Application Form: Part C - Royal Society of Chemistry

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ROYAL SOCIETY OF CHEMISTRY
Mastership in Chemical Analysis (MChemA)
Application for entry to Part C
This examination is open only to Members (MRSC) or Fellows (FRSC) of the Royal Society of
Chemistry.
1
Personal Details
Name
_____________________________________________
RSC membership number ___________________________________________
Category of membership ____________________________________________
2
Address and Employment
Address for correspondence:
Address
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Telephone
Email
____________________________________________
_____________________________________________
Your job title, the name and address of your current or most recent employer:
Job title
_____________________________________________
Employer name & address ___________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Postcode
_____________________________________________
Telephone
_____________________________________________
Email
_____________________________________________
MChemA application form Part C 2015
3
Education and Training
Please provide dates for the following:
passed Part A
_____________________ or exempted Part A _______________________
passed Part B
_____________________
Please provide details of any further qualifications and experience gained since registration or
since passing Part B:
________________________________________________________________
________________________________________________________________
________________________________________________________________
4
Part C Examination
I wish to apply for entry to the Part C Examination to be held in __________ (year)
5
Signatures
Signature of Candidate ____________________________________________________________
Date _______________________________
Internal Counsellor _______________________________________________________________
Signature ____________________________________________ Date _________________
External Counsellor _____________________________________________________________
Signature ____________________________________________ Date _________________
Please return by the closing date to:
Dr Alex Kersting
Registration Officer
Royal Society of Chemistry
Thomas Graham House
Science Park
Milton Road
Cambridge
CB4 0WF
Email: mchema@rsc.org
Website: www.rsc.org/mchema
and include the fee for Part C.
You can pay by cheque or credit card. Cheques should be made payable to ‘Royal Society of
Chemistry’.
MChemA application form Part C 2015
MChemA Part C
Check List for your Portfolio of Evidence
When you submit your portfolio, please make sure it contains the following, and include this sheet
with your portfolio:

4 copies of the portfolio, hard copy or on CD

Your signature and your Internal Counsellor’s signature attesting that the files are a
true and accurate representation of your experience and are your own work (hard copy with
original signatures)

Evidence of practical skills that must include:
- classical wet chemistry
- speciation of meat and/or fish species
- instrumental techniques including chromatography and absorption/emission
spectroscopy
- handling food and feed complaint samples

40 Reports covering food, agriculture and drinking water, including
microbiology and complaints

40 Reports for product labels including original/copies of the labels and commentary

A list, with brief commentary, of Statutes where the Public Analyst is mentioned as
an authorised analyst
Please sign to confirm:
-
Your record of practical ability is true and accurate in terms of methods, dates and
depth of knowledge and experience;
You and your Counsellor consider that you are competent in the handling and
investigation of food complaint samples (which may include feed complaint samples);
You have produced the certificates presented;
You have interpreted the labels presented.
Candidate ........................................................................... date ..............................
Internal Counsellor ............................................................. date................................
MChemA application form Part C 2015
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