Application for Recertification (All Levels) Application for Recertification (All Levels) Step 1 of 8 12% Code of Ethics Required* I certify that all materials in this application are true and that I have read and subscribe to the Code of Ethics of the Ecological Society of America. 1. Recertification Eligibility Verification If you were certified more than six years ago, please complete a "New Certification Application" form. I was certified* Five years ago Six years ago (application will be retroactive to previous year if approved) More than six years ago You indicated that you were certified more than six years ago, please complete a "New Certification Application" form. 2. Personal Information Member Verification: (Required to qualify for member rate) Please enter a value between 000000000 and 999999999. If you submitted your ESA membership form within 6 weeks of submitting this form or you don't know your ID #, please contact the Membership Manager at 202 833 8773 ext. 216. Membership ID #'s can be found on mailing labels of any ESA journal. Up-to-date membership for the application year is required for the Streamlined Application process. Address: Please provide the address to which you would like correspondence sent. Be sure to contact us with changes to your address. E-mail address and phone number are required. Name* Prefix First Last Suffix Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone* Fax 3. Level of Certification I wish to apply for certification at the level indicated. * Ecologist in Training Associate Ecologist Ecologist Senior Ecologist 4. Cover Letter In your cover letter, introduce yourself and indicate the reasons you are seeking certification and why you believe it should be granted. Treat this as you would any formal piece of correspondence and address it to the Board of Professional Certification. Cover letter* Note: either type in your cover letter, or use copy and paste from an external document. Do not try to attach any documents to this field. 5. Continued Professional Activity in Ecological Science for the Past 5 Years A. List activities that demonstrate continuous professional activity in ecological science over the past 5 years, giving a brief description of each activity in the space below it. If you would like to attach any additional information, please use the field "Additional Documents" at the end of this section. Note that the documentation is to be representative; it need not be exhaustive. In case of projects not resulting in reports authored by you, the documentation should clearly indicate the nature of your role or contribution. A person whose employment is primarily administrative may be recertified as an Ecologist or Senior Ecologist provided that they demonstrate in their application that their work regularly involves the use of ecological principles and knowledge. Please note the following requirements for each level of certification. You must demonstrate that you have continued to meet these requirements within the last 5 years. Length of experience will be evaluated only up to the application deadline (February 1). Be sure to explain how your professional activities fulfill the criteria for your level of certification. Associate Ecologists should demonstrate continued technical competence in the current application of ecological principles and/or theory. Ecologists should demonstrate continued performance of independent professional work in ecology, such as research studies, complex data analyses, formulation and testing of ecological hypotheses, and demonstrated understanding of their application. Senior Ecologists should demonstrate in work output a thorough knowledge of ecological literature, scientific principles and theories, written original contributions or original interpretations of ecological information, and technical or organizational competence as evidenced by supervision of projects or programs. Professional Activity Dates of Activity Professional Activity Dates of Activity Professional Activity Dates of Activity Professional Activity Dates of Activity Professional Activity Dates of Activity Additional Documents Drop files here or B. Please summarize your relevant employment for the last 5 years. List positions in chronological order, starting with your most recent experience. C. [Optional] Please summarize any continuing education credits, certifications, or any other professional development earned over the past 5 years. List activities in chronological order, starting with your most recent experience. 6. References Please supply in the space below the names, addresses, phone numbers, and email addresses of two individuals familiar with your work (no more than one letter from your organization and no two references from the same company or organization). One of these references must be a current member of the Ecological Society of America and should be indicated as such. (Please contact email@example.com to verify current membership.) References should not be from individuals you currently supervise or you have supervised in the past and may not be from a relative. These individuals may be contacted to verify or clarify portions of your application. 1. Reference Name* Address Phone* Email* ESA Member:* Yes No 2. Reference Name* Address Phone* Email* ESA Member:* Yes No 7. Curriculum Vitae (CV) Please attach an up-to-date curriculum vitae (CV). This CV should include at minimum: name, address, education, experience, and publications in chronological order, starting with most recent work. Please be sure to date all activities, projects, reports, presentations, and publications. Upload your CV* 8. Submission Please do not forget to pay your certification fee. Your application will not be reviewed without payment. Please press the "Submit" button below to continue to the payment form. Comments This field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.