Application Form for Associate or Fellow Membership
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Application Form for
Associate or Fellow Membership
The Canadian Society
for
Creative Leathercraft
Deadline for entry – As indicated on the Notice for the CSCL Annual Convention
Send Articles to: As indicated on the Notice for the CSCL Annual Convention
Enclose this Form with Articles. Enclose the sum of $10.00 to cover Examination Fee and Parchment Certificate.
Note: $5.00 will be returned if candidate is unsuccessful.
Requirement for Associate and Fellow Membership are listed in full on a separate sheet.
I hereby make application for [ ] Associate [ ] Fellowship membership in the Society and submit the following information and declaration in support of my application.
Name: ______________________________ Telephone: ______________________________
Address: ____________________________________________________________
1. Length of time practising Leathercraft: ____________________ 2. Number of years as a member of C.S.C.L.: __________
3. Services rendered to C.S.C.L. and Leathercraft in general (see section 2 under Associate requirements):
____________________________________________________________
Instruction received: ____________________________________________________________
____________________________________________________________
Teaching Experience: ____________________________________________________________
____________________________________________________________
I hold C.S.C.L. Teaching Certificate: Grade [ ] A [ ] B [ ] C
Articles Accepted for Exhibitions: (e.g. recognized Society Exhibitions, Assemblies, C.N.E., etc.) List Exhibitions with dates if possible and use a separate sheet if additional space is needed.
____________________________________________________________
____________________________________________________________
____________________________________________________________
Awards, if any: ____________________________________________________________
____________________________________________________________
Articles published in Canadian Leathercraft or other publications: ______________________________
____________________________________________________________
Special skills in leathercraft techniques: ____________________________________________
____________________________________________________________
Articles submitted as listed in requirements:
1. __________________________________________________________
2. __________________________________________________________
3. __________________________________________________________
4. __________________________________________________________
Please note: Because of transportation, packing, and storage difficulties a limit has been set on the size of articles submitted. Your parcel should conform to postal regulations for parcel post.
I ______________________________ hereby declare that the articles submitted in support of my application for Associate Membership are solely my work, done without assistance.
______________________________ ______________________________
Signature Date
I ______________________________ hereby declare that the articles submitted in support of my application for Fellow Membership are solely my work, done without supervision or assistance, and that the designs are my own.
______________________________ ______________________________
Signature Date
Last updated: April, 2013
The words above are the document’s own, as the paper prints them. Spelling and spacing are left as they stand.