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    OIQ-CERTIFICATION - Ing Jur

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    tierylaborde

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    © All Rights Reserved
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    OIQ-CERTIFICATION - Ing Jur

    Uploaded by

    tierylaborde
    5 views3 pages

    Original Title

    OIQ-CERTIFICATION_ing jur copy

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    Copyright:

    © All Rights Reserved
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    5 views3 pages

    OIQ-CERTIFICATION - Ing Jur

    Uploaded by

    tierylaborde

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    CERTIFICATION OF ENGINEERING

    EXPERIENCE ACQUIRED OUTSIDE CANADA


    INSTRUCTIONS

     You must complete a copy of this form for each engineering job you have held. Forms sent to the Order will be added to your file.
     Certifications added to your file must include the original signatures required. Original and electronic signatures will be accepted.
     Incomplete engineering experience certification forms cannot be processed.
     To simplify this form, the term "engineer" is used to describe individuals with the training and skills required to practise the profession of engineer
    in the country where they worked.
     Please note that the term "junior engineer" used in this form also refers to individuals holding a temporary restrictive permit obtained under the
    Mutual Recognition Agreement on Professional Qualifications (MRA).

    INFORMATION ON CANDIDATE/JUNIOR ENGINEER

    File/member number Last name First name

    Employer Job title or position

    Employer's complete address including the country

    Period of
    employment from: to: Full-time Part-time
    (yyyy/mm/dd) If applicable (yyyy/mm/dd)

    If the job was part-time, specify: Period from: to:


    (yyyy/mm/dd) (yyyy/mm/dd)
    Nbr
    hours/week

    If there was a break in the work, specify: Period from: to:


    (yyyy/mm/dd) (yyyy/mm/dd)
    INFORMATION ON IMMEDIATE SUPERVISOR

    Engineer
    Last name First name
    Non-engineer

    Employer Job title or position

    Email

    Same address as the candidate’s/junior engineer's workplace. If not, please specify below.

    Employer's complete address

    Update : 2014/02/19
    Ordre des ingénieurs du Québec, Admissions and Permits Department
    Windsor Station, 1100, avenue des Canadiens-de-Montréal, suite 350, Montréal (Québec) H3B 2S2 CANADA
    Junior engineers: 514-845-6141 / 1-800-461-6141, ext. 3129 [email protected] www.oiq.qc.ca
    Exam candidates : 514-845-6141 / 1-800-461-6141, ext. 3233/3110/3165 [email protected]
    Applicants : 514-845-6141 / 1-800-461-6141, ext. 3233/3110/3165 [email protected]
    DESCRIPTION OF WORK EXPERIENCE

    You must include a brief description of the company as well as an explanation of your position, duties and responsibilities.
    You will find examples of recognized work experiences on the OIQ Website.

    TYPE OF WORK AND WORK ENVIRONMENT, RESPONSIBILITIES AT COMPANY

    TIME (%) ENGINEERING ACTIVITIES ACCOMPLISHMENTS

    100% TOTAL

    NOTE: You may continue onto the next line if necessary. You can add an appendix if the space is insufficient.

    Update : 2014/02/19
    CONSENT OF GRADUATES FROM OUTSIDE CANADA (CANDIDATE ONLY)

    I acknowledge that my engineering experience is being evaluated in order to determine whether, under the Regulation respecting the standards for
    equivalence of diplomas and training for the issue of a permit by the Ordre des ingénieurs du Québec, I qualify for an equivalence of diplomas and
    training. I also acknowledge that under the Regulation respecting other terms and conditions for permits to be issued by the Ordre des ingénieurs du
    Québec, this experience will not necessarily be recognized when evaluating my engineering experience as a junior engineer.

    Signature of candidate Date (yyyy/mm/dd)

    DECLARATION AND SIGNATURE OF CANDIDATE/JUNIOR ENGINEER


    I certify and solemnly affirm that the information given on this form and any attached documents is true, accurate and unaltered.

    I hereby give the Ordre des ingénieurs du Québec permission, if needed, to contact the individuals and organizations that have drawn up, signed,
    produced or certified the documents comprising my file for the purpose of verifying their truth and accuracy.

    I understand that a false declaration, failure to report a fact or the transmission of false, altered or fraudulently obtained documents may lead to
    sanctions, such as the suspension of my file, the refusal of my permit application or the revocation of my permit.

    Signature of candidate/junior engineer Date (yyyy/mm/dd)

    /DD/d^hWZs/^KZΖ^ EVALUATION OF WORK EXPERIENCE


    Period for which you are evaluating the junior
    engineer's/candidate’s work experience and during which you from : to :
    were personally familiar with the work performed.
    (yyyy/mm/dd) If applicable
    (yyyy/mm/dd)
    REMARKS

    A. Please assess the level of professional autonomy attained by the candidate/junior engineer by selecting one of the
    Rating
    ratings provided to describe what you were able to observe:
    Organizes work to achieve the goals set Select an item
    Is capable of visualizing and understanding a project in its entirety Select an item
    Meticulously analyzes problems Select an item
    Shows imagination and creativity Select an item
    Designs practical, viable solutions Select an item
    Has excellent oral and written communication skills Select an item
    DECLARATION AND SIGNATURE OF /DD/d^hWZs/^KZ
    I certify and solemnly affirm that the information given on this form and any attached documents is true, accurate and unaltered.

    Signature of ŝŵŵĞĚŝĂƚĞƐƵƉĞƌǀŝƐŽƌ Date (yyyy/mm/dd)

    Update : 2014/02/19

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