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Address: http://www.ciqs.org/nsaqs/memb_ap.htm
Title: Membership Application  •  Size: 6302  •  Last Modified: Thu, 02 Aug 2001 22:13:40 GMT


(Please type or print)

NAME _________________________________________ BIRTH DATE ___________________

ADDRESS ______________________________________________________________________

POSTAL CODE _______________________ TELEPHONE _____________________________

COMPANY _____________________________________________________________________

ADDRESS ______________________________________________________________________

TELEPHONE __________________________ FAX ____________________________________

POSITION WITH COMPANY _____________________________________________________

This application is for membership in the:

Architectural Division _____ Mechanical Division _____ Electrical Division _____

I wish to apply for membership in the Nova Scotia Association of Quantity Surveyors. Should I be accepted as a member, I agree to abide by the by-laws of this association.
SIGNATURE _____________________________________ DATE ________________________


ACADEMIC QUALIFICATIONS

Please give name of school or university, dates and years in attendance, grade levels completed, courses, and degrees, diplomas or certificates obtained.

High School or Collegiate:
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

University or College:
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Post Graduate Studies:
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

Please note:


PROFESSIONAL QUALIFICATIONS

Are you presently or were you ever a member of the Canadian Association of Quantity Surveyors or one of its affiliated provincial organizations?

Yes, presently a member____
Yes, but membership has ceased____
No, never a member____

If yes:

____ Professional Quantity Surveyor, PQS, Diploma #: ____________

____ Construction Estimator Certified, CE(C), Issuing Association: _________________

____ Construction Estimator, CE, Issuing Association: ___________________

____ Student

____ Other membership category: ___________________________

Other Professional Qualifications

Please give name of organization, membership category, year of admission and state whether or not your membership has ceased.

_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
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EMPLOYMENT RECORD

Please attach additional pages if necessary.