application form sead.pdf

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  • 7/27/2019 Application form SEAD.pdf

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    STRUCTURAL ENGINEERS ASSOCIATION OF DAVAOB&L BLDG., BESIDE MAA BRIDGE, DIVERSION ROAD, DAVAO CITY, TELEPHONE NO. 241-2886, EMAIL

    Application for Membership2 x 2

    Picture

    1. Name (Last, First, Middle) : ________________________________________2. Residence Address : ________________________________________3. Telephone Number : ________________________________________4. Mobile / Cell Phone No. : ________________________________________5. E-Mail Address : ________________________________________6. Employer

    a. Name : ________________________________________b. Address : ________________________________________c. Telephone/Fax : ________________________________________d. E-mail Address : ________________________________________

    7. Date of Birth : ________________________________________8. Citizenship : ________________________________________9. Tax Identification No. : ________________________________________10. Social Security No. : ________________________________________11. Professional Information

    Professional Licenses Registration No. Date Registered Expiration Date

    _____________________ _____________ _____________ _____________

    _____________________ _____________ _____________ _____________

    Professional Association: _________________________________________________

    12. EducationCollege / University Attended Degree Received Date Received

    ____________________________________ ______________ ____________

    ____________________________________ ______________ ____________

    ____________________________________ ______________ ____________

    (Please enclosed a copy of each diploma or certificate)

    13. Membership Grade Applied (check appropriate box)Associate Regular Upgrade from Associate to Regular

    14. Professional Work Experiences:Please attach your curriculum vitae and provide a complete and detailed description of your work

    experiences. Please indicated the name of each employer (start from most recent), period or inclusive datesof employment, position, and job description. Attach also a copy of each certificate of your engagement

    15. References:As part of the requirements, please submit recommendation letters from at least two (2) SEAD

    members for those applying as Associate Members and from three (3) SEAD members for those applying for

    Regular Members, as your references. Reference should indicate his name, SEAD ID No., address, contact

    number, and signature.

    16. Signature ___________________________ Date: ________________

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    SEAD MEMBERSHIP APPLICATION REQUIREMENTS

    1. Associate Member ( 2 points required )- Must be a licensed CE (must be PICE member);- if employed as structural engineer / designer, 2 years continuous

    structural design experience ( 2 points );

    - for private practitioner, he must have at least 4 years teachingexperience of structural design subject ( 2 points );

    - for those with masters degree or with masteral units, he must haveearned at least 12 units structural engineering subjects ( 2 points );

    - in any of the above, he must have at least 2 references (should beSEAD members) who are familiar with his qualification ( 2 points );

    - additional documents as SEAD may require2. Regular Member ( 5 points required )

    - Must be a licensed CE (must be PICE member);- ASEP members ( 5 points );- if employed, at least 5 years structural design experience (5 points );- for private practitioner, at least 40 projects design (5 points );- 9 CPE units structural engineering topics from seminars ( 2 points );- 3 years as associated member of SEAD (4points);- at least 3 references (SEAD members)

    CHECKLIST FOR MEMBERSHIP APPLICATION

    Application form

    Referral from SEAD members (2 for associate, 3 for regular)

    Curriculum Vitae ( with detailed description of design experiences)

    Photocopy of Diploma / Transcript of Records

    Photocopy of PRC ID

    Photocopy of Employment Certificates / Proof of Engagements

    Photocopy of Seminar Certificates

    2 pcs of 2 x 2 colored ID pictures

    Application Fee: P 500.00

    Evaluation Ratings: Membership Dues:

    Associated : Minimum of 2.0 points Associate : P 500.00 annually

    Regular : Minimum of 5.0 points Regular : P 1,000.00 annually