Australasian Hydrographic Surveyors Certification Panel (AHSCP)
Application for Specialist Recertification in Hydrographic Surveying

PERSONAL DETAILS
CertificationNumber:
Given Names:
Surname:
Address(1):
State/Province: Postcode: / Preferred Name:Date of Birth:
Tel:
Fax:
Email:
Country:
EMPLOYMENT/OCCUPATION
Job Classification: Current Employer:
Address(2):
State/Province: Postcode: / Tel:
Fax:
Email:
Country:

PLEASE INDICATE PREFERRED MAILING ADDRESS: 1or 2 ABOVE

MEMBERSHIP OF SURVEYING & SPATIAL SCIENCES INSTITUTE OR NEW ZEALAND INSTITUE OF SURVEYORS
Please indicate whichever of the following is applicable:
I am / am not (delete one)amam nota member of the Surveying & Spatial Sciences Institute and am affiliated with the Commission.
(Membership No. )
I am / am not (delete one)amam nota member of the New Zealand Institute of Surveyors.
NZIS Branch Membership No. Date of Admission
I wish to be assessed for Specialist Recertification in Hydrographic Surveying at Level 1 / Level 2Level 1Level 2(deleteone).
Subject to my successful Specialist Recertification in Hydrographic Surveying, I intend to jointhe SSSI or NZIS (delete one)the SSSIthe NZIS and become a member of the SSSI Hydrography Commission.
I wish / do not wish (delete one)wishdo not wishto be placed on the SSSIList (Register) of Current Certified Professionals in Hydrographic Surveying.
Please use the following contact address on the web published* SSSI List of Current Certified Professionals in Hydrographic Surveying
*Note: A website address is advised instead of an email address as anti-phishing protection is not provided from the list.
APPLICANT’S DECLARATION
  1. I declare that the information supplied is correct and that the AHSCP reserves the right to contact any associate who they consider may assist in the application.
  2. I have read the ‘Guidelines for Specialist Certification in Hydrographic Surveying’ and agree to my recertification being processed under these rules.
  3. I understand thatre-certification is valid for one(1) year after being conferred and to retain certification, I must either:
  4. Become a Member of the Surveying & Spatial Sciences Institute or the New Zealand Institute of Surveyors and maintain yearly Continuing Professional Development in accordance with the AHSCP Guidelines and adhere to the respective Code of Ethics, or
  5. Apply to the AHSCPforSpecialistrecertification in Hydrographic Surveyingon an annual basis(at least one month prior to expiration of certification) in accordance with the current AHSCP Recertification Process at the time of application.

Signature: …………………………………………………………………………………... / Date:

AHSCP_07_20141112 Recertification ApplicationNote: Latest amendments appear inBLUE

Australasian Hydrographic Surveyors Certification Panel

Application for Specialist Recertification in Hydrographic Surveying

NOTES FOR COMPLETING APPLICATION FORM

INSTRUCTIONS

Please read the ‘Guidelines for Specialist Certification in Hydrographic Surveying’ carefully before completing this application form and review theRecertification Process Flowchart.

COMPLETION

Complete this form by providing the information requested and signing the Applicant’s Declaration. If your certification has lapsed for greater than four (4) years, your application should include the name of at least one person to whom confidential enquiries can be addressed. Such referees are expected to be either the applicant’s principal/employer (who is suitably qualified in hydrographic surveying) and/or persons familiar with the applicant’s technical experience.

DETAILS OF EXPERIENCE

Applicants should provide a detailed account of proofs as described in the AHSCP Recertification Process flowchart. These should be set out in a manner that allows easy transition through the timeline of the past 12 months eg:

Date of activity Duration in daysActivity conductedEquipment usedYour role

VERIFICATION OF ATTENDANCE AT SPATIALLY RELEVANT AND HYDROGRAPHIC ACTIVITIES

Payment receipts do not demonstrate attendance. Certificates of Attendance must be provided to the AHSCP.

MEMBERSHIP OF THE SURVEYING & SPATIAL SCIENCES INSTITUTE OR THE NEW ZEALAND INSTITUTE OF SURVEYORS INC.

Specialist Certification in Hydrographic Surveying confers eligibility for membership of the SSSIwith the notation as Certified Professional in Hydrographic Surveying – Level 1 or Level 2 – and, subject to NZIS approval, membership of NZIS as a Member (Level 1) or Technical Associate (Level 2). In addition, certification confers placement on a List (Register) of Certified Professionals in Hydrographic Surveying. The AHSCP advises both the SSSI Professional Certification Panel and the NZIS Membership Services Committee of successful applications. Following notification of Specialist Certification in Hydrographic Surveying at either Level 1 or Level 2, an applicant who is not already a member of the SSSI or the NZIS will be given an opportunity to apply for membership. An applicant who does not become a member of SSSI/NZIS and maintain their CPD requirements will be required to apply for recertificationevery year, with payment of the relevant fee.

APPLICABLE FEES (GST Inclusive)

Payment of an recertification assessment fee (AU $242.00 for members orAU $500.00 for non-members)must be included with the Application for Recertification.Details for payment are listed in Recertification Checklist of Documentation Submitted.

LODGEMENT

This form, together with supporting documentation and payment should be sent to the AHSCP Secretary:-

AHSCP Secretary, Australian Hydrographic Office, 8 Station Street, Wollongong NSW 2500, Australia.

The deadline for lodgement of application forms is one month prior to each meeting of the AHSCP. The AHSCP meets every four months –details of meeting dates can be found on the SSSI Hydrography Commission pages or contact the Secretary [Ph: (02) 422 36672; Fax: (02) 422 36599; Email: .

FOR AHSCP USE

Date of Receipt of Recertification Application: …………………………………..……………………..……….……………………………………………

Proposal checked, and dates and other particulars verified by: ……………………….……………………...……………………………………………

Comments: ……………………………………………………………………..…………………………………………………..…………………………….

…………………………………………………………………………..……………………………………..…………………………………………………..

Signature: …………………….…………………………………………….……………………………………….……………………………………………

Secretary, AHSCP: ……………………………………………………….……………………………………….…..………………………………………...

AHSCP_07_20141112 Recertification ApplicationNote: Latest amendments appear inBLUE