- 1. Membership Application Form Chartered Institute for the
Management of Assessment PracticePlease complete this application
form and submit by fax or e-mail with your proof of payment.Fax 086
762 9357 / e-mail to [email protected] Details - For Audit
trail purposes please pay directly to CIMAPs Accountants: Ref:
CIMAP MFD Financial Services ABSA Cheque Account - Branch 632005
Account number: 406 994 1796I herewith apply for membership of
CIMAP. I confirm by submission of this application that I haveread
the code of conduct and terms and condition of membership.Please
Note: All new applicants will be awarded affiliate members status.
Applications for higherdesignations will be confirmed on
application by the membership status subcommittee.SurnameFirst
NamesTitle (Dr, Mr, Mrs, Ms etc)Identity Number(Please submit a
copy of your ID)Professional Qualifications (Please submit proof
ofyour stated qualifications)Company Name (If applicable)Physical
AddressPostal AddressE-mail addressTelephone numberCell numberFax
NumberCIMAP Core Values: - Integrity, Credibility & Discipline
2012 doc ref 23/2
2. What are your ETD areas of specialisation? Facilitation
Assessment Moderation Coaching Project(learnership) management
Materials DevelopmentDo you belong to any other professional body
orYesNoassociation? Please specify.If you are a constituently
registered assessor,ETQAQualifications registered againstlist the
ETQAs where you have constituency. (As per report attached)(Please
submit relevant documentation as proofof registration in support of
your application). (As per report attached) (As per report
attached)If you are a moderator, list the ETQAs where
ETQAQualificationsyou have constituency.(Please submit relevant
documentation as proofof registration)Please indicate in which
sectors you consider yourself an expert?Agriculture
EngineeringLegalReal Estate CIMAP Core Values: - Integrity,
Credibility & Discipline 2012 doc ref 23/2 3.
PracticeArts&Foodand LocalSocialEntertainmentBeverageGovernment
developmentBanking andFinance and ManufacturingSportsandrelated
services Accounting RecreationCommunicationHealth & Safety
Management Wholesale andRetailCleaning Hospitality and Marketing
TourismChemical H. R. MiningConstruction Health &
WelfareProject ManagementDesign and Insurance Public
servicefashionEducationITPublic RelationsEntrepreneurship Labour
RelationsQualityand Innovation ManagementOther:I hereby give
permission for my membership status and areas of specialisation Yes
Noto be made available to third parties. (This service includes
distributing myconstituent status to membership companies and other
professional bodies /associations, regulators etc. that may want to
contract the services ofindependent assessors and moderators)CIMAP
Core Values: - Integrity, Credibility & Discipline 2012 doc ref
23/2 4. MembershipAffiliate MembershipAnnual
FeePleaseindicateAffiliate Membership for 1 year: Renewable each
year in joining month atAssessors that are not constituently normal
annual fee of R 600.00registered by an ETQAAffiliate Membership
(renewal) : Renewable each year in joining month at
theConstituently Registered Assessors with current annual fee of R
400.00an ETQA (First year of registration)Affiliate Membership
(new): New member offer of R 280.00.Constituently Registered
Assessors withan ETQA (First Time Membership notfor applicable
renewals).Affiliate Corporate Membership (MustRenewable each yearbe
in the process of registering withCurrent annual fee of R
500.00DHET as a FET College).Chartered Corporate Membership (must
Renewable each yearbe registering with DHET as a FET Current annual
fee of R 1200.00College).Banking Details - For Audit trail purposes
please pay directly to CIMAPs Accountants: Ref: CIMAP MFD Financial
Services ABSA Cheque Account - Branch 632005 Account number: 406
994 1796Professional designationsPlease note that professional
status designations information is available on our web
site:http://cimap.co.za/professional-designations.htm . CIMAP
members will receive detailed informationregarding the cycle
professional designation application process in their membership
confirmation pack.Professional designations are awarded and must be
maintained through the participation of ContinuousProfessional
Development (CPD) activities on an annual basis.CIMAP Core Values:
- Integrity, Credibility & Discipline 2012 doc ref 23/2 5.
Please note: If your evaluation for a higher designation is not
successful, you will automatically beaccepted as an Affiliate
Member. Affiliate members will be provided with a personal
development planto assist you in planning for your future
development.Undertaking of CommitmentI, the undersigned, agree
that, by becoming a member of the Chartered Institute for the
Management ofAssessment Practice (CIMAP), I will adhere to the
CIMAP Constitution and the Code of Conduct andundertake to support
the principles and objectives of CIMAP. I certify that statements
made in thisapplication and supporting documentation is true and
correct.SignaturePrint NameDateFor Office Use:RCofCReceived
RepliedMailing List Important Please ensure that you read the Code
of Conduct before signing your application. You are signing to
commit to adherence to the standards of conduct, competence and
practice as set out in this Code, and an ongoing commitment to your
personal self-development and the requirements of CIMAP. CIMAP Core
Values: - Integrity, Credibility & Discipline 2012 doc ref 23/2
6. CIMAP Membership Code of ConductThe Chartered Institute for the
Management of Assessment Practice (CIMAP) is the
charteredprofessional body dedicated to supporting individuals to
achieve success through higherstandards in assessment, education
and training practices. Its objectives are to promote for
thebenefits of its members and the public the practice of
education, training and development andto advance public education
in the role of the assessor, moderator, facilitator and
instructionaldesigner in the economic and socio-economic
environment.This Code sets a high standard of professionalism and
CIMAP provides support and advice tomembers as they strive to embed
the code in their day-to-day professional activities.The principles
underlying this Code are: Management of self; Management of others;
Management of clients; Management of business partners and
colleagues; Service to the wider community; Support of the
professional body.When managing myself I will: Strive for
excellence at all times; Exemplify high standards of professional
behaviour and performance; Be accountable for my actions; Disclose
anything that may create conflict of interest and maintain high
ethical standards; Act only within my level of competence; Continue
to develop my competencies and keep up to date with best practice.
CIMAP Core Values: - Integrity, Credibility & Discipline 2012
doc ref 23/2 7. When managing others I will: Treat everybody on an
equitable basis, with no discrimination, recognizing their
individual needs and responding accordingly; Support my immediate
team and others to fully understand their responsibilities, areas
of authority and accountability; Empower my immediate team by
facilitating the development of skills and qualities evident within
the team and recognize their achievements; Foster a culture of
transparency and address issues in a frank and timely manner;
Communicate effectively, openly and clearly.In my dealings with
clients and their companies, I will: Uphold internal policies and
practices in the interest of good practice; Reconcile my personal
values with those of the client and the company; Be accountable for
achieving the objectives, projects and tasks that I undertake to
deliver; Safeguard the reputation and assets of the organisation;
Exhaust all available internal remedies for dealing with matters I
perceive to be improper before resorting to public disclosure.When
interacting with suppliers, business partners and other
stakeholders I will: Ensure that I clarify their interests and
respond to them in a balanced and ethical manner; Establish,
develop and maintain business relationships based on mutual
confidence and trust; Refrain from entering into any agreement that
is unlawful or unethical; CIMAP Core Values: - Integrity,
Credibility & Discipline 2012 doc ref 23/2 8. Neither offer nor
accept gifts, hospitality or services which could create, or
implyimproper obligation; Safeguard all confidential information,
which comes into my possession.Within my community, I will: Ensure
that I am aware of, and comply with all relevant legislation and
regulations; Act to avoid or mitigate any adverse outcomes, of
present and proposed managerialactions; Be honest, open and
truthful in all external communications; Respect the environment
and seek to conserve resources wherever possible; Respect the
customs and practices where these may differ from my own.As a
member of the Chartered Institute for the Management of Assessment
Practice, I will: Promote its mission, aims and objectives; Uphold
its integrity and good standing, and refrain from conduct that will
bring it intodisrepute; Promote its image and standing as a
professional body; Support the bodys initiatives for continuous
professional development and lifelonglearning; Observe the
standards of conduct as set out in this Code, and re-sign my
commitment asthey change from time to time.CIMAP Core Values: -
Integrity, Credibility & Discipline 2012 doc ref 23/2 9.
Signature Date CIMAP Core Values: - Integrity, Credibility &
Discipline 2012 doc ref 23/2
