INTERNATIONAL BUILDING INFORMATION MODELING (BIM) APPLICATION FORM

Transcription

1 INTERNATIONAL BUILDING INFORMATION MODELING (BIM) Please print clearly in ink and complete all sections. SIN: PART A LAST NAME GIVEN NAME(S) FORMER NAME (IF LAST NAME AND/OR GIVEN NAMES HAVE CHANGED) DATE OF BIRTH DATE OF ENTRY TO CANADA DATE OF ENTRY TO ALBERTA CITIZENSHIP STATUS Canadian Citizen Permanent Resident Street PERMANENT ADDRESS Town/City Province Postal Code Address Telephone: ( ) Cell: ( ) Fax: ( ) PART B ENGLISH PROFICIENCY Canadian Language Benchmark Assessment (CLBA) Scores: Speaking: Listening: Reading: Writing: For statistical purposes only, please indicate the languages in which you are fluent (spoken or written) other than English: Have you taken an English language proficiency test in the past 2 years? Yes No If yes, please provide the details below: Test: Score: Date completed: 1

2 PART C ASSOCIATION OF PROFESSIONAL ENGINEERS, GEOLOGISTS AND GEOPHYSICISTS OF ALBERTA Do you have registration with APEGGA? Yes No Registration Number (attach proof of registration): What examinations have you been assigned? WW ALBERTA SOCIETY OF ENGINEERING TECHNOLOGISTS Do you have registration with ASET? Yes No Registration Number (attach proof of registration): What examinations have you been assigned? ENGINEERING DEGREE(S) University Country Degree Obtained Dates Attended POST-GRADUATE TRAINING University Country Degree Obtained Dates Attended ADDITIONAL POST-SECONDARY EDUCATION OR TRAINING (INCLUDING ESL) Educational Institute Country Award Obtained Dates Attended PART E EMPLOYMENT RECORD (STARTING WITH THE MOST CURRENT) City and Country City and Country City and Country Employer Employer Employer Position Position Position Dates Dates Dates Supervisor Supervisor Supervisor Telephone ( ) Telephone ( ) Telephone ( ) 2

3 DOCUMENT CHECKLIST Please complete ALL sections below indicating the documents you are submitting in support of your application. PROOF OF NAME CHANGE Not applicable OR Copy of Marriage certificate OR Copy of Change-of-Name Document AND English Translation (if applicable) OR English Translation (if applicable) STATUS IN CANADA Copy of Canadian Citizenship certificate OR Copy of Landing Record/ Permanent Resident card (both sides) PROOF OF ENGLISH PROFICIENCY Canadian Language Benchmark Assessment (CLBA) AND Copy of APEGGA approved language proficiency test (if applicable) ENGINEERING DEGREE Copy of Engineering Diploma/Degree AND English Translation (if applicable) Copy of other Postgraduate Engineering Certificates AND English Translation (if applicable) AND RESUME/CV Resume/CV (in English) stating your education, employment and professional history REFERENCE LETTERS Letter of Reference (employer) Name of Reference: Position: Letter of Reference (university instructor) Name of Reference: Position: Letter of Reference (co-worker) Name of Reference: Position LETTER OF INTENT (minimum of 500 words) I have attached my letter of intent which outlines my reasons for application to the BIM Program OTHER SUPPORTING DOCUMENTS (e.g. awards/scholarships relevant to application) I have also attached the following documents (Maximum of 3 supporting documents) Please list:

4 ENGINEERING EXPERIENCE Do you have any drafting/design experience? Yes or If yes, how many years/months of work experience in drafting/design do you have (including work completed during university)? No List projects where you have applied drafting experience: If you have no drafting/design experience, how do you feel other experiences could be related to a career in drafting/design? COMPUTER/SOFTWARE ABILITY Circle an answer for each. S = Strong I = Intermediate L = Limited N = No knowledge Level achieved 1. Windows XP/Vista/7 S I L N 2. Word S I L N 3. PowerPoint S I L N 4. Excel or other spreadsheet S I L N 5. AutoCAD S I L N 6. Autodesk Revit S I L N 7. AutoPLANT S I L N 8. Caesar S I L N 9. Solidworks 3D S I L N 10. Pro-Eng S I L N 11. MicroStation S I L N 12. 3D PDS S I L N 13. SmartPlant S I L N 14. CADWorx S I L N 15. InTools S I L N 16. Other (Name) S I L N 4

5 I certify that: - Declaration Please read the following statements carefully and sign (with ink) below. 1. All of the information and documents submitted on my behalf with respect to this application (all of which together constitute my application ) are true, complete and correct 2. All of the information relevant to my application has been included I agree that if any information or document in my application is false or misleading, or if any relevant information has been concealed, withheld, or not submitted as part of my application, my application may, at the sole option and discretion of the BIM administration, be rejected, or if I have already been admitted or registered in the program, my admission may, at the sole option and discretion of the BIM administration, be cancelled or revoked. Signature: Date: Please Submit To: Bredin Centre for Learning International Building Information Modeling (BIM) Bridging Program Attention: Prakash Aryal Suite 500, th Avenue S.W. Calgary, Alberta T2P 3T4 Phone: Toll free: Fax: How did you hear about the program? Printed advertisement Presentation Web page Friend Former/Current client Referred by another program Other 5