The above applicant for registration has stated
that he/she has been or is a member of your Association/Ordre/State
Board and has granted permission to APEGGA to obtain additional
information from sources it may deem necessary to the progression
of the application. Please complete the applicable items
below and return this form to us by mail or fax, as soon as
possible. Thank you for your help. Sincerely Mark
Tokarik, LL.B, P.Eng., Director Registration.
Registration was first granted as a:
(Specify type of member
or licensee)
on (y/m/d)
Application Received
on:
(y/m/d)
Date of enrollment as a Member-in-Training:
(y/m/d)
Membership was resigned or lapsed (if applicable):
from (y/m/d)
to (y/m/d)
Annual dues are/were paid up until:
(y/m/d)
Registration
was granted on the basis of (1 + 2 + 3 or 4):
1) Having
met the academic requirements as follows:
a)
CEAB - accredited
bachelor degree
b)
ABET - accredited bachelor
degree
c)
MRA
- accredited bachelor degree
d)
Unaccredited degree
plus Confirmatory Examinations (please attach subjects/grades)
e)
Unaccredited
degree plus North American post-graduate degree (please
attach details of degree and discipline)
f)
Examination program
(please attach subjects/grades)
g)
Passing the FE examination
with a mark of
% for US applicants
h)
Experience
in lieu examinations
Was confirmation of academic background received directly
from the academic institutions? If no, what was the
source of the information/documentation?
Yes
No
and
2)
Having
met the experience requirement of
years of acceptable experience (and having passed the PE examination
with a mark of
% for US Applicants)
and
3)
Having passed the
Professional Practice Examination
