Professional Documents
Culture Documents
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
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:
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
Return to contents
www.cqi.org
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
Postcode
Country
Mobile
Tel
Email
Preferred correspondence address
Home
Work
Home
Work
Business address
Company name
Street
Town
County
Postcode
Country
Work Tel
Work Email
Magazine
Website
Newspaper
Employer
Word of mouth
Conference
Advertising
Professional development
College/Education Centre
Other. Please specify:
Return to contents
www.cqi.org
Continual improvement
Ethical management
Health and safety management
Integrated management
Management techniques
Quality awards
Risk management
Statistical process control
Total quality management
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
Branches
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
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
Return to contents
www.cqi.org
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.
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.
&
Section C2: Payment by direct debit for Annual fee
Instruction to your bank or building society to pay direct debit
930115
Signature
Date
Return to contents
www.cqi.org
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.
Return to contents
www.cqi.org
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:
Return to contents
www.cqi.org
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.
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)
Return to contents
Knowledge Score
0-4
www.cqi.org
Assura
Assura
Governance continued
Leadership
Governance
Assura
Leadership
Governance
Assura
Return to contents
www.cqi.org
Assurance
Leadership
Governance
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
Knowledge Score
0-4
www.cqi.org
Assurance continued
Leadership
Governance
Assurance
Impro
Leadership
Governance
Assurance
Impro
Return to contents
www.cqi.org
Improvement
Leadership
Governance
Assurance
Improvement
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?
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)
Return to contents
Co
Knowledge Score
0-4
www.cqi.org
Co
Improvement continued
Leadership
Governance
Assurance
Improvement
Governance
Assurance
Improvement
Co
Co
Return to contents
www.cqi.org
Context
Leadership
Governance
Assurance
Improvement
Context
Governance
Assurance
Improvement
Context
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)
Return to contents
Knowledge Score
0-4
www.cqi.org
Context continued
Leadership
Governance
Assurance
Improvement
Assurance
Improvement
Context
Governance
Context
Return to contents
www.cqi.org
Leadership
Leadership
Gove
Leadership
Gove
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)
Return to contents
Knowledge
0-4
Score
www.cqi.org
Leadership continued
Leadership
Gove
Leadership
Gove
Return to contents
www.cqi.org
Return to contents
www.cqi.org