FTLS Candidate Application Form/Formulaire de Candidature d'AGFE

FTLS Candidate Registration/Formulaire de Candidature d'AGFE
Name/Nom

First Name/NomLast Name/Prénom
E-mail/Courriel
Phone Number/Tél

Country CodeArea CodePhone Number
Address/Addresse :

Address/Addresse

City/VilleProvince/Terr./State / Prov. /Terr. /État

Postal / Zip Code Code postal ou ZipCountry
Please add a government issued proof of identification / Veuillez ajouter une pièce d'identité délivrée par le gouvernement

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Is this an office or residence? Est-ce un bureau ou une résidence ?
Are you currently working for a survey Company?
Company name (if applicable) / Nom d'entreprise (si applicable)

Summary of Academic Training / Résumé de la formation scolaire

Rows	Name and address of Learning Institution	Country /Pays	Program/Programme	Number of years studied	Degree or Diploma Completed/Awarded
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2.
3.
4.
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Additional Information about Academic Training (optional) :
Do you hold a license to practice surveying? Avez-vous un permis de pratique d’arpentage?
If yes, please indicate name of regulator/association that issues your license. Please also include their website address:
Please upload any course outlines, transcripts, degrees, diplomas, surveying licences, and other documents that would tell us about your education and experience. Please include translations, if required:

Acceptable file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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Upload Credential Evaluation Report (Basic Assessment):

Acceptable file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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FTLS Candidate Fee

CBEPS candidate fee for Foreign-Trained Land Surveyors

$1,300.00 CAD

Total

FTLS Candidate Registration/Formulaire de Candidature d'AGFE