Membership application form

- Step 1 of 4

Applicant Information

This information is required to enter you into our database if your application is accepted.

Type of membership you are applying for *

Title *

Name *

First

Middle

Last

Post nominals (Civil and military only)

Email *

Phone Number *

Name of Proposer

If you do not know anyone in the company please put "N/A"

Name of Seconder

Apprentice Parent name

First

Middle

Last

Apprentice Parent phone number

Apprentice Parent Contact email

Parental Agreement

I agree to the terms below.

I understand the my child will be Apprenticed for 4-5 years to a Liveryman of good standing and that we will both need to attend an admission ceremony at the Hall on a date to be advised but usally at 5pm in the afternoon. WCSIM comply with safeguarding guidelines.

Briefly explain your reasons for wanting to join the Livery *

Please provide a link to an online profile if you have one

Date of Birth (dd/mm/yyyy) *

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Work Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Are you a Freeman of the City of London? *

If you are Free of the City please provide the date

Membership of other Liveries - please state

Qualification/Discipline summary e.g. BSc Engineering, PhD (please put comma between items)

Membership of professional bodies e.g. InstMC, IoP, RSChem

Areas of interest

Artificial Intelligence
Astronomy
Automation & Control
Automotive engineering
Biology
Bio-medical
Chemistry
CNC machining
Computing
Cryogenics
Data mining
Defence
Design Engineering
Electronics
Electrothermal engineering
Engineering
Entrepreneurship
Environmental instrumentation
Fibre optics
Fuel
Geography
Healthcare
Hearing technology
Heat exchangers
History of scientific instrumentation
Hydrography
Internet of Things
Inventing
Machine learning
Marine Engineering
Materials Science
Management buy-outs
Maths
Mechanical engineering
Medical instrumentation
Membrane technology
Mensuration
Metal machining
Microscopy
Modelling
Nanotechnology
Non-exec roles
Nuclear
Opthalmology
Other Instrumentation
Pharmaceutical
Physics
Quantum Physics
Robotics
Semi-conductors
Sensors
Software
Space
STEM education
Sustainability
Telecommunications
Transport
Venture Capital
Other

Other interest

Demographics

We like to monitor our diversity so it would be helpful to know the following.

Gender

Other gender

Ethnic group in alphabetical order (using 2021 census classification 8a)

Other ethnic group

Nationalities held (please seperate multiple nationalities with a comma)

The Livery & You

This section will help us learn a bit more about your interest in the Livery.

How did you hear about us? (Select all that apply) *

From a current or past member
Attended a Livery event
Received an award from the Livery
Search engine results whilst looking Livery Companies
I want to progress as a member
Website
Social Media
Other

If applying for Livery please name two members of the Livery who propose and second your application

If you do not know anyone in the Company please put none and we will contact you to arrange a meeting.

Are you close to any of the following places? (we have local Hubs)

What connection have you had with scientific instruments during your career? (Choose as many as appropriate)

Manufacture of scientific instruments
Sales of scientific instruments
Student of scientific instrumentation
Scientifically qualified
User of scientific instruments
Associated with the craft of scientific instruments

Why are you interested in joining the Livery? (Select all that apply)

Gain New Knowledge
Make Unexpected Connections
Gain Interdisciplinary knowledge
Meet Fellow Researchers
Meet Likeminded people
Make New Friends
Attend Formal Dinners
Have opportunity to dress up
Other

The Livery operates through members volunteering their skills. What would you like to do? *

Mentor Apprentices
Be active in Committee meetings
Organise local Hub events
Encourage people to become members
Promote the Company on Social media
Organise Special Interest Groups
Get inolved with wider City activities
Other

Please provide a CV and proof of identity document e.g. birth certificate, passport

Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.

Any document provided through this field will be password protected and only be accessible to those processing membership applications. The files will be deleted once verification is complete.

Agreement *

I agree to the terms below.

I understand that if my application is accepted, I will be expected to participate regularly, pay an admission fine and annual dues called quarterage.

Data Protection *

I agree to the terms below.

I agree to my name and contact details being added to the membership directory which is open to all members.
In line with the General Data Protection Regulation of May 2018, I agree that my email address and mobile number can be used for communication from the Company for the purposes of advising members of Livery and associated activities.
The Company will not divulge or sell your details to any other organization. A copy of the WCSIM Data Privacy Policy is available on our web site.

Photographs *

I agree to the terms below.

I agree to appearing in photographs taken at Company events that may be used for publicity purposes only (both print media and online).

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Applicant Information

Demographics

The Livery & You

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