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Membership Category*

Please select one of the following:

Pre-registration Member

Expert Member

For pre-registration members:

Before you start to fill out the form below, please make sure you have the following documents to hand as you will asked to upload them as part of your application:

Proof of ID - copy of passport or driving license (certified by an authorised person)
Evidence of your undergraduate degree (certified by an authorised person)
Evidence of your postgraduate degree (certified by an authorised person)
Training certificate as evidence of approved training programme OR detailed CV outlining equivalent work experience
Evidence of current work as a clinical medical physicist (using this form)
Letters of support from two ICPM members/fellows (using this this form)

For expert members:

Before you start to fill out the form below, please make sure you have the following documents to hand as you will asked to upload them as part of your application:

Proof of ID - copy of passport or driving license (certified by an authorised person)
Evidence of your undergraduate degree (certified by an authorised person)
Evidence of your postgraduate degree (certified by an authorised person)
Training certificate as evidence of approved training programme OR detailed CV outlining equivalent work experience
Evidence of additional advanced experience training in clinical medical physics - 3 years of CPD points matched to the competencies in RP174.
Evidence of current work as a clinical medical physicist (using this form)
Letters of support from two ICPM members/fellows (using this this form)

Specialist Area*

Please select one of the following:

Diagnostic Radiology and Imaging Physics

Therapeutic Applications of Ionising Radiation

Clinical Diagnostics and Therapeutics

Personal Details

Title*

First Name*

Last Name*

Date of Birth*

Proof of ID*

Please upload proof of ID - copy of passport or driving license (certified by an )

Max. file size: 2 MB.

Work Details

Job Title*

Grade*

Employer/Company*

Evidence of Current Work*

Upload evidence of current work as a clinical medical physicist (using this form)

Max. file size: 2 MB.

Undergraduate Education

To become a pre-registration member of the ICPM, you MUST have an undergraduate honours degree (or equivalent) in the physical sciences suitable for membership of the Institute of Physics (IOP).

Select which of the following you have:

To become an expert member of the ICPM, you MUST have an undergraduate honours degree (or equivalent) in the physical sciences suitable for membership of the Institute of Physics (IOP).

Select which of the following you have:

Honours Degree (level VIII) in Physics from a recognised university in Ireland or from an institution accredited by the Institute of Physics (UK)

Enter details below:

Educational Establishment*

Degree Title*

Date Conferred*

Undergraduate Degree (Physics)*

Please upload evidence of your undergraduate degree (certified by an )

Max. file size: 2 MB.

Honours Degree in a Physical Science, evidenced by eligibility for MPhys status with the Institute of Physics (UK)

Enter details below:

Educational Establishment*

Degree Title*

Date Conferred*

Undergraduate Degree (Engineering )*

Please upload evidence of your undergraduate degree (certified by an )

Max. file size: 2 MB.

Postgraduate Education

To become a pre-registration member of the ICPM, you must have a postgraduate degree in Medical Physics or equivalent

To become an expert member of the ICPM, you must have a postgraduate degree in Medical Physics or equivalent

Educational Establishment*

Degree Title*

Date Conferred*

Postgraduate Degree*

Please upload evidence of your postgraduate degree (certified by an )

Max. file size: 2 MB.

Add Another Postgraduate Degree

Educational Establishment*

Degree Title*

Date Conferred*

Postgraduate Degree*

Please upload evidence of your postgraduate degree (certified by an )

Max. file size: 2 MB.

Training/Experience

To become a pre-registration member of the ICPM, you must have one of the following:

To become an expert member of the ICPM, you must have one of the following:

Completed an approved training programme in medical physics (min. 2 years) as per the European recommendations for Medical Physics Expert (MPE)

Approved Training Programme in Medical Physics*

Please upload training certificate

Max. file size: 2 MB.

Demonstrated equivalence in training in your chosen speciality area by providing details of your work experience and Continuous Professional Development (CPD) over a minimum of an initial 2-year period

Demonstrated Equivalence in Training*

Please upload detailed CV

Max. file size: 2 MB.

Advanced Experience Training

To become an expert member of the ICPM, you must have an additional 3 years’ Advanced Experience Training in clinical medical physics.

I confirm that I have 3 years of advanced experience in my chosen speciality, at least 6 months of which has been in Ireland (matched to the competencies in RP174). I will provide proof of same later in the application process.*

I confirm that I have 3 years of advanced experience in my chosen speciality, at least 6 months of which has been in Ireland (matched to the competencies in RP174). I will provide proof of same later in the application process.

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Membership Application Form

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For expert members:

Personal Details

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Undergraduate Education

Postgraduate Education

Training/Experience

Advanced Experience Training

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