The Water Management Society

Online Membership Application Form

1. Membership Grade (Note 1)

2. Personal Details			Company Details
Name			Company Name
Title
Professional Qualifications			Address
Date of Birth			Postcode
Home Address			Telephone
Home Postcode			Fax
			email

3. General Education - Final Level (Note 3)			4. Further Education and Academic Qualifications (Note 4)
School			University/College
Subjects, Grades & Dates			Course/Subjects & Year
			Award

5. Professional Body (Note 5)
Body
Date Elected
Grade

6. Previous Job (Note 6)			6a. Previous Job (Note 6)
Give dates (Start and finish) Name of company and job description			Give dates (Start and finish) Name of company and job description

7. Present Position			8. Referee (Note 8)
Company			Name
Title of Your Position			Position
Date Appointed			Member of WMS
To whom do you report:			Referee e-mail Address
Name
Position
Nature of work and duties/responsibilities
Please refer to the membership homepage for Notes
Please note that applications are processed more quickly if adequate information is provided at the outset