APSAS

APSAS MEMBERSHIP APPLICATION FORM
Section A — Application summary
Application date:
Application ID (for office use):
Membership level applying for (tick):
Preferred contact email / phone:
Section B— Personal & professional details
Full name (as to appear on membership record & post-nominal):
Current job title / employer:
Work address:
Personal address:
Email:
example@example.com
Phone:
Format: (000) 000-0000.
Professional website / LinkedIn:
APSAS member number (if current member):
Section C—Eligibility summary (applicant to complete)
Are you currently an APSAS member? Yes / No
If applying as Graduate: Training provider/course name, date completed, certificate number (attach certificate)
If applying as Member (MAPSAS): Accreditation Level 2 certificate number/ evidence (attach)

- If applying as Certified Practitioner (Cred.APSAS): Years post-qualification /
  evidence of advanced projects (attach)
- If applying as Fellow (FAPSAS): Nominator name & membership level, candidate
  statement of contribution (attach)
Have you had any disciplinary findings, criminal convictions, insolvency orrestrictions affecting professional status? Yes / No — if yes, provide details.
Section D — Attachments (required; tick to confirm uploaded)
- Proof of identity (ID/passport)
- Course certificate or transcript (if Graduate)
- Accreditation certificate (if applying Member/Certified)
- Portfolio of projects (Member/Certified: 3–5 projects; Cred: advanced examples)
- CPD record (last 12 months; minimum baseline hours as per level)
- Two professional referees (Member: one employer/manager + one client/peer;
  Fellows/supporting refs as required)
- External verifier form(s) submitted?
- Nomination form (Fellow applicants — proposer must be MAPSAS or above)
- Signed Code of Conduct & Declaration (Section G)
- Payment confirmation (application fee, if applicable)
Section E— Project portfolio summary (for Member / Certified)
- For each project (repeat fields for 3–5 projects):
  Project title; Role; Client; Duration; Key deliverables; Evidence attached
  (report/photos/deliverables); Referee contact.
Section F— Referees
- Referee 1: Name/ Role/Organisation/Email/Phone/ Relationship to applicant
- Referee 2: Name / Role / Organisation / Email / Phone/ Relationship to applicant
- (Optional additional referees for Cred/Fellow)

Section G—Declarations & consent (applicant signature required)
- I confirm the information and documents provided are true, accurate and complete.
- I accept and will abide by the APSAS Code of Conduct and Membership Terms & Conditions.
- I consent to APSAS verifying my documents, contacting referees and listing my membership in the public registry (subject to privacy preferences).
- I understand misuse of post-nominals may lead to sanctions.
Applicant signature / date.
SUBMISSION INSTRUCTIONS
- Submit via APSAS member portal OR email attachments to [membership@apsas.co.uk] with subject "Membership Application — [Name] — [Level]".
- Enclose payment receipt / application fee where required.
Should be Empty:

APSAS MEMBERSHIP APPLICATION FORM

Section A — Application summary

Section B— Personal & professional details

Section C—Eligibility summary (applicant to complete)

Section D — Attachments (required; tick to confirm uploaded)

Section E— Project portfolio summary (for Member / Certified)

Section F— Referees

Section G—Declarations & consent (applicant signature required)

SUBMISSION INSTRUCTIONS