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Chartered

Quality
Professional
Application
form
Application to become a Member of
the Chartered Quality Institute and
a Chartered Quality Professional

Contents
03 How to apply
The Application Process
04 Section 1 About Me
04 My Personal Details
06 Payment
07 My Background
08 Declaration
09 Section 2 My Competence
Governance
11 Assurance
13 Improvement
15 Context
17 Leadership
19 Section 3 My Development Plan

Published in October 2015 by the Chartered Quality Institute: 2nd Floor North,
Chancery Exchange, 10 Furnival Street, London, EC4A 1AB.
CQI 2015. All rights reserved.
Incorporated by Royal Charter and registered as a charity, number 259678

02 | Chartered Quality Professional Application Form

www.cqi.org

How to apply
Use this form to apply to become a Member of the Chartered Quality
Institute and a Chartered Quality Professional. Before you apply you
should be confident that you meet the current requirements: please read
the Chartered Quality Professional Application Guidance document
available at the CQI website which focuses on how to complete the
My Competence section.
You will need
to complete
all sections:

Please send your


completed form,
any attachments and your
application fee to:

Email your
application to:

Section 1
About Me
Section 2
My Competence
Section 3
My Development Plan

CQI Membership
The Chartered Quality
Institute, 2nd Floor North,
Chancery Exchange
10 Furnival Street,
London, EC4A 1AB

membership@thecqi.org
+44 (0)20 7245 6866
We welcome applications
by email. Information on
fees can be found at
www.thecqi.org/fees

The Application Process


You need to demonstrate the required level of competence (practical
working, understanding and application) and underpinning knowledge
(academic or theoretical principles) via this form. Competence is assessed
by a written submission.
Once we have received your completed form and application fee, your
submission will be assessed and we will let you know the outcome.

03 | Chartered Quality Professional Application Form

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Section 1 About Me
Part A Personal details
Personal details (please complete in full)
Title (Mr Mrs Miss Ms Dr)

Nationality

First names

Date of birth

Surname

Membership number

Your contact details


Home address
Street
Town
County

Postcode

Country
Mobile
Tel
Email
Preferred correspondence address

Home

Work

Preferred billing address

Home

Work

Business address
Company name
Street
Town
County

Postcode

Country
Work Tel

Work Email

How did you hear about us?

Why are you applying for CQI membership?

Magazine

Website

Newspaper

Professional recognition in industry

Employer

Word of mouth

Conference

CQI qualifications study

Advertising

Professional development

College/Education Centre
Other. Please specify:

Other. Please specify:

Membership of other Professional Bodies

04 | Chartered Quality Professional Application Form

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Your area of work and interest


Please indicate your main industry area(s) of work
Aerospace
Chemicals, chemical products and fibres
Consultant
Electricity supply
Financial intermediation; real estate and
renting
Health and social work
Manufacture of coke and refined petroleum
products
Other transport equipment
Pharmaceuticals
Printing organizations
Rubber and plastic products
Transport, storage and communication
Wood and wood products

Agriculture and fishing


Construction
Defence industry
Electrical and optical equipment
Food products, beverages and tobacco
Hotels and restaurants
Leather and leather products
Manufacturing not elsewhere classified
Non-metallic mineral products
Other services
Pulp, paper and paper products
Public administration
Shipbuilding
Water supply

Basic metals and fabricated metal products


Concrete, cement, lime, plaster etc.
Education
Engineering services
Gas supply
Information technology
Machinery and equipment
Mining and quarrying
Nuclear industry
Other social services
Publishing organizations
Recycling
Textiles and textile products
Wholesale and retail trade; repair of
motor vehicles, motorcycles, personal
and household goods

Please indicate which topic area(s) you are interested in


Audit and assessment
Corporate strategy
Excellence
Human factors
Legislation
Process management
Quality tools and techniques
Standards
Supplier management

Continual improvement
Ethical management
Health and safety management
Integrated management
Management techniques
Quality awards
Risk management
Statistical process control
Total quality management

Corporate social responsibility


Environmental management
History of quality
ISO 9001
Performance management
Quality gurus
Six sigma
Stakeholder relationship
Other, please specify...

Part B Networks
Please select up to one home and one work branch by marking with a
H and/or a W. You will be kept up to date with local events and news.
For more details on our branches, please visit www.thecqi.org/branches

Please select Special Interest Group (SIG) to


be kept up to date with developments and
events in the industry. For more details on
our SIGs, please visit www.thecqi.org/SIGs

Branches

Special Interest Groups

East of Scotland
North of Scotland
West of Scotland
Belfast
Teeside
Tyne & Wear
Cumbria
Greater Manchester
Yorkshire

Birmingham
Derby & Nottingham
Leicester & Coventry
Wolverhampton
Chiltern
G
 reater Peterborough &
Cambridge
Milton Keynes
South Anglia
Avon
Devon & Cornwall
Gloucester
Wales
Wessex

05 | Chartered Quality Professional Application Form

Kent
North London
London South East
London South West
Southern
Surrey
Sussex
Thames Valley
Australia
Hong Kong
Singapore

Construction
Defense
Deming
Integrated Management
Medical Technologies
Nuclear
Pharmaceutical

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Part C Payment
All fees are non-refundable. Refer to the CQI website at www.thecqi.org for details of fees and subscriptions, your application
or regrade fee will need to be paid by cheque or credit/debit card. The preferred payment method for UK members is by direct
debit as this helps to keep the CQIs administrative charges to a minimum. All payments made by direct debit are covered by the
direct debit guarantee. You can also pay your annual fee by cheque or credit/debit card. Fill in the section below it if paying by
card, or enclose a cheque payable to The CQI. Please write your name on the reverse.

Section C1: Payment by Credit/debit card


Fees can be paid by:
Please tick as appropriate
Amount (pounds sterling)

Visa

Mastercard

AMEX

Debit

Card number
Expiry date (Month) >

(Year) >

Security number*

Issue number

(if applicable)

(*) For AMEX this is the four-digit number on the top right-hand corner on the front of the card. For all other cards this is the last three digits on the reverse of the
card on the signature strip. Please note that we are unable to process credit card payments if the security number has not been included.

Cardholder name (as shown on card)


Address (or where registered, including house number or name)
Postcode
Signature Date
Authorisation code
(Office use only)

&
Section C2: Payment by direct debit for Annual fee
Instruction to your bank or building society to pay direct debit

Originators Identification Number

930115

1. Name and full postal address of


your bank or building society branch
4. Bank or building society account number

Bank / building society


2. Name(s) of account holder(s)

5. Instruction to your bank or building society.


Please pay the Chartered Quality Institute direct debits
from the account detailed on this instruction subject to
the safeguards assured by the direct debit guarantee.

Signature
Date

3. Branch sort code

(from the top right hand corner of your cheque)

06 | Chartered Quality Professional Application Form

CQI Membership / Registration number (Office use only)

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Part D My Background
Please provide a CV which details your current and past experience and roles. It should also
include your relevant qualifications and training courses completed outlining which areas of
competence you consider these relate to.
For each role you should state the company name, start and finish dates, list of achievements,
responsibilities, level of authority and autonomy. It is also useful to include size and type of
organisation, and any direct reports.
For each qualification or training course you should state the full course title, education
establishment name, date of completion, how it was evaluated, duration, and competence
area reference (Governance/Assurance/Improvement/ Context/Leadership/Other).
Further Information
If there is any other relevant experience or learning which is not included in your CV, you
can let us know about it here. Please also include which competence area/s you wish it to
be considered against. 500 words maximum.

07 | Chartered Quality Professional Application Form

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Part E Declaration
I apply to become a member of the CQI. I agree I will be governed by the CQI Charter and
code of conduct*, and all subsequent revisions. I certify that the statements contained in this
form are correct to the best of my knowledge and belief at this time.
I will not use any titles, abbreviated titles or descriptions associated with The CQI except
those to which I am entitled under the By-Laws.
I further understand that I will pay an annual subscription as prescribed in the Bye-Laws,
and if at any time I shall desire to withdraw from the Institution, I will forthwith pay all
arrears of subscription or other payments due from me.

Signature:

Date:

* Refer to www.thecqi.org for further details of these documents


From time to time the CQI may wish to send you details of additional CQI services or
products that it considers may be of interest to you. Please tick this box if you do not wish
to receive such information
From time to time the CQI may wish to send you details through a third party of additional
services or products that it considers may be of interest to you. Please tick this box if you
do not wish to receive such information
In accordance with section 4 of the Data Protection Act 1998 any personal data you give
us will be used in connection with your contract with us and so that we can provide you
with services. As a member of the CQI, youre agreeing to let us, if necessary, contact the
awarding body of your qualifications so that we can verify the content and standards of
the courses you followed. We may use your data to provide details of your membership
category, length of membership, and potential changes to status to prospective employers
who ask us for this information.

08 | Chartered Quality Professional Application Form

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Section 2 My Competence:
Governance

Leadership

Governance

Please complete each of the five competence area sections. Each area has both organisation
wide and product / service focus, and a set of competence questions for you to consider.
These questions act as a guide for writing your competence statement. MakeLeadership
sure you refer
Governance
to Chartered Quality Professional Application Guidance when completing this section.

Governance: Ensure that organisation, customer and stakeholder


requirements are reflected in policies, processes and plans
G1 Organisation Governance
External Focus What methods have you used to establish customer/stakeholder needs/
expectations and views and ensured that the organisations policies, processes and plans
reflect these needs?
Internal Focus How have you developed process management capability across the
organisation to deliver consistent results and ensure the organisations policies, processes
and plans are effective in meeting stakeholder expectations, removing variation, minimising
operational risk and maximising efficiency?

G2 Product & Service Governance

External Focus What methods have you used to establish customer expectations and
views and ensure that the product/service delivery teams policies, processes and plans
reflect these needs?
Internal Focus - How have you developed process management capability for product/
service delivery across the organisation to deliver consistent results and ensures the product/
service delivery teams policies, processes and plans are effective in meeting customer
expectations, removing variation, minimising operational risk and maximising efficiency?
Self-Assessment Scores
(0-4, see Guidance)

09 | Chartered Quality Professional Application Form

Skills & Experience


Score
0-4

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Knowledge Score
0-4

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Assura

Assura

Governance continued
Leadership

Governance

Assura

Leadership

Governance

Assura

Competence Statement (500 words maximum)

Qualification / Evidence References

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Assurance
Leadership

Governance

Assurance: Embed a culture of assurance to ensure that policies,


processes and plans are effectively implemented, and that all
outputs are consistent with requirements
Leadership

Governance

Assurance

Impro

Assurance

Impro

A1 Organisation Assurance
Internal Focus Process Assurance How have you ensured the flow down of customer and
stakeholder requirements across the organisation and ensured the system of policies, processes
and plans are effectively implemented and that effective internal controls are in place? What
methods have you used to ensure an effective balance of self-assurance vs independent process
assurance? How have you identified process risks, failures and non-conformances ensured
effective action is taken to resolve any issues and identify the root causes?
Internal Focus Product Assurance What methods have you used to provide assurance and
reporting to the senior management on the organisations overall achievement of customers
product/service requirements and levels of customer satisfaction?
External Focus Supply Chain Assurance How have you ensured appropriate methods are
used to select suppliers and to ensure flow down of customer and stakeholder requirements
to the organisations supply chain? What methods have you used to assess supplier
performance and to identify risk, failure and non-conformance? How have your supported
the organisation in evaluating any problems and risks, and in the development of appropriate
mitigation and solutions, and ensured solutions are managed to closure?

A2 Product/Service Assurance
Internal Focus Process Assurance - How have you ensured the flow down of customer
product/service requirements across the delivery teams and ensured effective planning and
internal controls are in place? What methods have you used to ensure an effective balance
of self-assurance vs independent product/service assurance? How have you identified risks,
failures and non-conformances associated with customer product/service requirements and
ensured effective action is taken to resolve any issues and identify the root causes and ensure
solutions are managed to closure?
Internal Focus Product Assurance How have you provided assurance and reporting to
the product/service delivery team, customer and stakeholders on the overall achievement of
product/service requirements and levels of customer/stakeholder satisfaction?
External Focus Supplier Chain Assurance How have you ensured appropriate methods
are used to select suppliers and to ensure flow down of customer and stakeholder product/
service requirements to the organisations supply chain? What methods have you used to
assess supplier product/service delivery performance and to identify risk, failure and nonconformance? How have you supported the product/service delivery team in evaluating any
problems and risks, and in the development of appropriate mitigation and solutions?
Self-Assessment Scores
(0-4, see Guidance)
011 | Chartered Quality Professional Application Form

Skills & Experience


Score
0-4
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Knowledge Score
0-4
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Assurance continued
Leadership

Governance

Assurance

Impro

Leadership

Governance

Assurance

Impro

Competence Statement (500 words maximum)

Qualification / Evidence References

012 | Chartered Quality Professional Application Form

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Improvement
Leadership

Governance

Assurance

Improvement

Improvement: Facilitate a culture of evaluation (both qualitative and


quantitative), learning and improvement which drives more effective,
efficient and agile ways of working to support business strategy,
enhance reputation and increase profitability
Leadership

Governance

Assurance

Improvement

I1 Organisation Improvement
Gathering Insight What methods have you used to understand all stakeholder needs
and to identify any changes to the organisations context including changes to the
market, customer requirements and other factors impacting on the organisation? What
benchmarking or other appropriate tools and techniques have you used to evaluate
performance and improvement priorities?
Evaluating Results How have you facilitated the development and use of appropriate
measures of operational performance and product/service quality across the organisation to
ensure fact-based decision making and helped establish priorities for change?
Implementing Improvement How have you evaluated the nature and magnitude of change
required (incremental, step change, transformational) and how to achieve the required changes
through the development of the organisations people, processes, tools, technologies and/or
infrastructure? How have you identified issues associated with the organisations culture with
respect to achieving and sustaining the desired levels of operational performance and product/
service quality?

I1 Product/Service Delivery Improvement

Gathering Insight What methods have you used to understand all stakeholder product/
service needs and to identify any changes to the organisations product/service delivery context
including changes to the market, customer requirements and other factors impacting on the
organisations products and services?
What benchmarking and other appropriate tools and techniques have you used to evaluate
product/service performance and improvement priorities?
Evaluating Results How have you facilitated the development and use of appropriate
measures of operational performance and product/service quality across the organisation to
ensure fact-based decision making and helped establish priorities for change?
Implementing Improvement How have you evaluated the nature and magnitude of product/
service change required (incremental, step change, transformational) and how to achieve
the required changes through the development of the organisations people, processes, tools,
technologies and/or infrastructure.
How have you Identified any issues associated with the organisations culture with respect to
achieving and sustaining the desired levels of operational performance and product/service quality?
Self-Assessment Scores
(0-4, see Guidance)

013 | Chartered Quality Professional Application Form

Skills & Experience


Score
0-4

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Co

Knowledge Score
0-4

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Co

Improvement continued
Leadership

Governance

Assurance

Improvement

Governance

Assurance

Improvement

Co

Competence Statement (500 words maximum)


Leadership

Co

Qualification / Evidence References

014 | Chartered Quality Professional Application Form

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Context
Leadership

Governance

Assurance

Improvement

Context

Context: Use domain and/or industry-specific knowledge to ensure


effective implementation of governance, assurance and improvement
Leadership

Governance

Assurance

Improvement
Context

C1 Product, service, process expertise

How have you used your detailed knowledge of customers specific requirements and
expectations ensuring that the appropriate plans, specifications, reviews and controls are in
place. How have you established effective lines
of communication with the customer?
How have you used knowledge of the market, competition and potential peers to establish
quality differentiators and benchmarking opportunities with respect to the products and
services of the organisation?
How have you used your experience and understanding of specific assurance and improvement
tools and techniques relevant to the product / service delivery?

C2 Compliance

What methods have you used to establish legal, regulatory, societal and standards-related
compliance requirements?
How have you ensured that these are coherent with the organisations policies and processes
and are effectively linked to the business strategy?
How have you ensured requirements for governance, according to stakeholders needs, are
effectively communicated throughout the organisation?
Self-Assessment Scores
(0-4, see Guidance)

015 | Chartered Quality Professional Application Form

Skills & Experience


Score
0-4

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Knowledge Score
0-4

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Context continued
Leadership

Governance

Assurance

Improvement

Assurance

Improvement

Context

Competence Statement (500 words maximum)


Leadership

Governance

Context

Qualification / Evidence References

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Leadership
Leadership

Gove

Leadership

Gove

Leadership: Uses leadership behaviours to maximise influence


and develop a culture of evaluation and improvement
L1 Quality Leadership
Quality advocate How have you articulated a clear vision for quality as a strategic imperative
that supports the organisations broader aims and objectives?
The stakeholder advocate How have you acted as the conscience in the organisation, making
interventions whenever necessary to ensure customer and stakeholder requirements are
addressed?
The systems thinker How have you looked across business functions and hierarchies to
promote a holistic view of the organisation and its requirements?
The fact-based thinker How have your promoted a culture of decision-making based on
factual evidence and the measurement of performance?
The quality planner How have you advocated the principle of planning for quality to prevent
potential problems with product and service quality?

The quality coach How have you developed knowledge of quality principles and capability
in quality tools, techniques and approaches throughout the organisation?
The quality motivator How have you motivated and empowers others to take accountability
for achieving and improving standards of performance?
The quality collaborator How have you worked with all internal and external
stakeholders to resolve issues associated with organisation performance, and
delivery of quality products/services?
Self-Assessment Scores
(0-4, see Guidance)

017 | Chartered Quality Professional Application Form

Skills & Experience


0-4
Score

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Knowledge
0-4
Score

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Leadership continued
Leadership

Gove

Leadership

Gove

Competence Statement (500 words maximum)

Qualification / Evidence References

018 | Chartered Quality Professional Application Form

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Section 3 My Development Plan


Your development as Chartered Quality Professional will never stop; you have a commitment to
keep up to date with the profession. All Chartered Quality Professionals have a requirement to
recording their Continuing Professional Development (CPD). For more on CPD, visit www.thecqi.
org/CPD. This section is about your learning and development objectives. Your responses should
tell us where you are now, where you want to be, and how you plan to get there.
Assess your current skills and knowledge to identify areas to develop and keep up-to-date.
If relevant, think about your long term career plans. Reflect on the following key areas when
considering your objectives:
a. Changes in quality approaches, best practice, or the BOQK which affect you
b. Your career plans
c. Your strengths and weaknesses
d. Your current role and objectives
e. Your organisation and client plans and requirements
f. Quality Competency Framework
Identify between three and five short and concise objectives. Each answer should be no longer
than 50 words thats 150 in total. For each objective, briefly explain why you have selected it.

Key Learning and Development Objectives and Explanation:

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