North America (Change)

 

Membership Application

Please remember when submitting your Membership Application Form, you must include the following:

  1. Full Curriculum Vitae
  2. Copies of Educational Certificates are ONLY required for CMILT designations.
  3. Application form must also include one (1) Professional Reference ONLY if you are applying for a CMILT designation. All other designations do not require a reference.

Application

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Designation
Select OptionStudentAffiliateMemberChartered MemberRetired
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First Name
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Last Name
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Email Address
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Username
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Password
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    Strength: Very Weak
    Present Position
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    Organization Name
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    Organization Address
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    Telephone
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    Mailing Address
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    City
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    Province/State
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    Postal/Zip Code
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    Country/Region
    Country/RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe
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    I certify that the statements in this form are correct and promise that in the event of my election I will be governed by the By-laws of the Institute and will promote the objectives of the Institute as far as shall be in my power and attend its meetings as often as I conveniently can. Should I at any time desire to withdraw from the Institute, I will, in accordance with the By-laws, after payment of all subscriptions or other sums due from me including the subscription for the current year, send my resignation in writing to the office and return therewith any certificate held by me.
    *
    I agree to the above
    Yes
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    Date of Agreement
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    Professional References
    If you are applying for CMILT designation then please provide one (1) professional reference with your application so that your experience can be verified. Any other designation does not require a reference.
    Name
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    Phone
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    E-Mail
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    Curriculum Vitae & Employment History
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    Copies of Certificates
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    Certificates are only necessary when applying for CMILT designation.
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