Application for Fee Remission

Mr.
Ms.
Dr.

Last Name:  First Name:
Daytime Contact Number (Tel): ()
E-Mail Address:
Society Membership Number:
PEO Registration Number:


I am currently (select one):



and would like to apply for a 50% remission of fees due to (check one):

  ill health such that I am unable to seek employment
  enrolment as a full-time student in post graduate studies in engineering
  parental leave
  extreme financial difficulty
  retirement from all gainful employment in any capacity

Please note:
Application for remission must be made annually and certificates submitted as requested.




Signature Date

Please fill in, print out, and mail to:
Ontario Society of Professional Engineers
4950 Yonge Street, Suite 502
Toronto, ON, M2N 6K1

or fax to:
Fax: (416) 223-9963 or Toll Free Fax: 1-866-763-1655