Senior Member Sponsor Form

 This form is to be completed by a Senior Member who has agreed to act to sponsor a new candidate for the Senior Member grade. The sponsor should be given a copy of the submitted application materials by the candidate before the form is prepared.

1.     Personal Information:

Your Name____________________________________________________

                  Your Membership Number_______________________________________

Signature, Date_________________________________________________

  2.    Applicant Information  

               Name of Applicant______________________________________________

                 Applicant’s Member No. _________________________________________    (if known)

                 Do you know the applicant________________________________________

                                 Professionally?

                                 If so, how long?__________________________________________

                   What is your professional_________________________________________

                              relationship to the candidate?

3.    Please explain how the candidate has contributed significantly to society service. 
       (attachment, use as much space as necessary).

4.     Please explain how the candidate has achieved significant professional performance 
       (technical/management). (attachment, use as much space as necessary)

5.     Please indicate, with respect to the ISCA Senior Member requirements,  whether you 
       believe the candidate to be (select one):  

o       Well-qualified

o       Marginally qualified

o       Marginally unqualified

o       Unqualified