Join – Association of the Chemical Profession of Ontario

ACPO Membership Application Form
Thank you for your interest in applying for a membership.
Membership Type*
What membership are you applying for?
Email*
Enter Email Confirm Email
Password*
Your password will be used to login to your ACPO account.
Enter Password Confirm Password
Applicant Information
Title
Name*
First Last
Date of Birth*
Canadian Citizen
- No
- Yes
Permanent Resident
- No
- Yes
District*
Residence Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone*
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer Telephone
Nature of Business
(e.g. Academia, Industry, Government or other)
Area of Specialization
Title
Retired
- No
- Yes
Post Secondary Education
Institutions attended:*
Start Year End Year Institution Program of Study Degree Obtained
Number of Chemistry Units Taken
List the number of units taken in Chemistry (number in brackets are usual # of units for an B.Sc. Honours Degree)
Core Subjects
General Chemistry (1 & 1)
General Lectures*
General Labs*
Organic Chemistry (1 & 1)
Organic Lectures*
Organic Labs*
Inorganic Chemistry (1 & 1)
Inorganic Lectures*
Inorganic Labs*
Analytic Chemistry (1 & 1)
Analytical Lectures*
Analytical Labs*
Physical Chemistry (1 & 1)
Phys. Chemistry Lectures*
Phys. Chemical Labs*
Total Lectures & Labs (5 lectures + 5 Labs)
Total Lectures
Total Labs
Advanced Subjects
(1 Lect, including 1/2 Biochemistry & 1 Lab)
Biochemistry
Natural Products
Polymers
Microbiology
Pharmacy
Photochemistry
Phys. Chemistry
Transition Metals
Materials Science
Advanced Instrumentation
Electrochemistry
Industrial Chemistry
Geochemistry
Spectroscopy
Solid State
Statistics
Total
Other Subjects
Pure or Applied Mathematics
Total (2)
Thermodynamics
Quantum Physics
Field Theory
Fluids Mechanics
Statistical Mechanics
Optics and Magnification
Total (1)
Publications, Patents
CIC Member?
- No
- Yes
Membership in Other Scientific, Technical or Professional Associations
Career Experience
Employment History
Employer Start Date End Date Position Major Responsibility
Additional Information to Support Your Application
(e.g. professional awards, papers published)
Attach a file*
The following documents are required with every application:
(1) A recent copy of your resume
(2) A copy of your university degree (if the degree is from outside of Canada, please also provide the Credential Assessment / Evaluation certificate)
(3) A recent copy of your university transcripts.

You may upload a single PDF file to contain all of these documents or up to 4 individual files. (Total uploads limited to 5MB file size)
Drop files here or

Accepted file types: jpg, gif, png, pdf.
References
Declaration of References*
Name of Reference Professional Relationship How long have they known applicant? Company Phone Company Address
Declaration of Applicant*
I hereby certify that the statements made are correct and that I have read and will adhere to the Code of Ethics of the APCO.
Application Fee
After submitting your application, you will be redirected to our secured Paypal Storefront where you can pay the application fee online. A Paypal account is not required.
$ 0.00 CAD
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ACPO Membership Application Form

Applicant Information

Post Secondary Education

Number of Chemistry Units Taken

Core Subjects

Advanced Subjects

Other Subjects

Career Experience

References