Education Statistics Agency (HESA) and for the IRS returns.
Disability / Special Needs: (impairment of sight/hearing/mobility)
The Disability field records the type of disability that a Associate has, on the basis of the Associate's own self-assessment, for monitoring levels and trends in participation by particular groups of people. 		Ethnicity:
(please select one)
This field identifies the 'ethnic origin' of Associates.

Source of Tuition Fees:
The purpose of this field is to indicate the major source of tuition fees for the Associate where this is known, to observe the numbers of 'self-financing' Associates for policy matters.


 Declaration of Understanding 
 

I have read and understood the above mentioned items and note my acceptance by ticking the boxes below:

 

 

 

 

set out in Regulation 12.  

(All Faculty Members are prohibited under Article 25 from disclosing any
confidential information which they may receive as a result of the conduct of their duties.)

If you cannot confirm any of the above, email your questions or requests to imc@imcassociation.edu



IMCA's Charter for Management Action Learning state:

Provided also that IMCA shall in no manner whatsoever discriminate in the pursuit of its objects against any person on the grounds of their political opinions, religion, race, color or sex, rather it should seek deliberately to ensure equal opportunities for all in postgraduation management and take affirmative actions to enable such equality of opportunity to occur and flourish.

When complete, please hit "Submit Application" below. When your posting has been confirmed, please make sure you complete the Corporate Sponsorship Agreement if appropriate.

PLEASE NOTE: It is your responsibility to notify IMCA of any name change prior to your Graduation.

  

 
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