Application for Membership | Directors of Quality & Improvement

Personal Particulars

Title (e.g. Mr, Ms, Mrs, Prof, Dr, Rev)

First Name*

Last Name / Surname*

Email Address*

Secondary Email Address

Mobile Number*

Phone Number

City/Town/Village/Farm

State/Province/Region*

Country*

My Birthday is on

LinkedIn Name

LinkedIn Url

I can conduct business in either of the following languages (you can select more than one)

Current Occupation

Employer Name*

Job Title*

My main job mission is to*

I report directly to the (select Governing Body in case you also own your organization)*

My primary employer is a*

Are you self-employed (i.e. your primary employer)?

YesNo

Our industry sector is

Experience in management or equivalent senior level roles, and associated competencies

My total years in Management or equivalent senior level positions in the field of Quality Management (only those with 10 years or more of experience are eligible to apply)

If you are not currently in a Quality Management type management or equivalent senior role, and do not have any prior working experience in the Quality field, then indicate your total years of experience (only those with 10 years or more experience are eligible to apply)*

Highest formal academic qualification(s) obtained at

Do you have any previous exposure or working familiarity with the ISO 9001:2015 standard?

YesNo

Did you attend a course in the ISO 9001:2015 standard, and do you possess a valid certificate as proof?

YesNo

Do you have any previous working experience as a member of a governing body of an organization?

YesNo

Do you possess a valid certificate from a recognized body/institution for you to practice as a Director/a member of a governing body of an organization?*

YesNo

Are you currently a member of a Professional Body(ies) in the field of Quality, and if so, which country is the body based in? (if expired, select "No")

YesNo

Please provide the name and country of the Professional Body(ies) in the field of Quality you are a member of:

Are you currently a member of any other Professional Body(ies), and if so, what is the body's field of focus (e.g. Health profession, Engineering, Pharmacology, Financial) and which country is the body based in? (if expired, select "No")

YesNo

Please provide the name, field of focus and country of the other Professional Body(ies) you are a member of:

Are you currently a member of /a participant in any public or private Regulatory or Standards-setting type Body(ies)? (if expired, select "No")

YesNo

Please provide the name, field of focus and country of the Body(ies) and Indicate if Regulatory or Standards-setting.

How did you hear about us? (you can select more than one)*

(Whereas answering this question is optional, your answer will help us to appreciate you, as our member, at a spiritual or religious level.)

Given that a culture of good quality requires of me to do the right things and to do those things right all the time, I derive my spiritual inspiration and guidance from participating in or following the faith of

Please type the name of the religion or faith if not listed above

I have no objection to take the oath of office and practice as a Director of Quality and Improvement*

YesNo

Only fill in if you are not human