Membership Application Form

Welcome to the ICG Online Membership Application Form

Please complete your details on the form below. We will process the application and send you confirmation of your membership of the Institute in the next 14 working days. Please note that members overseas will be charged an additional £30.00 per year for postage.

Title:*
Forename (s):*
Surname:*
Gender:*
Date of Birth (Day):
Date of Birth (Month):
Date of Birth (Year):
Membership Category:*
Do you hold a formal guidance qualification?:
Home Address:*
Telephone Number:
Fax Number:
Mobile Number:
Email Address:*
Employers Name:
Job Title:
Employment Address:
Work Telephone Number:
Work Fax Number:
Work Email Address:
Invoice Details - If different to above:
Does your company operate a Group Discount Scheme with the ICG:
Area of Guidance:
Area of Guidance:
Area of Guidance:
Ethnic Origin:*
Reason for Joining:*
Do you consider that you have a disability?:
I confirm the information provided by me is correct and I agree that in the event that the Institute is wound up, I will contribute a sum not exceeding one pound sterling. If accepted into membership, I will abide by the Institute's Code of Ethics: