Pre-Candidate ApplicationForm

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Pre-Candidate ApplicationForm

5707 St Peters Rd.St Peters, PE C0A2A0

Tel:(902)704-2401

Name(Required)

First Last

Title(Required)

Mr.

Ms.

Miss.

Mrs.

Mx.

Other

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

University(Required)

Title of Degree(Required)

Year Graduated(Required)

Are you currently employed in planning?(Required)

Yes

If yes, please specify for how long (Years)(Required)

Is it your declared intention to pursue a career in planning and apply for Candidate membership in the Institute when you become eligible to do so?(Required)

Yes

If yes, please initial here(Required)

(Required)

I certify that I have read, unde rstand & agree to comply with the bylaws of the Institute, including the Code of Professional Conduct (available at: www. atlanticplanners.org ) , and I further certify that the information provided on this form and in any attached document is correct.

SIGNATURE OF APPLICANT(Required)

Date(Required)

MM slash DD slash YYYY

Note: Acceptance as a Pre-Candidate member does not guarantee acceptance as a Candidate member.

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Name*

First Last

Email*

Phone

Message*

Name

This field is for validation purposes and should be left unchanged.

LPPANS is the licensing body for professional planners in Nova Scotia

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Halifax, NS B3J 3R4

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