Application for membership of Socitm

Before completing this form, applicants should read the information on the how to join page, which gives details of eligibility and restrictions applicable to the various classes of membership.

If you would like to subscribe to Socitm Insight, which is separate from membership of Socitm, then please follow the link.

Title

Forename(s) ^*

Surname ^*

Your Organisation:

Authority / Organisation

Job title

Contact Details for communications:

Post code ^*

Telephone

Fax

Email Address ^*

Address

Special Interest

The Society has a number of special interest groups which seek to address the main ICT Management issues prevailing in the public sector. If there are any areas in which you have a particular interest and/or expertise and may be willing to contribute to the work of the Society, please note them below.

Please summarise your key areas of responsibility:

Key Responsibilities

Membership Category

Please complete this section after reading the descriptions and restrictions applicable to the various classes of membership:-

Applicants for Full Individual Membership must complete the section below:

To whom do you report (Job Title)

Your annual budget responsibility (£000)

How many employees report to you (FTE)

What proportion (%) of your time is spent on :-

ICT Management

ICT Strategy / Policy

If there is supplementary information which you feel may assist the Society in consideration of your application, please provide this on a separate sheet and send the information by fax (01604 497610) by post to Socitm, F19 Moulton Park Business Centre, Redhouse Road, Northampton, NN3 6AQ or as a separate email to the Socitm Office or enter it into the Additional Information box below:

More information

Declaration : Completion shall be deemed equivalent to signature

I confirm that the information on this form is correct and hereby apply for membership of the Society. I agree to be bound by the term of membership as laid down by the Society.

Name

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