IntRSA Membership Application

The IntRSA Board Executive on behalf of the Scheme accept new members to the Scheme. A member is accepted to the Scheme into a membership category. A member may elect with which membership category to be registered. A member may elect to change registration to another membership category by written notification to the Director of Certification at any time during January each year. A member may only be registered with one membership category, with the exception that an individual member of the Registered Assessors membership category may additionally be accepted to represent an organisation in one (and only one) other membership category.

Personal Details

All fields marked * must be completed.

TiitleMr.Mrs.Ms.Dr.Prof.*
Name*
Business Name*
Position
Business or Private AddressPrivateBusiness*
Address*
City*
Post / Zip Code*
State / Province
Country*
Telephone*
Email*

Membership Category I wish to register in the following Membership Category: *

Authorization

Members must be nominated by the chief executive, director, convener, chair, secretariat, coordinator or other responsible person of the organisation.

Nominated by*
Position*

Accreditation Detail Accreditation Number*
Date of Accreditation*

Application and Agreement I hereby apply to be a member of IntRSA. I agree that I may be contacted by IntRSA for official communications. The Governing Board reserves the right not to admit a member. I agree

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