Membership Reference Form Page 4
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9MEMBERSHIP REFERENCE FORM
B.3.
In your opinion, does the applicant:
• communicate effectively in English?
Orally
Yes: _____
No: _____
Don’t Know: _____
Written
Yes: _____
No: _____
Don’t Know: _____
• make written/oral presentations inside/outside his/her organization?
Yes: _____
No: _____
Don’t Know: _____
apply geoscience principles in a knowledgeable and accurate manner?
•
Yes: _____
No: _____
Don’t Know: _____
• possess sound professional judgement?
Yes: _____
No: _____
Don’t Know: _____
• have the ability to recognize and work within limitations?
Yes: _____
No: _____
Don’t Know: _____
• have awareness of the societal implications of his/her work? Yes: _____
No: _____
Don’t Know: _____
• adhere to the principles of the APGO Code of Ethics? Yes: _____
No: _____
Don’t Know: _____
Please provide any additional comments in Section D.1 or enclose a letter to the Registrar with this form
if you want to provide more information on any of the above answers.
C.
YOUR ASSESSMENT OF THE APPLICANT’S EXPERIENCE
The purpose of the application review process is to ascertain whether or not the applicant has the
appropriate work experience as presented on his or her work experience record.
C.1.
Have you reviewed the copy of the completed Work Experience Record provided by the
applicant?
Yes: ____
No: ____
C.2.
In your opinion, is the work record valid?
Yes: ______
No: ______
Don’t Know: ______
C.3.
Please indicate how much of the applicant’s experience you are familiar with:
Dates
Type of experience
Duration
From
To
(Month/Year)
(Month/Year)
Training/Familiarization
Geoscience Practice
Non-Geoscience
ASSOCIATION OF PROFESSIONAL GEOSCIENTISTS OF ONTARIO
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