Distance Learning Application

Date of Birth

Year field can be typed instead of using up/down arrows

Phone

Email address for correspondence

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Previous Education/Qualifications

Experience in surface engineering or engineering industry

Date

Company

Experience

Date 2

Company 2

Experience 2

Present Job Title

Employer

Employer's Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Work Telephone Number

Work Email

Mentor's Name

Mentor's Email

Company Contact Name

Company Contact Email

Contact Name for Invoice

Contact Email for Invoice

Company Membership Number (if applicable)

only Company Email

Who is paying the fee?

Company
Self

Company Membership No (if applicable)

Are you already a member of the Institute of Materials Finishing?

Yes
No

Your Membership Number

The fee paid for each course includes FREE individual Affiliate membership for 1 year from your course start date. At the end of the year we hope you will renew your membership.

Which course do you wish to enrol on?

Foundation
Technician
Licentiate

Technology Block Title

Electroplating - 8, 9*, 10, 18
Organic Coating - 19*, 20, 21, 23
Aerospace - 19*, 21, 24, 25

* Double Unit

Please tick remaining 3 units of your choice only

Units 1-7 are mandatory; * Double Unit

Please tick remaining 3 units of your choice only

Units 1-7 are mandatory; * Double Unit

Please tick remaining 3 units of your choice only

Units 1-7 are mandatory; * Double Unit

Technician Module

How did you hear of this course?

I, the undersigned, apply to be admitted to the Institute of Materials Finishing as an Affiliate and undertake, in the event of my election, to act professionally, to maintain the dignity and welfare of the Institute and to observe the Institute’s Code of Conduct for Members (March 2010).

GDPR Agreement

I consent to having this website store my submitted information so they can respond to my enquiry. Your privacy and the security of all information that you give us are of vital importance. Your personal information will be held on our Membership/Student Database in accordance with GDPR regulations after you have completed one of our training courses. We will not sell or pass on your information for marketing purposes. We will pass details of your name and address to our contracted magazine publication company to enable publications to be mailed to your address.

Distance Learning Application Form

Distance Learning Application

Experience in surface engineering or engineering industry