Please check your eligibility for membership before filling in this application. If you are a student registering for APEX please complete our APEX application form instead of this one. If you are applying for Associate grade please complete the Associate application form instead of this one.
The CIH is committed to ensuring that its services are accessible to everyone regardless of race, gender, ability, religion, sexual orientation or age. The information you give on this form will help us comply with our policy of ensuring equality in our services to you.
We recognise that some people may regard some of this information as personal and we have, therefore, included an option in most questions for "prefer not to say". You do not have to complete all of this form but it will help us improve our services if you can complete as much as possible and return the form.
All information CIH collects around equality and diversity will be treated confidentially in accordance with the Data Protection Act and will be stored on the CIH database. Access to this information will be restricted to staff involved in the processing and monitoring of this data. It will be used to provide statistical information only.
The Disability Discrimination Act 1995 (DDA) defines a person as disabled if they have a physical or mental impairment, which has a substantial and long term effect (ie. Has lasted or is expected to last at least 12 months) on the person’s ability to carry out normal day-to-day activities.
If you have answered yes, please indicate the type of impairment which applies to you. If you experience more than one type of impairment, please tick all the types that apply. If your disability does not fit any of these types, please mark Other and specify.
Physical/mobility impairment, such as a difficulty using your arms or mobility issues which require you to use a wheelchair or crutches Visual impairment, such as being blind or having a serious visual impairment Hearing impairment, such as being deaf or having a serious hearing impairment Mental health condition, such as depression or schizophrenia Learning disability/difficulty, such as Down’s syndrome or dyslexia or a cognitive impairment such as autistic spectrum disorder Long-standing illness or health condition, such as cancer, HIV, diabetes, chronic heart disease or epilepsy Other (Please specify below)
(These are based on the Census 2001 categories, and are listed alphabetically)
Asian, Asian British, Asian English, Asian Scottish, Asian Welsh or Asian Irish
Black, Black British, Black English, Black Scottish, Black Welsh or Black Irish
Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh or Chinese Irish
Mixed
White
Other Background
Please use this section to include any courses that you are currently undertaking or have completed that relate to your application for membership. You may be asked to submit a copy of your pass certificate as proof of your qualifications. We will contact you if this is required.
Dates:
Please select one of the payment options set out below * required
(please complete if applicable to your membership package)
In order to provide proof of the circulation figures provided for Inside Housing please tick this box to formally request your copy.
In making this application your contact details will be stored on our database. As a member of the CIH we will use these details to provide you with information and benefits relevant to your membership. From time to time membership details are passed to third parties for the sole purpose of providing you with products and services that you receive as part of your membership such as Inside Housing magazine.
The CIH does not sell its membership lists to any other organisation for marketing purposes. We will also use this data for the purposes of providing you with information about other CIH events and products that may be of interest to you. If you would prefer not to be informed of CIH products in the future (excluding any information relevant to your membership where appropriate) please tick this box.
After submitting this form we will send you an email to confirm we have received your application. Please contact Customer Services on 024 76 851700 if you do not receive this confirmation. Please note, some fields must be completed for this form to be successfully submitted. If you receive an error message, please check that all required fields have been completed.
