Higher Education Qualifi cations

Application for exemption BCS Higher Education Qualifi cations

To apply for exemption from individual modules or complete levels of the BCS Higher Education Qualifi cations, please fi ll in this form and return it to the Examinations Department with your documentation and fee (if required). You may not enter for any BCS Higher Education Qualifi cations module(s) from which you are currently seeking exemption. A list of the documents required to process an exemption application is given in Section 5 below. Please indicate which documents you have sent and whether you wish them to be returned to you. Have you sat the BCS Higher Education Qualifi cations before? (Please tick) Yes No If yes, please insert your number below

BCS membership number:

1. Personal details

Please write clearly in BLOCK CAPITAL letters using black or blue ink.

Title (Mr/Ms etc) First names:

Surname:

Nationality: Date of birth:

Telephone:

Candidates email address:

Candidates postal address (and country if not UK):

Country: Post code:

2. Qualifi cations Please list below those qualifi cations for which you are seeking exemption. Please note that only qualifi cations which have been completed and passed will be considered for exemption.

Full title of qualifi cation Date awarded Awarding institution 3. Modular exemption

The Certifi cate in IT The Professional Graduate The Certifi cate in IT consists of three compulsory modules, in IT Examination listed below. Please tick all the modules from which you are The Professional Graduate Diploma in IT Examination consists seeking exemption. of four optional modules from those listed below. Please tick all the modules from which you are seeking exemption. Certifi cate in IT modules (please tick) Information Systems Professional Graduate Software Development Diploma in IT modules (please tick) Computer and Network Technology Advanced Database Management Systems Computer Services Management The Diploma in IT Examination Distributed and Parallel Systems The Diploma in IT Examination consists of a core module, Knowledge Based Systems Professional issues in information systems practice, and Management Information Systems a choice of three optional modules from those listed below. Network Information Systems Please tick all the modules from which you are seeking Programming Paradigms exemption. 2 Diploma in IT modules (please tick) System Design Methods Professional Issues in Information Systems Practice Web Engineering Computer Networks Realising the User Interface Database Systems The Professional Project (please tick) Principles of Internet Technologies Please indicate if you wish to be considered for exemption Object Oriented Programming from the Professional Project at Diploma level or IT Project Management Professional Graduate Diploma level. IT Service Management Software Engineering 1 Professional Project at Diploma level Systems Analysis Professional Project at Professional Graduate Diploma level Systems Design Principles of User Interface Design

4. Complete exemption

If you are seeking exemption from one or more complete levels of the Higher Education Qualifi cations please indicate which below. Certifi cate in IT Certifi cate in IT + Diploma Examination Certifi cate in IT + Diploma in IT (including Diploma Project) Professional Graduate Diploma Examination Professional Graduate Diploma in IT (including Professional Graduate Diploma Project) Certifi cate in IT + Diploma Examination + Professional Graduate Diploma Examination Certifi cate in IT + Diploma Examination + Professional Graduate Diploma in IT (including Professional Graduate Diploma Project)

MTG/FORM/516/0909 5. Documentation

Please supply the following documentation to help with the assessment of your case. Each document should beauthenticated by the Awarding Institution.

Documents Enclosed Please return

Documentary evidence of your qualifi cations: copies of certifi cates and transcripts/exam results

Note: The following documents are only required for qualifi cation(s) which do not appear on the BCS APL list.Please refer queries on Individual Exemptions to the HEQ offi ce ([email protected]) or consult www.bcs.org/heq

Syllabus for each relevant unit undertaken

Sample copies of examination papers undertaken

Short statement on how the course was assessed

Short statement describing the practical work undertaken

Copy of any major project/thesis

6. Membership

If you are not an existing member of BCS but would like to apply for membership, please complete the following:

Please select your subscription rate (✓) and write the amount in the MEMBERSHIP SUBTOTAL box.

Student (annual subscription) Student (entire course - 4 year duration)

MEMBERSHIP SUBTOTAL: K

MEMBERSHIP DECLARATION - to be signed by all applicants for Membership. I apply to be admitted as a member of the British Computer Society and confi rm that, if accepted, I will observe theprovisions of the Charter and Bye-laws and the Regulations and will conduct myself honourably in the practice of myprofession. I will maintain the dignity and welfare of the Society and observe its codes of conduct and practice.

Signature: Date:

7. Payment of fees

Payment must be in pounds sterling (£) and for the correct amount as per the fee list. Please note no exemption fee is required for qualifi cations which appear on the BCS list of exempted qualifi cations.

MEMBERSHIP SUBTOTAL: K EXEMPTION FEE: L TOTAL FEE ENCLOSED (£):

Please charge my Credit/Debit* card.

I enclose a cheque made payable to BCS (please staple/pin to front of form).

BCS will contact the cardholder to process this payment.

Card Number Issue No. Card Type (Visa / MasterCard / Switch (Maestro) / Debit Card (*Not Solo) / American Express)

Name on card Start date Expiry date

Signature

Address and telephone number** of cardholder

** Telephone number mandatory

MTG/FORM/516/0909 Data Protection Act Notice

We keep the personal information you give us to help provide you with the services you require from BCS. We may also forward your details to our partners or approved suppliers who may contact you about their products.

You can opt out of this by ticking this box :

If you are based outside the European Economic Area (the “EEA”), information about you may be transferred outside the EEA. For the full privacy notice, or for access to or correction of your personal information, go to the privacy notice on our website at www.bcs.org/privacy or contact: BCS Customer Service department on 0845 300 4417 (UK) or +44 (0) 1793 417424 fax +44 (0) 1793 417444 Email [email protected]

8. Confi rmation - to be signed by all candidates

Please check all details carefully, as later amendments cannot be guaranteed. Please ensure you have enclosed the correct fee.

I confi rm that the information given on this form is correct.

Candidate’s signature: Date:

Are you planning to enter for the next available examination sitting? (✓) Yes No Important: Please allow a minimum of 4 weeks for an exemption decision to be made following receipt of all necessary documentation.

Return to: Higher Education Qualifi cations The British Computer Society First Floor, Block D North Star House North Star Avenue Swindon SN2 1FA Tel: + 44 (0) 1793 417489 Fax: + 44 (0) 1793 417444 Email: [email protected]

Once completed please return with CV / Resume to: BCS The Chartered Institute for IT First Floor Block D North Star House North Star Avenue Swindon SN2 1FA United Kingdom T +44 (0) 1793 417 424 F +44 (0) 1793 417 444 Email [email protected] Website www.bcs.org © The British Computer Society (Registered charity no. 292786) 2009 If you require this document in accessible format please call +44 (0) 1793 417 600

MTG/FORM/516/0909