ARKANSAS
STATE BOARD OF REGISTRATION FOR
PROFESSIONAL
SOIL CLASSIFIERS
Applicant's
Name____________________________________________________________________
The
following information relative to the above named applicant is submitted at the
applicant's f\request for the Board's use in considering his/her application for
registration as a Professional Soil Classifier or Soil Classifier-in-Training
with the understanding that it will be held in strict confidence.
1.
I have known the applicant for ________________________________ years.
2.
Relationship to applicant?
_________________________________________________________
3.
The applicant is employed by
______________________________________________________
4.
The applicant's general reputation and character
are_____________________________________
5.
My business connection with the applicant is
__________________________________________
6.
I (would) (would not) employ the applicant in a position of trust because
____________________
_______________________________________________________________________________
7.
I (do) (do not) believe that this applicant should be investigated
further.
8.*
I believe the applicant's technical ability to be (poor) (average)
(good).
9.*
I (would) (would not) employ the applicant on a project where his
decisions would be final.
10.*
The following is my evaluation of the applicant's ability as a
Professional Soil Classifier:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
My
business or profession is
_______________________________________________________________
I
(am) (am not) a registered Professional Soil
Classifier._________________________________________
I
am associated with
_____________________________________________________________________
My
title is
_____________________________________________________________________________
Date:________________________
Please type or print name: ____________________________________
Place:
_______________________ Signature:
________________________________________________
*NOTE:
Character references or references for Soil Classifier-in-Training,
please omit questions numbers 8, 9, and 10.