Membership Reference Form - 9-28
Membership Reference Form - 9-28
Membership Reference Form - 9-28
FORM
Applicant to Complete
CFA INSTITUTE IDENTIFICATION # SOCIETY APPLYING TO
APPLICANT NAME
PREFIX (CHECK ONE) Mr. Miss Ms.
Mrs. Dr. Prof. Rev. Hon. FIRST (GIVEN) NAME MIDDLE NAME OR INITIAL LAST NAME (SURNAME OR FAMILY NAME)
Reference to Complete
EMPLOYMENT STATUS OF REFERENCE
FIRST (GIVEN) NAME MIDDLE NAME OR INITIAL LAST NAME (SURNAME OR FAMILY NAME)
TELEPHONE FAX
COUNTRY CODE AREA/CITY CODE LOCAL NUMBER EXTENSION COUNTRY CODE AREA/CITY CODE LOCAL NUMBER
E-MAIL ADDRESS
1. Does the applicants primary full-time professional occupation meet the requirements of the work experience guidelines?
Yes No
2. Does the applicant spend at least 50 percent of their time directly involved in the investment decision-making process or in responsibilities that inform or add
value to that process?
Yes No
3. Describe the applicants role in the investment decision-making process. The details you provide will help us understand the applicants qualifications.
4. Do you know of any reason why the applicant should not be considered for membership due to professional character or conduct issues?
No, this applicant should be considered for membership. Yes, I know of issues.
References Agreement
By signing below, I certify that the information provided is true and correct to the best of my knowledge.