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Academic: Academic:
Work: Work:
Total: Total:
Delete as appropriate:
Member / Associate / Referral Member / Associate / Referral
Name: Name:
Date: Date:
Mobile Telephone
Home Telephone
Office Telephone
Personal Email
Job Title
Referee: Name, position and email address of one referee must be given. They don’t need to be an Institution
member but should be able to give information your standing and experience.
1
Qualifications – Photocopies of the awarded certificates should be enclosed, with relevant transcripts (if available)
Date Degree / Qualification University / College
If your degree programme is not included within our list of relevant courses (.pdf) please provide justification, in up
to 200 words, for how your academic experience has directly furthered your understanding
of environmental science in an educational and/or professional capacity.
In order to administer your membership and deliver you our services, it is essential for us to process your
personal data and store it in an electronic format. We have outlined how this information may be used and why in
our Privacy Statement. You can unsubscribe from most of our communications in the Members’
Area or by contacting us directly. It is our policy to retain your details for up to three years once your
membership has expired, but you are welcome to request its removal at any time.
I confirm that I have read the Privacy Statement and am happy for the IES to process my personal data in
order to maintain my IES membership
I certify that the information given on this form is accurate and I apply for membership of the Institution of
Environmental Sciences. I agree to be bound by the Rules, Regulations, Code of Conduct and Constitution of
the IES as amended from time to time (see www.the-ies.org/members_documents), and to maintain with the
IES a registered email address.
Signature Date
This form will be separated from your IES application prior to assessment
This monitoring exercise will ask questions regarding ethnicity, disability, and gender. You are not obligated to answer
every question, although participation is encouraged.
Why monitor?
An effective way to determine whether our equal opportunity and diversity policies may be working is through
monitoring as it can provide a quantitative measure of change.
Without measuring how effective our policies are, even the best of intentions may remain just that, intentions unmet.
Monitoring provides organisations insight into key areas of strength and vulnerability, and to analyse how policies,
practices and procedures may affect different people. It allows us to detect potential inequalities and
underlying triggers to underrepresentation, which may help target appropriate resources to combat these issues.
Over time, we can compile trend data and see whether any actions we have taken to combat inequality have
had any measurable impact. These trends can also be used to inform future planning and policymaking.
You can read more about how we process personal data, including sensitive personal data, in our Privacy Statement.
Participation
We respect that some people would prefer not to complete diversity forms, potentially through fear that the
information will be misused, or that questions are highly personal or irrelevant. We wish to assure you that you
are not obligated to answer any of these questions if you do not want to. Participation is entirely voluntary and,
whether you choose to respond or not, you will not be subject to discrimination. If you can, we encourage you to
respond to this survey as the quality of monitoring can only be as good as the quality of the data.
Gender
The IES would like to monitor the gender of its members to assess whether there is underrepresentation across
the sector and, if so, augment practices accordingly. We recognise that gender is a spectrum and have tried to list
sufficient options to reflect this. However, if your gender has not been listed here, please use the Self-describe
option to specify. You are welcome to skip this question by selecting Prefer not to say.
Ethnicity
We wish to monitor the ethnicity of our members as it will enable us to evaluate potential discrepancies within our
activities and refocus resources to better serve underrepresented groups of people.
We acknowledge that the collection of ethnicity data can be challenging due to the subjective and multi-faceted
nature of what an ‘ethnic group’ is. We have chosen to categorise ethnicity in line with the 2011 Census
(UK) which encourages people to self-identify their ethnicity. If your ethnicity is not listed here,
please specify in the appropriate space. You are welcome to skip this question by selecting Prefer not to say.
Black/African/Caribbean/Black British:
British African Caribbean Other Black Background: .......................
White:
British Irish Gypsy or Irish Traveller Other White Background: ......................
Disability
The IES monitors the disability of its members to ensure that disabled people are not disproportionally excluded
from participating in environmental science. This can inform us of whether it is necessary to target resources to
combat discrimination. Under the UK Equality Act 2010, you are disabled if you have a physical or mental
impairment that has a ‘substantial’ and ‘long-term’ negative effect on your ability to do ‘normal daily activities’,
where:
• ‘substantial’ is more than minor or trivial
• ‘long-term’ means 12 months or longer
• ‘normal daily activities’ include everyday tasks such as eating, washing, walking, or shopping
Disabilities may include, but are not limited to, one or a combination of the following: hearing impairment; learning
disability; long-standing illness or health condition; mental health condition, physical or mobility impairment; or visual
impairment. You will not be required to specify the nature of your disability/disabilities in this form, however, if wish
to discuss this with the IES Office, please email [email protected] or call +44 (0)20 3862 7484. You are welcome to
skip this question by selecting Prefer not to say.