Professional Time

IMPORTANT - Do Not Fill Out until you read and understand this form.

SURVEYOR INTERN EXPERIENCE SHEET Pg. 1

1. Make statements brief and concise, designating each change in position

a separate engagement. Include the scope and complexity of work as well

as your duties and degree of responsibility. If necessary, additional

sheets may by used. (Please account for all time after age 18 or high

school graduation).

2. Each of the six columns under "Time" should be filled out for each

engagement, using years and tenths of years. Do not leave blank spaces,

and do not use the word "yes".

3. Name: Date of Degree: Birthday: (Total professional time

cannot exceed calendar time.)

Title of Position, Name of TIME (Years in Decimals)

Date, Month & Employer and Character of Each

Year Engagement. Make statements

concise and explicit, include Name and Address

nature, magnitude, and complexity Of Supervisor

of work on which engaged, your Reg. No. if

duties and degree of Applicable

responsibility.

Professional Work in Boundary

Land Surveying

From Sub-professional

work

To

Professional Work in Surveying as

Party Chief and above

From Sub-pro Constru Boundar Title

fession ct-ion y Land search

To al work and

enginee And

r-ing Descrip

tion

b. Total Professional Time in Construction & 12.0

Engineering Surveying

c. Total Professional Time in Boundary Land Surveying 2.3

d. Total Professional Time in Title Searching and Preparing Deed 3.0

Descriptions

e. Total Professional Time in Computing and 3.9

Mapping

Total Professional Time b+c + d + e (Not to exceed calendar 30.2

time

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