APPLICATION FOR CHARTERED SCIENTIST For Fellows of the Mineralogical Society of Great Britain & Ireland SCRUTINEER’S REPORT Applicant’s Name: ……………………………………………………………………… Note to Scrutineers The applicant named above has applied to the Mineralogical Society for validation as a Chartered Scientist. As a scrutineer of his/her application it is your task to evaluate the application, supporting documents and the statements of the Applicant’s sponsors and recommend to the Validation Committee whether the Applicant meets the requirements for Chartered Scientist. Please read the Mineralogical Society of Great Britain and Ireland Guidelines for Scrutineers carefully before starting work on the application. If you wish to interview the Applicant, this should normally be carried out in conjunction with the other scrutineer; see Guidelines for details. Firstly, you are asked to make a declaration about conflict of interest. I have/have no (delete as appropriate) conflict of interest to declare in relation to the application for Chartered Status by this candidate. Signature……………………………………………………Date……………………….. Where conflict of interest does exist, please return the paperwork to the Mineralogical Society’s Executive Director so that an alternative scrutineer can be identified. Scrutineer 1 (name) ……………………………………………………………………. Scrutineer’s address ……...…………………………………………………………….. ……………………………………………………………………………………………… Telephone ……………………………… Email ………………………………………. Assessment Qualifications. Is the Applicant suitably qualified for award of CSci via the Mineralogical Society? (N.B. The Executive Director will check the validity of qualifications. You should comment on whether they are relevant to the science of the Page 1/6 Mineralogical Society and suitable for CSci. It is also the duty of the Scrutineer to check whether any Masters-level equivalence report submitted indicates that this applicant has conducted work at a level equivalent to a Masters-level dissertation.) ……………………………………………………………………….. ……………………………………………………………………………………………… ……………………………………………………………………………………………… Experience. Does the Applicant have sufficient experience in the subject area to qualify for CSci? (see Guidelines for Scrutineers for requirements) ……………………….. ……………………………………………………………………….. …………………... ……………………………………………………………………………………………… Competencies - Please indicate with ticks whether the competencies are met. Candidates must be able to: Fully Partially Not Not at sure all** * 1. Apply their knowledge and understanding of earth and other planetary materials and processes, and/or related synthetic mineral analogues. 2. Collect, use and interpret complex data sets, exercising critical evaluation to draw conclusions. 3. Communicate well with both the scientific community and the wider non-specialist audience, professional or public. 4. Plan, initiate, organise and carry out work effectively; including a high degree of self direction and/or team working when required and demonstrate project- and personnel-management competencies. 5. Work in a professional manner with due regard to issues of health and safety, equal opportunities, and the Mineralogical Society Code of Conduct 6. Carry out appropriate continuing professional development activities * Not sure – attainment of this competency is not established from the application form but may be established at interview. **A tick in this box will disqualify a candidate from becoming registered and should be accompanied by a comment in your summary statement to help the Applicant develop this competency in the future. Page 2/6 Summary Statement to the Validation committee A brief statement of your opinion of the candidate’s professional standing and achievements ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… Interview I would like to#/ do not need to# interview the Applicant. (please delete as appropriate) For Mature Entry only: I recommend a second scrutineer is appointed to cover the areas of …………………………………………………………………………….. (see Guidelines for Scrutineers, only one scrutineer is normally required) RECOMMENDATION [after interview, if required] I recommend that the Applicant ……………………………………………….…. is granted#/ is not granted# Chartered Scientist status. (please delete as appropriate) Signature……………………………………………………Date……………………….. Thank you. Please send this form, the application, supporting information and guidelines to Scrutineer 2. Scrutineer 2 (name) ……………………………………………………………………. Scrutineer’s address ……...…………………………………………………………….. ……………………………………………………………………………………………… Telephone ……………………………… Email ………………………………………. Assessment Qualifications. Is the Applicant suitably qualified for award of CSci via the Mineralogical Society? (NB The Executive Director will check the validity of qualifications. You should comment on whether they are relevant to the science of the Mineralogical Society and suitable for CSci.) ……………………………………………………………………….. ……………………………………………………………………………………………… ……………………………………………………………………………………………… Experience. Does the Applicant have sufficient experience in the subject area to qualify forCSci? (see Guidelines for Scrutineers for requirements) …………………………. ……………………………………………………………………….. …………………... ……………………………………………………………………………………………… Page 3/6 Competencies. Please indicate with ticks whether the competencies are met. Candidates must be able to: Fully Partially Not Not at sure all** * 1. Apply their knowledge and understanding of earth and other planetary materials and processes, and/or related synthetic mineral analogues. 2. Collect, use and interpret complex data sets, exercising critical evaluation to draw conclusions. 3. Communicate well with both the scientific community and the wider non-specialist audience, professional or public. 4. Plan, initiate, organise and carry out work effectively; including a high degree of self direction and /or team working when required and complimentary, transferable skills such as project and personnel management. 5. Work in a professional manner with due regard to issues of health and safety, equal opportunities, and the Mineralogical Society Code of Conduct 6. Carry out appropriate continuing professional development activities * Not sure – attainment of this competency is not established from the application form but may be established at interview. **A tick in this box will disqualify a candidate from becoming registered and should be accompanied by a comment in your summary statement to help the Applicant develop this competency in the future. Summary Statement to the Validation committee A brief statement of your opinion of the candidate’s professional standing and achievements ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… Interview I would like to#/ do not need to# interview the Applicant. (please delete as appropriate) Page 4/6 I have/have no conflict of interest to declare in relation to the application for Chartered Status by this candidate. Signature……………………………………………………Date……………………….. RECOMMENDATION [after interview, if required] I recommend that the Applicant ……………………………………………….…. is granted#/ is not granted# Chartered Scientist status (please delete as appropriate) Signature……………………………………………………Date……………………….. Thank you. Please send this form, the application and supporting information to …………………………………….……………………………………………………….. ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… [to be completed by Executive Director before forms are dispatched.] Page 5/6 Interview report (if required) Date ……………………….. Time……………………… Venue……………………………………………………………………. Please record a summary of the outcome of the interview, with particular attention to competencies marked ‘not sure’ or ‘not at all’ above. ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… ……………………………………………………………………………………………… Signature 1 ………………………………………………Date……………………….. [Print name] ………………………………………………. Signature 2 ………………………………………………Date……………………….. 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