Become a Member – Trustee Referral To become a member and enjoy the benefits of membership, simply complete the form below. Step 1 of 4 25% Referral Password* Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address Street Address Address Line 2 City Region Postal Code Email Phone Eligibility and EngagementDegrees and Membership BodiesAre you presently engaged in Health Promotion / Education Full Time or Part Time? Full Time Part Time Present AppointmentDate Appointed MM slash DD slash YYYY Previous Appointment ADate Appointed MM slash DD slash YYYY Previous Appointment BDate Appointed MM slash DD slash YYYY Professional Reference for Member Grade ApplicationsName First Last Email PhoneI enclose copies of my qualifications and professional membershipsMax. file size: 64 MB.What are your special areas of interest?MembershipMembership Type Full Membership Associate Membership Student Membership Retired Membership Consent I have read and agreed to the terms and conditions of membership belowI wish to apply for membership of the Institute of Health Promotion and Education, a charitable company limited by guarantee and agree to abide by the regulations as set out in the Articles of Association. By becoming a member of the IHPE you acknowledge that you have read and understood the processes and policies referred to in the IHPE’s Privacy Notice and consent to our data collection, use, sharing and processing practices as set forth within the Privacy Notice I agree to pay my membership fee in full upon acceptance of my application. I agree to pay the Company an amount not exceeding £1 if the Company is wound up during my membership or within twelve months of my resignation. I undertake to pay the appropriate subscription on the 1st January each year and wish to receive notices under the Articles of Association and all documents to which I am entitled as a member, electronically (other methods available by request). In the event of my resignation I undertake to notify the Administrative Secretary in writing.CAPTCHA