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CHARTERED INSTITUTE OF PUBLIC RELATIONS QUALIFICATIONS
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chartered instituteof public relationsqualifications

The students and teachers of theCIPR Advanced Certificate atCambridge Marketing College areto be congratulated. A 100% passrate is a real achievement andtestament to everyone’s hard workand the quality of the teachingand students.”

CIPR President ElisabethLewis-JonesBoth qualifications involve part-time study and are completed within 12 months.

Full timetables are listed opposite – detailing 48 hours teaching plus online support and tutor guidance.

COURSE FEES For delegates enrolling prior to 15 August there is an Early Bird Discount of £150 off the College fee for either course.

Self Funding Delegates and SME Organisations: You may split the college fee over 8 equal monthly payments. To do so please complete the Split payments form from the CIPR website or email the college. There is a £60 administration charge for this service.

UK STUDY CENTRES AND COURSE DATES The CIPR qualifications are available from study centres across the UK:

September 2011 start January 2012 start

CIPR Advanced Certificate Bristol Cambridge Jersey Guildford

CIPR Diploma Bristol Guildford Cambridge Nottingham Jersey

CIPR Fees COLLEGE fees

CIPR Advanced Certificate £780 (no VAT) £1,300 (plus VAT) CIPR Diploma £950 (no VAT) £1,600 (plus VAT)

STUDY DAYS Planned programme of seven study days comprising presentations, workshops, case studies, group exercises led by an approved tutor. Provision of refreshments and lunch at all study centres

Detailed study plan – including key steps relating to pre-session reading, follow up action, feedback tasks and personal development ideas

chartered instituteof public relationsqualifications

The CIPR is the professional body for PR practitioners in the UK. With over 8,000 members, involved in all aspects of the public relations industry, it is the largest body of its type in Europe. The CIPR Advanced Certificate and Diploma are the only professional qualifications specifically designed for PR practitioners. They are widely recognised within the communications industry, both in the UK and around the world.

Both courses run on a part-time basis, which means you can study alongside your work. You can practice what you learn right away, and both you and your employer will see immediate benefits from your studies. You’ll be taught by experienced practitioners and will be able to broaden your perspective by learning alongside other PR professionals from different sectors and industries.

STUDY MATERIALS AND SUPPORT

• Discount offers with number of academic publishing houses

• Administrative support – including organisational and academic queries

• Professional teaching support team comprising expert, qualified and experienced members including dedicated CIPR course director, session/group leaders, personal tutors and practitioner mentors

• Programme of study support including email, telephone and face-to-face contact with assigned tutor

• Pre-study e-learning pack

• Downloadable workbooks and other materials (see Green Banana online learning resource)

• Personal preparation for assignments – including assessment guidance sheets, formative feedback on session tasks, example assignments, individual counsel, marking and debriefing.

ONLINE LEARNING RESOURCE – GREEN BANANA

• Personal log-in access to specialist PR online learning resource website, www.greenbanana.biz

• Downloadable study resources, comprising qualification handbook, Unit manuals, session workbooks, personalised activities, multimedia materials, précis notes, topic top tips, mindmaps, glossaries, Q&A sessions, assessment guides, action sheets and informative presentations

• Personal development programme – including best practice advice covering study skills and career development

• Social media resources – including, online networking, discussion forum, real-time PR news, RSS feeds, access to global PR blog network, interactive ezine, core topic wikis and multimedia presentations

• Personal online resources – including delegate profile, individual blog, and study records

• Gallery of previous assignments, delegate generated content and case studies for reference

• Reading room – comprising reading reviews and recommendations, plus useful papers, articles, chapters and links to a wide range of reading resources, plus Amazon search and shop.

• Study calendar – including session dates and assignment deadlines.

APPLICATIONS

Application forms to study the Advanced Certificate and the Diploma are available from www.marketingcollege.com Applications must be received by the CIPR at least two weeks before the start date of the course. Please note that applications are considered on a first come first served basis and course places are limited.

SUCCESS RATES

Cambridge Marketing College has a track record working with over 650 students during the past 8 years with both the Advanced Certificate and Diploma qualifications.

• Pass rates normally exceed 80% with 100% pass rates not unusual

• 93% of College delegates gained the Advanced Certificate Qualification.

• 96% of College delegates passed the Diploma

• Results for the Critical Reasoning Test at Cambridge Marketing College showed:

• 100% of delegates passed for the CIPR Advanced Certificate – 69% at merit and 27% at distinction grade

• 90% of delegates passed for the CIPR Diploma – over half at merit or distinction grade

CIPR ADVANCED CERTIFICATE The Advanced Certificate is aimed at graduates interested in pursuing a career in PR or those who are working in the PR industry at a junior level and who would like to take the next step in their career. The course, which is taught and assessed at undergraduate level, provides a good practical grounding in public relations. The syllabus covers topics such as communications theories; management skills; writing skills; media relations; and PR in practice.

It is a part-time, vocational course, which gives students the basic knowledge and understanding of PR theory and practice to develop as effective and efficient communications professionals.

THE COURSE The course takes place over 12 months and comprises 48 hours teaching. A timetable is attached.

cipr advanced certificate

Cambridge Guildford Bristol

18 February10 March17 March12 May26 May9 June4 August

UNIT 1: MANAGING PR, INCLUDING• History and development of PR practice• Relationship to other communication areas • Introduction to media relations, internal

communications, public affairs, corporate responsibility and financial PR

• Systems theory • Organisational culture and structure, and

management theory• Communications theory and models.

ASSESSMENT• Critical reasoning test (taken at home with a

series of questions supplied).

UNIT 2: PR IN ACTION, INCLUDING• Campaign planning: targeting publics,

developing messages and selection channels• Media relations: writing press releases, media

interviews, press launches and preparing for media coverage

• Internal communication: employee engagement, internal communication and change, preparing briefings, speeches and presentations.

ASSESSMENT• Planning assignment based on a case-study.

UNIT 3: PROFESSIONAL DEVELOPMENT• Management skills, organising and managing

effective meetings, time management, presentation skills, negotiating and problem solving.

ASSESSMENT• A 3,000 word critique of PR as a dveloping

discipline.

15 October5 November26 November

28 January11 February3 March28 April

8 October29 October19 November

21 January4 February25 February12 May

2012

2011

ENROLMENT CRITERIA Applicants for the CIPR Advanced Certificate must be at least 21years of age and: hold any UK degree; or have two years’ relevant full-time employment in PR and five GCSEs grade C or above, one of which must be English Language; or have a LCCIEB Group Diploma in PR, plus one year’s relevant experience. NB: Equivalent qualifications are acceptable.

This course can be studied at our centres below and through distance learning outside the UK.

Cambridge Guildford Bristol Nottingham

14 January28 January 18 February28 April

1 October22 October12 November

4 February25 February10 March12 May9 June23 June11 August

8 October29 October19 November

21 January4 February25 February12 May

21 January11 February3 March21 April19 May16 June4 August

2012

2011

CIPR DIPLOMA The CIPR Diploma is for more experienced professionals and is taught and assessed at postgraduate level. The course focuses on strategic public relations and students will be encouraged to analyse critically and appreciate PR as an integral part of successful business practice.

Topics include PR as a management function; theoretical approaches; reputation management; corporate responsibility and stakeholder theory; issues and crisis management; and PR planning.

THE COURSE The course takes place over 12 months and comprises 48 hours teaching. For their final assessment, students, supported by their tutor, work on a project in their chosen specialist area. Very often this project is work-related, which also benefits students’ employers.

Students will examine case-studies and practical PR examples, and discuss them with other PR practitioners in workshops. Recommended texts are also used for a more theoretical analysis.

cipr diploma

ENROLMENT CRITERIA Applicants for the CIPR Diploma must satisfy the entry requirements for the course. These include:

• hold the CIPR Advanced Certificate; or hold a relevant post-graduate professional qualification plus

• one year’s full-time employment in a public relations or relevant environment; or

• hold a degree in business /marketing/ management/communication studies plus one year’s relevant full time employment; or

• hold any other UK degree plus two years’ experience in PR; or

• have four years’ relevant full-time employment in PR and five GCSE passes, one of which must be in English Language.

UNIT 1: PR THEORY AND PRACTICE, INCLUDING• The role of PR in society• Theoretical basis to developing best practice• Ethics, corporate responsibility, environment

monitoring and global communication• Strategic communication management• Organisational culture and change• Communication and relationship theory.

ASSESSMENT• Critical reasoning test (taken at home with a

series of questions supplied).

UNIT 2: PR PLANNING AND MANAGEMENT, INCLUDING• Integrated communications management• Corporate reputation; issues management

and crisis PR• PR planning, research and evaluation• Strategic publics, stakeholders, working

with pressure groups, activists and local communities

• PR planning, research and evaluation.

ASSESSMENT• 5,000 word planning assignment.

UNIT 3: REFLECTIVE PRACTICE• Self directed learning – students agree the

title of their project with their tutor.

ASSESSMENT• 6,000 word project.

Airbus UK • Akzo Nobel • Alcan • Alfred McAlpine • Alliance & Leicester • AllianzArgyll & Bute Council • Arun District Council • Atkins Aerospace • Avon & Somerset

• Constabulary • AXA Sunlife • Babcock Infrastructure • Service • Barclaycard • Barclays • Barton Willmore • Bayer • BBC • Bidwells • Big Lottery Fund • BOC Ltd

• British Gas (Centrica Plc) • British Nuclear Group • British Waterways Cambridge • University Press • Buro Happold • Butterfly Conservation • C&G • Cambridge

Antibody • Technology • Cambridgeshire Constabulary • Cambs BusinessLink Cambs • CC • Campbells Soup • Capita • Cardiff Council • Castrol • CHA Public

Relations • Chichester Festival Theatre • CIGNA Healthcare • CITB • Community Learning Office • Connexions • Co-op Bank • Cotman Housing Association •

Cranfield University • Department for Transport • Derbyshire CC • Defence Media Ops Centre • DFES • Diamond Trading Company • Domino’s Pizza • DTW • Emap

• Environment Agency • Eurotunnel • Environment Agency Wales • Erewash Borough Council • Eveden Ltd • FPD Savills • Freshwater UK Ltd • Fuji Photo Film (UK) •

Games Workshop • General Electric • Gifford Services Ltd • Girlguiding UK • GLA • GO Wales (WP) • Grant Thornton • GTC for Scotland • GlaxoSmithKline • Guildford

Borough Council • Halifax plc • Heritage Lottery Fund • IFS • Imperial War Museum • Inst of Chartered Accs • Scotlan • Kwik-Fit (GB) UK • Lawnet • Learning & Skills

Council • Lloyds TSB • Magnox Electric Limited • Magnox North • Met Office • Mole Valley District Council • Mouchel • Muller Dairy Ltd • National Blood Service •

Nationwide • NEC • News International • Newsmakers PR • NHS 24 • Nikon UK Ltd • North Devon District Council • North Devon Homes Ltd • Northants NHS PCT •

Norwich Union • Notting Hill Housing • Nu-Heat • O2 • OCR • Omnia Public Relations • OneTel • Orange • Orchard PR • Perkins Engines • Peterborough City Council

• Philips • Postwatch • Price Waterhouse • PSNC • PTC • Roche Products • Sainsbury’s • Sanofi-Aventis • Saxon Weald Homes • Scottish & Southern Energy •

Scottish Equitable • Scottish National Orchestra • Scottish Parliament Scottish • Widows • Select Music • Selex Sistemi Integrati Ltd • Shell International • Smith

& Nephew • Smiths Medical • Smye Holland Associates • Sony Europe • South Gloucestershire • Council • Southern Water Services • Specsavers • Sturgess Van

Damme • Suffolk County Council • Surrey Police • Sussex Learning & Skills • Thames Valley Police • The BIG Partnership • The Marketing Store • The National Trust

• Thomas Cook • Trimedia Harrison Cowley • Unipath • University of Liverpool • University of Oxford • University of Warwick • Volkswagen Slovakia a.s.a. • Wales

Audit Office • Ware Anthony Rust • West London Cancer • Network • Wiltshire County Council • Winterthur Life • WWAV • Zeus TechnologyFor

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Rachel Bosworth Rachel has worked in public relations for over 14 years in the public and private sectors. She has set up three corporate communications departments in new organisations and has particular experience in media relations, events management, employee communications, issues management and brand development. Currently head of corporate affairs with the East of England Development Agency, and one of the executive management team, she manages all of the agency’s communications and marketing activities and support to the non-executive board. Previously she headed Peterborough City Council’s corporate communications and marketing unit and worked in the rail industry for six years, including three years with Railtrack plc.

Peter BrillPeter is a media and personal communications specialist with extensive experience at a senior management level. He is Managing Director of Net.Mentor Ltd and a Founder-Director of Red Ferry Ltd. Net.Mentor Ltd specialises in strategic communication and recent projects include teambuilding for business advisors; media and presentation skills training for a range of organisations; coaching and mentoring; development of online learning content . Before this Peter was Head of Public Relations for RAC Motoring Services, having previously worked in various communications roles, both in-house and as a consultant. He also spent five years as a broadcast journalist and has experience of broadcasting and spokesmanship at local, regional and national levels. Peter is a Member of the Chartered Institute of Public Relations (MCIPR) and the Motor Industry Public Affairs Association.

Alison TheakerAlison Theaker has twenty five years’ experience in the PR industry as a practitioner, academic and author. She was formerly Scholar in Residence in the School of Marketing Communication at Emerson College, Boston, USA. Previously she was the first Head of Education at the then Institute of Public Relations, responsible for the development of the IPR’s Diploma and Advanced Certificate, the launch of the first CPD scheme for the PR industry in Europe, and setting up and revising frameworks for Approved Courses and Approved Trainers. Alison is author of the industry standard Public Relations Handbook. Alison is a Fellow of the CIPR and has delivered research papers at conferences in the UK, US and Australia on team working in PR, improving students’ writing skills and the future of PR as a profession. Alison teaches the CIPR Diploma at our Bristol Study Centre.

Wendy ThompsonWendy is a professional marketer with 16 years’ experience, with commercial, B2B, and blue chip companies including Psion and as Head of Marketing at Romieke. Wendy and her husband took over the ownership and operation of The Regent Hotel on the Isle of Bute, which won several awards , before becoming Head of Communiations at Steria . Wendy is a member of the Chartered Institute of Marketing, Chartered Institute of Public Relations and the Institute of Direct Marketing, and a Chartered Marketer.

Heather Yaxley - Course DirectorHeather has over 15 years’ experience working in-house for major brands and within consultancy environments. She has a strong reputation for developing innovative marketing and PR campaigns within a strategic framework. She has experience developing consumer, B2B and corporate initiatives in the public, private and charity sectors across the education, automotive, FMCG and arts worlds. With an extensive academic knowledge and her own business, Applause Consultancy, Heather is one of the most qualified trainers in her field.Heather is passionate about lifelong learning and studied the CAM Advanced and Higher diploma qualifications . Her success led to three prestigious awards and a new career teaching certified marketing and public relations courses. She is a member of the Chartered Institute of Public Relations and the Motor Industry Public Affairs Association for whom she co-ordinates innovative training courses.

deleGates come from multi-nationals, smes, public aGencies, universities and local authorities includinG:

our tutors

1

Application to study for the CIPR Advanced Certificate PLUS

CIPR membership application for UK based students

Applicants must complete ALL parts of the application form. Please ensure you have completed everything by

ticking the checklist boxes below

Course application fee payment details (credit/debit card or cheque – see below) (page 1) [ ]

Advanced Certificate application form – note a signature is required (page 4) [ ]

Contact details (page 5) [ ]

Academic and career details (page 6) [ ]

Official sponsor’s letter and a copy of your degree certificate (if applicable). [ ] NB: Failure to provide this information will delay your application and may result in your chosen centre being fully booked.

CIPR Membership application form [unless you are already a CIPR member] (pages 7 & 8). [ ] Note a signature is required (page 8)

IMPORTANT: It is your responsibility to ensure that you have received your membership number within one month of the start of the membership term as detailed on Page 8 – You will not be able to submit assignments without it.

Payment for the membership subscription (£145) by cheque or credit card (page 9) [ ]

Please return your completed application form and payment to: Bernadette Eveleigh, Chartered Institute of Public Relations, Public Relations Centre, 52 - 53 Russell Square, London, WC1B 4HP. If you have any queries regarding your Advanced Certificate application, please contact the Chartered Institute of Public Relations on 020 7631 6925 or email [email protected]

Payment of Course Application Fee and/or CIPR Awarding Body Fee

All applications must be accompanied by the course application fee and membership fee (if applicable). These will be

returned if the CIPR is unable to accept applications for any reason, or if the course applied for is cancelled. Otherwise

the application fee is non-refundable. The £50 application fee is part of the CIPR Awarding Body fee and this amount

will be deducted from the final CIPR invoice for the Awarding Body fees. If you wish to pay the Awarding Body fees in

full now please tick the correct box below. Receipts will be issued on request. Please note: Your chosen study

centre will invoice you separately for their centre course fees

*If paying by cheque we will require a separate cheque for your £145 membership fee (if applicable) as this will be

cashed at a later date.

Please complete the details below: (NB: complete Page 9 for membership fees)

I enclose a cheque made payable to the CIPR for £50 (Please invoice the remaining £730) [ ]

I enclose a cheque made payable to the CIPR for the entire £780 Awarding Body fee [ ]

Please deduct from my credit / debit card below the sum of £50 (Please invoice the remaining £730) [ ]

Please deduct from my credit / debit card below the entire £780 Awarding Body fee [ ]

Payment of the CIPR Awarding Body fee by instalments is available for self-funding students. Please

email [email protected] for details

Credit / Debit card payment: If paying by credit / debit card, please complete the details below:

Card no __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry date __ __ / __ __ Issue no (Maestro only) __ __ or Valid from date ___ ___/ ___ __

Security numbers (last 3 numbers on back of card) ___ ___ ___

Card type (delete as appropriate) AMEX/ Visa / Maestro / Delta / MasterCard Name of card holder ………………………………………………………………………………………………

House No. and Postcode where card is registered………………………………………………………...…

PLEASE NOTE: The CIPR regrets it is unable to accept payment by BACS

2

Application to Study for the CIPR Advanced Certificate

Please type or print clearly

Preferred centre of study …………………………………………........ Start date……………………….…

Title………… Surname……………………………………… Forename …………………………………………

Are you currently studying for any other course? Yes/No

If yes, please give details …………………………………………………………………………………………….

Are you a CIPR member? Yes/No If Yes, please give membership number ………………………

If No, please complete the Membership application on pages 8 and 9 of this form and enclose your £145

membership fee.

Sponsorship

Will your company be paying your course fees? Yes / No

If yes, please enclose an official letter from your company / sponsor confirming that they will be

paying your fee, including the following information:

Company name and address

Invoice address (if different) with contact name and telephone number for finance queries

Purchase Order no (if applicable)*

Name, telephone number and email address of the person responsible for your sponsorship

*PLEASE NOTE:

If your company operates a Purchase Order system then details of both Purchase Order numbers (one for

the CIPR Awarding Body fee and one for the centre course fee) are required. Failure to provide this

information may result in your application being delayed.

3

Equal Opportunities Monitoring

The CIPR is committed to equal opportunities for all working in public relations. In order to promote active policies to widen diversity we ask your co-operation in completing the appropriate boxes below. This information will remain strictly confidential and will only be used for monitoring purposes.

1. PHYSICAL STATUS

[ ] Non-disabled

[ ] Disabled

[ ] Have a hearing impairment

[ ] Have a visual impairment

[ ] Have special access needs

[ ] Other – please give details

______________________________________________________________________________________________________________________________________________________________________________________________

2. ETHNIC ORIGIN

Please indicate the category which best describes your ethnic origin:

2.1 White

[ ] 2.1a British

[ ] 2.1c Any other white background

(please write below)

[ ] 2.1b Irish

______________________________________________________________________________________________________________________________________________________________________________________________

2.2 Mixed

[ ] 2.2a White and Black Caribbean

[ ] 2.2c White and Black African

[ ] 2.2b White and Asian

[ ] 2.2d Any other mixed background

(please write below)

______________________________________________________________________________________________________________________________________________________________________________________________

2.3 Asian or Asian British

[ ] 2.3a Indian

[ ] 2.3c Pakistani

[ ] 2.3b Bangladeshi

[ ] 2.3d Any other Asian background

(please write below)

______________________________________________________________________________________________________________________________________________________________________________________________

2.4 Black or Black British

[ ] 2.4a Caribbean

[ ] 2.4c Any other black background

(please write below)

[ ] 2.4b African

_____________________________________________________________________________________________________________________________________________________________________________________________

2.5 Chinese or other ethnic group

[ ] 2.5a Chinese

[ ] 2.5b Any other

(please write below)

____________________________________________________________________________________________________________________________________________________________________________________________

Is English your first language? [ ] Yes [ ] No

If No, please provide evidence of competence in the English language at: Cambridge Advanced

Certificate or Proficiency Level or equivalent, or IELTS Level 7.

4

Marketing Information

Where did you find out about the CIPR Advanced Certificate? (You may tick more than one)

Brochure

CIPR website

CIPR e-newsletter

Newspaper article or advertisement please

give details

PR event

Friend/colleague

Other – Please give details

Occasionally we may promote, via a third party, products and services we feel will be of interest to our members. These are always carefully screened but if you do not wish to receive this information please tick here.

Conditions and confirmation

I have read and understand the terms and conditions below and confirm that all the information I have provided on this

application form is correct:

Signature ________________________________________________ Date _______________________

REMINDER: Have you attached all relevant documents and payments to your application? (See Page 1)

Please return your completed forms and payment to:

Chartered Institute of Public Relations, Public Relations Centre, 52 – 53 Russell Square, London, WC1B 4HP.

TERMS & CONDITIONS (Important information – please read carefully):

COURSE FEES: The course Awarding Body fee MUST be paid in full prior to the start of the course or 30 days from date of invoice (whichever is the

soonest). The application fee will be returned if the CIPR is unable to accept applications for any reason, or if the course applied for is cancelled. Otherwise

no refunds will be given. REFUNDS: In the event of cancellation by the course participant a full refund (minus the £50 application fee) will be given up to 14

days before the start date of a course. From 14 days prior to the start date, to the commencement of the course, a 50% refund (minus the £50 application

fee), will be given. No refunds will be given after a course has started. In the event of cancellation of a course by the CIPR, refunds will be given in full. This

does not affect your statutory rights. Places are non-transferable. CANCELLATIONS: Occasionally it will be necessary to cancel a course if minimum

numbers can’t be achieved. If your course is cancelled the CIPR will contact you by email offering a choice of alternative venues or a full refund.

DEFERRALS: Occasionally students may encounter pressures through work or personal circumstances that make it difficult to complete the course in one

academic year. In such circumstances, providing the student can show valid reason*, the student will be able to either withdraw from the course entirely,

and to postpone teaching and assessments not yet taken to the following academic year, or to defer some or all assessments to the following academic

year. A deferral fee will apply. MEMBERSHIP: Once activated, membership cannot be deferred or cancelled. No refunds will be given unless the course

is cancelled by the CIPR. The membership subscription will be due for renewal at the rate relevant to your grade. Only one term of discounted

membership is applicable per course. ABUSIVE BEHAVIOUR: This will not be tolerated either verbally or written. In exceptional circumstances action

may be taken against students who continue to use abusive behaviour and this may result in their place on the course being cancelled and no refund given.

*Guidelines on what constitutes a ‘valid reason’ for deferral, together with the procedure for deferral, will be issued to students at the start of the course.

5

Application to study for the CIPR Advanced Certificate and membership of the CIPR

Office Use Only:

Course: ADVANCED CERTIFICATE Start Date ……....................….…............……… Mem Renew date ...............................

Mem No. …………………...………….. Payment …….....…………. CPD ………….....….. Exp ……...…………… Date ……….........……..

Membership Grade...............................................

Your Essential Contact Details: (The name that you give will appear on all CIPR membership correspondence including your membership and course certificate, if applicable. Please use the same format in all correspondence with the CIPR).

Title: _______________________Surname: ____________________________________________________________________________________

Forename & other initials: ___________________________________________________________ Date of birth: ____________________________

All applicants MUST provide their HOME ADDRESS. One of the addresses you provide will be used as the main address for all CIPR correspondence

and will appear in the secure member area of the CIPR website.

Please indicate which is your preferred mailing address: □ Company □ Home

YOUR BUSINESS ADDRESS:

Job Title: _________________________________________________________________________________________________________________

Full name of organisation: ____________________________________________________________________________________________________

Company address: __________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

Postcode: _______________________________________________ County: ____________________________________________________

Brief description of your organisation’s activities: __________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

YOUR TELEPHONE AND EMAIL:

Business tel: ________________________________ Home tel: ______________________________ Business fax: ________________________

Mobile: _________________________________ Home email: ___________________________________________________________________

Business email: _______________________________________________________ Website:___________________________________________

Please indicate which email address you would prefer CIPR correspondence to be sent to: □ Company □ Home

YOUR HOME ADDRESS: (NB: Your results and certificate will be sent to this address)

Home address: _________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

Postcode: _____________________________________ County: _________________________________________________________________

Do you work: (tick one) □ Freelance □ Consultancy □ In-house □ Non-PR □ Not working

6

Application to study for the CIPR Advanced Certificate and membership of the CIPR

Academic Details

GCSE and ‘A’ / ’AS’ levels need only take up one line eg. 7 GCSE grades A-C

Title or name of award Grade(s) Year Institution

Please continue on a separate sheet if necessary

If you have a degree please send a copy of your certificate with this application form.

If you are sending a copy of your degree certificate later please tick this box [ ]

PR and Communication experience

Starting with current employment and ALL of your previous PR or related roles

(If you have no experience in PR please state this – do not leave this section blank)

Employer Start/Finish

dates

Job title and brief description of your PR

responsibilities

Please continue on a separate sheet if necessary

7

Application for membership of the Chartered Institute of Public Relations for

CIPR Advanced Certificate or Diploma Applicants

If you are already a member of the CIPR please quote your membership number

………………………………….

(Existing members do not need to complete the rest of this form)

It is a condition of studying the CIPR Advanced Certificate or Diploma that you apply for membership of the Chartered Institute

of Public Relations at the grade relevant to your experience at the start of the course.

The CIPR is here to help PR professionals like you stay ahead of the game throughout your career. For more information on

member benefits take a look at http://www.cipr.co.uk/benefits.

The term of membership for new members applying to study the CIPR Advanced Certificate or Diploma will be as follows:

Course start date between Sept and Dec 2011 – membership term from September 2011 to 31 December 2012

Course start date between January and March 2012 – membership term is from January 2012 to 31 March 2013

Your membership will be activated in the first month of the term (September 2011 or January 2012) providing the membership

fee has been paid.

Confirmation of your membership number will be sent by email and a membership welcome pack (and membership certificate if

Associate or Member grade) by post.

Important - It is your responsibility to ensure you have received your membership number within one month of the

start of the membership terms as above – you will not be able to submit assignments without it.

Contact [email protected] or the membership team at 020 7631 6900 with any queries, remembering to let them know

that you are applying for the Advanced Certificate course.

Fees

A discounted rate of £145 is offered for the above term of membership regardless of the grade you are applying for, providing

you are accepted on the course.

Course Cancellations/Deferrals

The membership fee is non-refundable once the membership has been activated. Please refer to the course deferrals policy on

Page 4 of this application form.

Upgrading your membership on completion of your course

Students from the Advanced Certificate course will automatically be upgraded to Associate (ACIPR) membership on

successful completion of the course. If you are already an Associate member with three years’ experience in PR and

Communications you will be invited to upgrade to Member (MCIPR).

Students from the Diploma course will automatically be upgraded to Member (MCIPR) status on successful completion of the

course.

8

YOUR MEMBERSHIP GRADE (please select one)

I am applying for Member grade (MCIPR) as I have:

more than six but less than ten years’ experience in PR and Communications and commit to CIPR CPD

(http://www.cipr.co.uk/cpd) for one year or

ten years’ experience in PR and communications or

ten years in senior management and now hold a senior PR position in a major organisation

I am applying for Associate grade (ACIPR) as I have

at least three years’ experience in public relations and communications

I am applying for Affiliate grade as I have less than 3 years’ experience in PR and communications

STAYING IN TOUCH WITH THE CIPR

CIPR Member directory: your contact details will be published in our online member-only directory – please indicate below if you do not

want your details published:

CIPR member emails and mailings: we will send you regular emails and mailings about CIPR activities, initiatives, groups and events – please indicate below if you do not want to receive these communications.

Please do not publish my: Please do not send me:

Address CIPR HQ email newsletters

Work telephone CIPR mailings

Home telephone CIPR national/regional group emails

Fax CIPR sectoral group emails

Mobile

Email

CIPR third party mailings - from time to time the CIPR works with other carefully selected and relevant organisations. Please tick here if

you do not wish to receive these

YOUR SIGNATURE

I confirm that the information given in this application is correct and agree to abide by the CIPR’s Code of Conduct

(www.cipr.co.uk/code-of-conduct)

Signed Date

Name (please print) …………………………………………………………………………………………….……

9

Office Use only: Name:………………………………………….. Payment …………………. Date ………….

Payment details for CIPR Membership (£145)

Please complete the details below:

I enclose a cheque made payable to Chartered Institute of Public Relations for

the membership subscription of £145* [ ]

Please deduct the membership subscription from my credit / debit card* [ ]

If paying by credit / debit card, please complete the details below:

Credit / Debit card details:

Card no __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry date __ __ / __ __ Issue no (Maestro only) __ __ or Valid from date ___ ___/ ___ __

Security numbers (last 3 numbers on back of card) ___ ___ ___

Card type (delete as appropriate) AMEX/ Visa / Maestro / Delta / MasterCard Name of card holder ………………………………………………………………………………………………

House no and Postcode where card is registered………………………………………………………...…

* Receipt available on request.

PLEASE NOTE: Membership fees must be paid by cheque or credit / debit card. We regret we are unable to accept payment by BACS. If an invoice is requested for membership fees this will cause a delay to the processing of your application and will require a separate Purchase Order number.

1

Application to study for the CIPR Diploma PLUS

CIPR membership application for UK based students

Applicants must complete ALL parts of the application form. Please ensure you have completed everything by

ticking the checklist boxes below

Course application fee payment details (credit/debit card or cheque – see below) (page 1) [ ]

Diploma application form – note a signature is required (page 4) [ ]

Contact details (page 5) [ ]

Academic and career details (page 6) [ ]

Official sponsor’s letter and a copy of your degree certificate (if applicable). [ ] NB: Failure to provide this information will delay your application and may result in your chosen centre being fully booked.

CIPR Membership application form [unless you are already a CIPR member] (pages 7 & 8). [ ] Note a signature is required (page 8)

IMPORTANT: It is your responsibility to ensure that you have received your membership number within one month of the start of the membership term as detailed on Page 8 – You will not be able to submit assignments without it.

Payment for the membership subscription (£145) by cheque or credit card (page 9) [ ]

Please return your completed application form and payment to: Bernadette Eveleigh, Chartered Institute of Public Relations, Public Relations Centre, 52 - 53 Russell Square, London, WC1B 4HP. If you have any queries regarding your Diploma application, please contact the Chartered Institute of Public Relations on 020 7631 6925 or email [email protected]

Payment of Course Application Fee and/or CIPR Awarding Body Fee

All applications must be accompanied by the course application fee and membership fee (if applicable). These will be

returned if the CIPR is unable to accept applications for any reason, or if the course applied for is cancelled. Otherwise

the application fee is non-refundable. The £50 application fee is part of the CIPR Awarding Body fee and this amount

will be deducted from the final CIPR invoice for the Awarding Body fees. If you wish to pay the Awarding Body fees in

full now please tick the correct box below. Receipts will be issued on request. Please note: Your chosen study

centre will invoice you separately for their centre course fees

*If paying by cheque we will require a separate cheque for your £145 membership fee (if applicable) as this will be

cashed at a later date.

Please complete the details below: (NB: complete Page 9 for membership fees)

I enclose a cheque made payable to the CIPR for £50 (Please invoice the remaining £900) [ ]

I enclose a cheque made payable to the CIPR for the entire £950 Awarding Body fee [ ]

Please deduct from my credit / debit card below the sum of £50 (Please invoice the remaining £900) [ ]

Please deduct from my credit / debit card below the entire £950 Awarding Body fee [ ]

Payment of the CIPR Awarding Body fee by instalments is available for self-funding students. Please

email [email protected] for details

Credit / Debit card payment: If paying by credit / debit card, please complete the details below:

Card no __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry date __ __ / __ __ Issue no (Maestro only) __ __ or Valid from date ___ ___/ ___ __

Security numbers (last 3 numbers on back of card) ___ ___ ___

Card type (delete as appropriate) AMEX/ Visa / Maestro / Delta / MasterCard Name of card holder ………………………………………………………………………………………………

House No. and Postcode where card is registered………………………………………………………...…

PLEASE NOTE: The CIPR regrets it is unable to accept payment by BACS

2

Application to Study for the CIPR Diploma

Please type or print clearly

Preferred centre of study …………………………………………........ Start date……………………….…

Title………… Surname……………………………………… Forename …………………………………………

Are you currently studying for any other course? Yes/No

If yes, please give details …………………………………………………………………………………………….

Are you a CIPR member? Yes/No If Yes, please give membership number ………………………

If No, please complete the Membership application on pages 8 and 9 of this form and enclose your £145

membership fee.

Sponsorship

Will your company be paying your course fees? Yes / No

If yes, please enclose an official letter from your company / sponsor confirming that they will be

paying your fee, including the following information:

Company name and address

Invoice address (if different) with contact name and telephone number for finance queries

Purchase Order no (if applicable)*

Name, telephone number and email address of the person responsible for your sponsorship

*PLEASE NOTE:

If your company operates a Purchase Order system then details of both Purchase Order numbers (one for

the CIPR Awarding Body fee and one for the centre course fee) are required. Failure to provide this

information may result in your application being delayed.

3

Equal Opportunities Monitoring

The CIPR is committed to equal opportunities for all working in public relations. In order to promote active policies to widen diversity we ask your co-operation in completing the appropriate boxes below. This information will remain strictly confidential and will only be used for monitoring purposes.

1. PHYSICAL STATUS

[ ] Non-disabled

[ ] Disabled

[ ] Have a hearing impairment

[ ] Have a visual impairment

[ ] Have special access needs

[ ] Other – please give details

______________________________________________________________________________________________________________________________________________________________________________________________

2. ETHNIC ORIGIN

Please indicate the category which best describes your ethnic origin:

2.1 White

[ ] 2.1a British

[ ] 2.1c Any other white background

(please write below)

[ ] 2.1b Irish

______________________________________________________________________________________________________________________________________________________________________________________________

2.2 Mixed

[ ] 2.2a White and Black Caribbean

[ ] 2.2c White and Black African

[ ] 2.2b White and Asian

[ ] 2.2d Any other mixed background

(please write below)

______________________________________________________________________________________________________________________________________________________________________________________________

2.3 Asian or Asian British

[ ] 2.3a Indian

[ ] 2.3c Pakistani

[ ] 2.3b Bangladeshi

[ ] 2.3d Any other Asian background

(please write below)

______________________________________________________________________________________________________________________________________________________________________________________________

2.4 Black or Black British

[ ] 2.4a Caribbean

[ ] 2.4c Any other black background

(please write below)

[ ] 2.4b African

_____________________________________________________________________________________________________________________________________________________________________________________________

2.5 Chinese or other ethnic group

[ ] 2.5a Chinese

[ ] 2.5b Any other

(please write below)

____________________________________________________________________________________________________________________________________________________________________________________________

Is English your first language? [ ] Yes [ ] No

If No, please provide evidence of competence in the English language at: Cambridge Advanced

Certificate or Proficiency Level or equivalent, or IELTS Level 7.

4

Marketing Information

Where did you find out about the CIPR Diploma? (You may tick more than one)

Brochure

CIPR website

CIPR e-newsletter

Newspaper article or advertisement please

give details

PR event

Friend/colleague

Other – Please give details

Occasionally we may promote, via a third party, products and services we feel will be of interest to our members. These are always carefully screened but if you do not wish to receive this information please tick here.

Conditions and confirmation

I have read and understand the terms and conditions below and confirm that all the information I have provided on this

application form is correct:

Signature ________________________________________________ Date _______________________

REMINDER: Have you attached all relevant documents and payments to your application? (See Page 1)

Please return your completed forms and payment to:

Chartered Institute of Public Relations, Public Relations Centre, 52 – 53 Russell Square, London, WC1B 4HP.

TERMS & CONDITIONS (Important information – please read carefully):

COURSE FEES: The course Awarding Body fee MUST be paid in full prior to the start of the course or 30 days from date of invoice (whichever is the

soonest). The application fee will be returned if the CIPR is unable to accept applications for any reason, or if the course applied for is cancelled. Otherwise

no refunds will be given. REFUNDS: In the event of cancellation by the course participant a full refund (minus the £50 application fee) will be given up to 14

days before the start date of a course. From 14 days prior to the start date, to the commencement of the course, a 50% refund (minus the £50 application

fee), will be given. No refunds will be given after a course has started. In the event of cancellation of a course by the CIPR, refunds will be given in full. This

does not affect your statutory rights. Places are non-transferable. CANCELLATIONS: Occasionally it will be necessary to cancel a course if minimum

numbers can’t be achieved. If your course is cancelled the CIPR will contact you by email offering a choice of alternative venues or a full refund.

DEFERRALS: Occasionally students may encounter pressures through work or personal circumstances that make it difficult to complete the course in one

academic year. In such circumstances, providing the student can show valid reason*, the student will be able to either withdraw from the course entirely,

and to postpone teaching and assessments not yet taken to the following academic year, or to defer some or all assessments to the following academic

year. A deferral fee will apply. MEMBERSHIP: Once activated, membership cannot be deferred or cancelled. No refunds will be given unless the course

is cancelled by the CIPR. The membership subscription will be due for renewal at the rate relevant to your grade. Only one term of discounted

membership is applicable per course. ABUSIVE BEHAVIOUR: This will not be tolerated either verbally or written. In exceptional circumstances action

may be taken against students who continue to use abusive behaviour and this may result in their place on the course being cancelled and no refund given.

*Guidelines on what constitutes a ‘valid reason’ for deferral, together with the procedure for deferral, will be issued to students at the start of the course.

5

Application to study for the CIPR Diploma and membership of the CIPR

Office Use Only:

Course: DIPLOMA Start Date ……....................….…............……… Mem Renew date ...............................

Mem No. …………………...………….. Payment …….....…………. CPD ………….....….. Exp ……...…………… Date ……….........……..

Membership Grade...............................................

Your Essential Contact Details: (The name that you give will appear on all CIPR membership correspondence including your membership and course certificate, if applicable. Please use the same format in all correspondence with the CIPR).

Title: _______________________Surname: ____________________________________________________________________________________

Forename & other initials: ___________________________________________________________ Date of birth: ____________________________

All applicants MUST provide their HOME ADDRESS. One of the addresses you provide will be used as the main address for all CIPR correspondence

and will appear in the secure member area of the CIPR website.

Please indicate which is your preferred mailing address: □ Company □ Home

YOUR BUSINESS ADDRESS:

Job Title: _________________________________________________________________________________________________________________

Full name of organisation: ____________________________________________________________________________________________________

Company address: __________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

Postcode: _______________________________________________ County: ____________________________________________________

Brief description of your organisation’s activities: __________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

YOUR TELEPHONE AND EMAIL:

Business tel: ________________________________ Home tel: ______________________________ Business fax: ________________________

Mobile: _________________________________ Home email: ___________________________________________________________________

Business email: _______________________________________________________ Website:___________________________________________

Please indicate which email address you would prefer CIPR correspondence to be sent to: □ Company □ Home

YOUR HOME ADDRESS: (NB: Your results and certificate will be sent to this address)

Home address: _________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

Postcode: _____________________________________ County: _________________________________________________________________

Do you work: (tick one) □ Freelance □ Consultancy □ In-house □ Non-PR □ Not working

6

Application to study for the CIPR Diploma and membership of the CIPR

Academic Details

GCSE and ‘A’ / ’AS’ levels need only take up one line eg. 7 GCSE grades A-C

Title or name of award Grade(s) Year Institution

Please continue on a separate sheet if necessary

If you have a degree please send a copy of your certificate with this application form.

If you are sending a copy of your degree certificate later please tick this box [ ]

PR and Communication experience

Starting with current employment and ALL of your previous PR or related roles

(If you have no experience in PR please state this – do not leave this section blank)

Employer Start/Finish

dates

Job title and brief description of your PR

responsibilities

Please continue on a separate sheet if necessary

7

Application for membership of the Chartered Institute of Public Relations for

CIPR Advanced Certificate or Diploma Applicants

If you are already a member of the CIPR please quote your membership number

………………………………….

(Existing members do not need to complete the rest of this form)

It is a condition of studying the CIPR Advanced Certificate or Diploma that you apply for membership of the Chartered Institute

of Public Relations at the grade relevant to your experience at the start of the course.

The CIPR is here to help PR professionals like you stay ahead of the game throughout your career. For more information on

member benefits take a look at http://www.cipr.co.uk/benefits.

The term of membership for new members applying to study the CIPR Advanced Certificate or Diploma will be as follows:

Course start date between Sept and Dec 2011 – membership term from September 2011 to 31 December 2012

Course start date between January and March 2012 – membership term is from January 2012 to 31 March 2013

Your membership will be activated in the first month of the term (September 2011 or January 2012) providing the membership

fee has been paid.

Confirmation of your membership number will be sent by email and a membership welcome pack (and membership certificate if

Associate or Member grade) by post.

Important - It is your responsibility to ensure you have received your membership number within one month of the

start of the membership terms as above – you will not be able to submit assignments without it.

Contact [email protected] or the membership team at 020 7631 6900 with any queries, remembering to let them know

that you are applying for the Advanced Certificate course.

Fees

A discounted rate of £145 is offered for the above term of membership regardless of the grade you are applying for, providing

you are accepted on the course.

Course Cancellations/Deferrals

The membership fee is non-refundable once the membership has been activated. Please refer to the course deferrals policy on

Page 4 of this application form.

Upgrading your membership on completion of your course

Students from the Advanced Certificate course will automatically be upgraded to Associate (ACIPR) membership on

successful completion of the course. If you are already an Associate member with three years’ experience in PR and

Communications you will be invited to upgrade to Member (MCIPR).

Students from the Diploma course will automatically be upgraded to Member (MCIPR) status on successful completion of the

course.

8

YOUR MEMBERSHIP GRADE (please select one)

I am applying for Member grade (MCIPR) as I have:

more than six but less than ten years’ experience in PR and Communications and commit to CIPR CPD

(http://www.cipr.co.uk/cpd) for one year or

ten years’ experience in PR and communications or

passed the CIPR Advanced Certificate and have at least three years experience in PR and communications or

ten years in senior management and now hold a senior PR position in a major organisation

I am applying for Associate grade (ACIPR) as I have

at least three years’ experience in public relations and communications or

have passed the CIPR Advanced Certificate

I am applying for Affiliate grade as I have less than 3 years’ experience in PR and communications

STAYING IN TOUCH WITH THE CIPR

CIPR Member directory: your contact details will be published in our online member-only directory – please indicate below if you do not

want your details published:

CIPR member emails and mailings: we will send you regular emails and mailings about CIPR activities, initiatives, groups and events – please indicate below if you do not want to receive these communications.

Please do not publish my: Please do not send me:

Address CIPR HQ email newsletters

Work telephone CIPR mailings

Home telephone CIPR national/regional group emails

Fax CIPR sectoral group emails

Mobile

Email

CIPR third party mailings - from time to time the CIPR works with other carefully selected and relevant organisations. Please tick here if

you do not wish to receive these

YOUR SIGNATURE

I confirm that the information given in this application is correct and agree to abide by the CIPR’s Code of Conduct

(www.cipr.co.uk/code-of-conduct)

Signed Date

Name (please print) …………………………………………………………………………………………….……

9

Office Use only: Name:………………………………………….. Payment …………………. Date ………….

Payment details for CIPR Membership (£145)

Please complete the details below:

I enclose a cheque made payable to Chartered Institute of Public Relations for

the membership subscription of £145* [ ]

Please deduct the membership subscription from my credit / debit card* [ ]

If paying by credit / debit card, please complete the details below:

Credit / Debit card details:

Card no __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry date __ __ / __ __ Issue no (Maestro only) __ __ or Valid from date ___ ___/ ___ __

Security numbers (last 3 numbers on back of card) ___ ___ ___

Card type (delete as appropriate) AMEX/ Visa / Maestro / Delta / MasterCard Name of card holder ………………………………………………………………………………………………

House no and Postcode where card is registered………………………………………………………...…

* Receipt available on request.

PLEASE NOTE: Membership fees must be paid by cheque or credit / debit card. We regret we are unable to accept payment by BACS. If an invoice is requested for membership fees this will cause a delay to the processing of your application and will require a separate Purchase Order number.


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