IEMA Foundation Certificate Registration

Please complete this registration form in order that we can register you with IEMA for the course.

The name that you use to complete this form will be the name that your complementary 12 month IEMA membership is issued under. It is also the name that will be printed on your certificate.
The email address that you use will also be the email that your end of course assessment will be sent to as well as your IEMA membership pack and ensuing information.
Please supply your normal correspondence address.

IEMA Foundation Certificate

First Name

Last Name

Phone/Mobile

Confirm Email

Home Address (Needed for your IEMA Membership Information)

Address Line 1

Address Line 2

City

County

Post Code

Country

Name of Employer

Existing IEMA Member

Yes

Membership Number

I consent to have the data submitted in this form stored and processed under the UK General Data Protection Regulation. I understand that my data will be passed to IEMA for the purposes of registration and certification.

I consent to IEMA sending me marketing information about additional courses and environmental issues

I have read and agree to the Terms and Conditions and Privacy Policy