PRELIMINARY APPLICATION FOR CERTIFICATION Name _________________________________ Level of certification sought Address _______________________________ CG(C) __________ GRS(C) _________ Postal code __________ Telephone _____________ Previous accreditation in genealogical research _________________* I - POINT EVALUATION Please complete the following according to the instructions under the heading "Point Evaluation System." 1. Education: a. Level attained _____________ (max. 8 points) b. Genealogy courses ______________ 2. Experience: a. Years of practice ______________ (max. 14 points) b. Organizational activity ____________ 3. Publications: a. Books _____________ (max. 6 points) b. Articles _____________ c. Collections __________ Total points _______________ Please enclose a brief resume or other justification of your claim to the above points. You may be asked to submit documentation in support of some, or all, of the points that you claim. II. REFERENCES Please give the name, position in a genealogical organization or archival institution, address, and telephone number of three references: 1. 2. 3. III. FEE Please enclose a cheque or money order payable to the Genealogical Institute of the Maritimes for fifteen dollars ($15) (not refundable). Do not send samples of your work or other materials until so requested. IV. APPLICATION I, the undersigned, certify that the foregoing information is an accurate representation of ny eligibility for certification by the Genealogical Institute of the Maritimes. I understand that I shall be required to complete written, oral, and other practical examinations, if this application is accepted. I am also prepared to submit documentation and samples of my work as may be requested. ________________________ Date ____________________ Return to the Registrar, Genealogical Institute of the Maritimes. *Candidates may not be accepted into this programme if they have previously received accreditation equivalent to or higher than that herein sought.