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Please submit the below details to apply for CILTA Membership

Personal Details

Title:

First Name:

Last Name:

DOB:

Gender:

Phone:

Email:

Organisation:

Position:

Preferred Contact Details for Membership Correspondence

Address:

Suburb:

State:

Post Code:

Country:

Membership

Please select the Section you wish to be associated with:

Membership Grade:

Grade	EXPERIENCE		RELEVANT QUALIFICATIONS
AFFILIATE / STUDENT	Entry Level, no experience required
MEMBER (MILT)	3 Years Relevant Experience	+	Relevant Qualification
CHARTERED MEMBER (CMILT)	5 Years Experience in T&L with at least 2 Years Senior Management experience	+	Relevant Qualification (At least Diploma level)
	5 Years Experience in Senior Management in T&L
	Holds experience in special positions of responsibility & knowledge in T&L
CHARTERED FELLOW (FCILT)	7 Years at Senior Level and a current CILT Chartered Member (CMILT)

If you are applying as a Member (MILT) / Chartered Member (CMILT) or Chartered Fellow (FCILT) please include supporting documents:
1. Full Curriculum Vitae
2. Copies of Relevant Educational Qualification Certificates

File 1:

File 2:

File 3:

Referees:

When applying for membership, referees are required dependant on the grade*:
Chartered Fellow - three (3) Institute members;
Chartered Members - two (2) Institute members;
Member one (1) Institute member;
Affiliate/Student no referees required

*Please contact the Membership Manager at National Office if you do not know any Institute members - admin@cilta.com.au / 1300 68 11 34

Name of Referee 1:


Membership No:	Membership Grade:




Name of Referee 2:


Membership No:	Membership Grade:




Name of Referee 3:


Membership No:	Membership Grade:

Career Profile

Please help us get to know you and your interests so we can provide more specific and tailored benefits.

Area:

Passenger Logistics and Transport
Freight Logistics and Transport

Sector:

Air
Rail
Road
Sea
Distribution
Academic
Terminal
Government
Consultancy
Other

If other please list:

Job Rank:

Chief Executive/MD
Director/Dept/Senior Manager
Manager
Assistant Manager/Supervisor
Trainee Graduate
Analyst
Operative
Consultant
Student
Looking for Work
Retired
Other

If other please list:

Type of Business:

Manufacturing
Retailing
Wholesaler
Import / Export
Transport
Contract Distribution
Information Technology
Human Resources
Consultancy
Education / Training
Materials Handling
Resources Sector
Government
Other

If other please list:

Job Function:

Logistics
Transport
Warehouse
Packaging
Customer Service
Stock Control
Administration / Finance
Sales / Marketing
Freight Management
Procurement
Education / Training
Senior Management
IT
Other

If other please list:

Personal Interests:

Benchmarking, Best Practice
Technology (systems, e-commerce, data capture)
Purchasing, Supply, Procurement
Environment, "green logistics:, Recycling
Analysis, Modelling, Decision Support
Warehousing, Materials Handling
Quality, Performance Measurement
Demand Planning, Forecasting
Inventory Management and Control
Customer Service
Passenger Transport, Policy & Practice
Export / Import, Freight Forwarding
Health, Safety, Environment
Strategic Planning, Collaboration
Transport, Distribution
Education, Training
Other

If other please list:

Professional Development

Please help us provide relevant, specific & tailored Professional Development options to CILTA Members - Please provide us with your current qualifications and those gaps that you would like filled to maximise career progression as well as how you would like them delivered.

Current Qualifications:

Future Short Courses / Seminars (please list the desired subject matter, time and place of delivery):

Future Accredited Courses (please list the desired subject matter, time and place of delivery):

Future University Courses (please list the desired subject matter, time and place of delivery):

Future Courses by Webinar (please list the desired subject matter, time and place of delivery):

Please tick here if you would like your details to be included in a membership directory available to other CILTA Members

By submitting this form:

I certify that the statements on this form are correct. I agree that in the event of my election to status, I will observe the Code of Professional Conduct, will be governed by the Charter and By-Laws of the Institute, and will promote the objects of the Institute as far as shall be in my power. If I withdraw from the Institute, I will in accordance with By-Law No. 21, after payments of all subscriptions or other sums due from me including any subscription for the current year, send my resignation by email or letter to CILTA administration admin@cilta.com.au.

A copy of the By-Laws may be obtained from the National Office - admin@cilta.com.au.

I have read and understood the above. Please proceed with my membership request.