Retired Member Application form

Please complete this form if you are retired and wish to be considered for a discounted CQI membership rate.

Find the cost of retired membership here.

If paying by Direct Debit, remember this form must be received before your Direct Debit payment is due to be collected.

Title *

First name *

Last name *

Membership Number *

Email address *

Date of retirement

Day

Month

Year

Membership Grade

If you are a Chartered Quality Professional Member/ Fellow, please choose from the options below to confirm whether you intend to keep your Chartered Quality Professional (CQP) status.

I want to hold Chartered status

yes

I understand that in order to retain Chartered status I must maintain yearly CPD records.
I understand that it is my responsibility to advise the CQI if my employment status changes or if I decide to relinquish my CQP.

OR

I do not want to hold Chartered status

yes

I understand that I will not be entitled to use CQP as post nominal letters or claim the status Chartered Quality Professional.

By submitting this form I confirm that my retirement is permanent and I do not carry out any part-time/consultancy work.

Signature