Technical Report Route Stage 1 Initial
Assessment Application Form
Please read the Technical Report Route guidance document before completing this form.
Application for:
(Please tick appropriate application type)
MICE IEng
MICE CEng
About you
Please provide the following information about yourself
ICE Membership/Account No.
Family name Title
Other names Date of birth
Nationality Gender
Email*
*Please note that all communication from ICE about your application will be made using this email address. We will update your ICE
record if it currently shows a different email address, we will also update your home and work details if they are different to what is
currently showing on your ICE record.
Home address
Address line 1
Address line 2
Address line 3
Country Postcode Telephone
Employment
Employer’s name Position held
Address Line 1 Start date
Address Line 2
Address Line 3
Country Postcode Telephone
Technical Report Route Stage 1 Initial Assessment Institution of Civil Engineers is a Registered Charity in
1 Application Form England & Wales (no 210252) and Scotland (SC038629)
Version 6 Revision 3 – 15 June 2022
Your education details (Undergraduate and Postgraduate)
Awarding Qualification Course Title Attendance Class Start End Date
College/University (HND, BEng, Type (1st, 2;i, Date (mm/yy)
(in order attained) BSc etc) (Full, Part (mm/yy)
etc)
time,
sandwich etc)
What else do we need from you?
Please refer to our Technical Report Review Guidance for full details of the submission requirements.
Together with the application form, you must ensure the following are attached to this application form as a single PDF file.
Letter or email of support from your mentor
A summary of your proposed Technical Report, endorsed by your mentor
A two-page CV
Certified copies of any academic qualifications*
Application fee - details available on the ICE website
1. Pay online - (payment must be made before sending your application)
To pay online, using a credit card or UK debit card, log in to your MyICE account then go to our application fees
webpage and select the pay online link for the appropriate TRR Stage 1 Assessment.
Please note after you log into your MyICE account you will be redirected to our secure payment system. If you are
not already registered with MyICE please register online first.
2. Alternative method of payment
If you are unable to pay online, please contact the ICE Membership Services team for alternative methods.
t: +44 (0)207 665 2227 or e: subs@[Link] Please note at busy times there may be a delay in accepting your
call.
Technical Report Route Stage 1 Initial Assessment Institution of Civil Engineers is a Registered Charity in
2 Application Form England & Wales (no 210252) and Scotland (SC038629)
Version 6 Revision 3 – 15 June 2022
Certification of qualifications
A scanned copy of any qualification held must be submitted with this application and certified as a true
copy*. If evidence of the above qualification is not submitted/authenticated, a delay to the processing
of your application may occur.
All documentation provided must be copies of the original. Documents not in English should be
accompanied by an English translation certified as correct by an official translator, senior member of
your employer or a corporate ICE Member.
*The certified copy must be a "true copy of the original" of your academic qualification AND your University
lecturer, senior member of your employing company, or a corporate ICE Member, must write the following in
blue or black pen directly onto the proof of academic qualification:
"I confirm this to be a true copy of this applicant's qualification"
Signature:
Name (clearly printed):
Date:
Employing organisation/university or college:
Position:
A contact telephone number or email address:
ICE membership number (if applicable):
Important undertaking to be signed by the candidate
I agree that the College(s) from which I graduated (if applicable) may release details of my qualifications to the Institution of
Civil Engineers and I agree that if any of the qualifications I have claimed are found to be false, the Institution of Civil
Engineers may inform any other interested third parties such as my employer, any other professional bodies of which I am a
member and any qualifying body from which I claimed a false qualification, and the Institution of Civil Engineers may also
provide copies of the documents containing these false details to these other interested third parties.
I also understand that if any of my qualification(s) is/are identified as false my application will be rejected and the Institution
will notify the person(s) supporting my application of the reason why my application has been rejected.
I declare the information in this application to be complete and correct.
General Data Protection Regulation (GDPR)
The Institution of Civil Engineers and Thomas Telford Ltd (TTL) maintain data on all members. We also maintain data on non-
members who use our services. This will be used confidentially for normal purposes, including subscription and donation
collection, mailing of publications, contract fulfilment when purchasing TTL products and services and notification of conferences
and events. Your name and grade will be displayed on our online Members’ Directory.
Members based outside of the UK may have their data transferred to International Country representatives for administration of
local events in their country of residence. Member data will also be shared with the ICE Benevolent Fund.
Personal data relating to ICE membership may be stored securely in perpetuity for historical purposes. Personal data relating to
non-members and/or TTL customers will only be held for as long as needed to fulfil the purpose for which it was collected.
For more information on how and why we collect and use personal data and your rights as an individual please review the ICE
Privacy Notice.
I declare the information in this application to be complete and correct.
Signed Date
Please return via email to trr@[Link]
Technical Report Route Stage 1 Initial Assessment Institution of Civil Engineers is a Registered Charity in
3 Application Form England & Wales (no 210252) and Scotland (SC038629)
Version 6 Revision 3 – 15 June 2022