Join Membership Type*What membership are you applying for?C. Chem. (Ontario Only)C. Chem. (Out of Province)C. Chem. (Retired)AssociateAffiliateFull Member (C. Chem.)These are individuals who have satisfied the formal requirements of the Association and are eligible to call themselves Chartered Chemists and to use the abbreviation C. Chem. after their names;AssociateThese are individuals who are working as chemists, or in chemistry-related fields, and are in the process of fulfilling the formal requirements for membership;AffiliateThese are student members currently studying chemistry, biochemistry or chemical engineering in an accredited university program.Email* Enter Email Confirm Email Password*Your password will be used to login to your ACPO account. 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IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew 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Country Employer TelephoneNature of Business(e.g. Academia, Industry, Government or other)Area of SpecializationTitleRetiredNoYesPost Secondary EducationInstitutions attended:*Start YearEnd YearInstitutionProgram of StudyDegree Obtained Number of Chemistry Units TakenList the number of units taken in Chemistry (number in brackets are usual # of units for an B.Sc. Honours Degree) Core SubjectsGeneral 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 LecturesTotal LabsAdvanced Subjects (1 Lect, including 1/2 Biochemistry & 1 Lab)BiochemistryNatural ProductsPolymersMicrobiologyPharmacyPhotochemistryPhys. ChemistryTransition MetalsMaterials ScienceAdvanced InstrumentationElectrochemistryIndustrial ChemistryGeochemistrySpectroscopySolid StateStatisticsTotalOther SubjectsPure or Applied MathematicsTotal (2)ThermodynamicsQuantum PhysicsField TheoryFluids MechanicsStatistical MechanicsOptics and MagnificationTotal (1)Publications, PatentsCIC Member?NoYesMembership in Other Scientific, Technical or Professional AssociationsCareer ExperienceEmployment HistoryEmployerStart DateEnd DatePositionMajor 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. ReferencesDeclaration of References*Name of ReferenceProfessional RelationshipHow long have they known applicant?Company PhoneCompany 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 FeeAfter 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 PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.