Application for Building Science Specialist Accreditation

Must be submitted with the $200.00 + GST/HST Application Review Fee.

Personal Information

Surname: *
Given Name(s): *
Home Address: *
City: *
Province/State: *
Postal/ZIP Code: *
Telephone: *

Business Information

Business/Employer: *
Business Address: *
City: *
Province/State: *
Postal/ZIP Code: *
Telephone: *
Fax: *
Email: *
Occupation: *
Present Title: *
Preferred Address: *

Details of Education

Please attach certificates of course completions for Engineering or Architectural degree.

Type of School Name & Location Attended From Attended To Last Completed GR/YR Courses Studied or Diploma/Degree Obtained
Secondary
Trade or Technical
Business or Commercial
College or University
Other (Specify)

Exam Completion

Building Science Specialist Board Exams Date Completed * Final Mark (65% Min) *
Building Science Theory Exam
Building Envelope Systems Exam
Materials Systems Exam
Mechanical Systems Exam

Certificates, Licenses, Professional Qualifications/Memberships

Names and Address of Organization Aims and Objectives Grade or Membership and Year Held

Building Science Experience

1) Engineering or Architectural undergraduate or graduate degree must provide at least 2,000 hours of practical experience.
2) Engineering or Architectural diploma must provide at least 5,000 hours of practical experience.

Brief Project Description Description of Your Specific Role Number of Hours Project Reference










Reasons for Wishing to Become a BSS *

References

Give the names and addresses of two BEC members, unrelated to yourself, who are well known to you and could verify the contents of this application.

Reference 1
Name: *
Address: *
Telephone: *
BSS#: *
Reference 2
Name: *
Address: *
Telephone: *
BSS#: *

Required Documents

Engineering or Architectural Degree Certificate: *
Building Science Theory Exam Completion Certificate: *
Building Envelope Systems Exam Completion Certificate: *
Materials Systems Exam Completion Certificate: *
Mechanical Systems Exam Completion Certificate: *
Proof of Membership in Local BEC: *

Payment Information

Application Review Fee: $200.00
Tax (HST 13%): $26.00
Total: $226.00
Name on Card: *
Credit Card Number: *
CVC: *
Expiration (MM/YYYY): * /

I hereby make application for BSS status with the BSSB. I understand that if not accepted I will not be entitled to apply again until twelve (12) months from the date of this application. My application review fee of $200.00 + GST/HST, payable to BSSB, is enclosed. I understand that my application review fee is non-refundable once submitted, should I wish to withdraw my application, or should I be refused the request for accreditation by the Building Science Specialist Board.

I acknowledge all of the information contained in this application is accurate.