Professional Documents
Culture Documents
Election Date
Enclosed
1 Year
Full Course
22-27
28-33
34-59
CC
34-59
OS
60-69
70+
Last name
Date of birth
_____/_____/19
Nationality
Home address
School/University/Work address
Postcode/Zip
Postcode/Zip
Country
Country
Telephone no
Telephone no
Email
FELLOWSHIP OPTIONS
Please tick the grade of Fellowship that you wish to apply for:
Candidate Fellowship (Please complete Section A and Section C)
Candidate Fellow.
School/University/Work
All Fellows (names) will be added to the online Fellows directory. Please tick this box if you also wish to add your address and email.
Emails
The Society would like to keep you informed of its activities by email, including those of any Regional and Specialist Groups of which
you are a member. Please tick this box if you do not wish to receive this information.
Paper Renewal Invoice
Renewal letters for your Fellowship will be sent by email. Please tick this box if you require a paper renewal invoice by post
Fellowship Directory
All Fellows names will be added to the online Fellowship directory. Please tick this box if you also wish to add your address and email.
(You can select other visibility options on the website log in and go to My GSL/Edit Fellowship Details.)
The Geological Society will not pass your details to any other organisation.
SECTION A (CANDIDATE FELLOWSHIP & FELLOWSHIP)
If you are applying for Candidate Fellowship, or if you are a full-time postgraduate student applying for Fellowship, please supply
details of your current studies.
Name of School or University ____________________________________________________________________________
Course(s) level & title
Course Ends
_____________________________________________________________________________
____/____/20____
A)
For two Fellows at the same home address. Annual fee is the higher of the two Fellowship fees plus a supplement Joint Fellows receive
one free journal, plus Geoscientist .
I wish to apply for Joint Fellowship with ______________________________________________________ (full name).
I confirm that we have the same home address.
ACADEMIC QUALIFICATIONS
Please supplyAWARD
details&ofSUBJECT
higher education and vocational
CLASS qualifications.
YEAR OF AWARD
NAME OF COLLEGE/UNIVERSITY
STATUS
YEAR ELECTED
EXPERIENCE / OCCUPATIONS
Applicants who do not have an appropriate degree or equivalent qualification and are applying through the experience route should
submit a CV detailing their relevant experience. This should give details of relevant employment in chronological order, including for
each position the employer's name and location, dates and nature of duties.
All elected Fellows and Candidate Fellows will be allocated to a Regional Group on the basis of their mailing address.
The Society has 23 Specialist Groups and Joint Associations, catering for most aspects of modern Earth science. Membership of the
Joint Associations and affiliated Specialist Groups is not restricted to Society members and may involve a separate fee. These groups
are not listed below, but information about them can be found on our website at www.geolsoc.org.uk/groups.
If you would like to join a Specialist Group, please tick the boxes of the Groups you would like to join:
Borehole Research Group
Environmental Group
Marine Studies Group
Coal Group
Earth System Science Group
Petroleum Group
Engineering Group
Hydro geological Group
Forensic Geology Group
PROPOSERS
Applicants are normally required to find two proposers who are Fellows of the Society. For applicants resident overseas and for
others who have difficulty in identifying Fellows to act as proposers, Council will act as their proposers
PROPOSER 1
PROPOSER 2
Name
Name
Address
Address
Fellowship Number:
Please tick this box if you do not have a proposer
Fellowship Number:
I declare that I am willing to support the aims of the Geological Society of London and wish to apply for admission to
Candidate Fellowship/Fellowship of the Society.
I declare that the statements made throughout this application are correct.
I agree that if elected to Candidate Fellowship/Fellowship, I will observe its Bye-laws and Regulations, including the Code of
Conduct.
I agree that if elected to Candidate Fellowship/Fellowship, I shall endeavour to promote the interests and welfare of the
Society.
I further agree that I shall pay such dues as required of me on or before the specified dates and in the manner prescribed by
Council.
I agree to the Societys terms and conditions for use of electronic services, which can be viewed online at
www.geolsoc.org.uk/eterms
RATE
TICK
AMOUNT
20.00
FELLOW
Please note that your age
bracket is calculated on
how old you are on 31
December 2013
15.00
40.00
70.00
Aged 28 33
130.00
Aged 34 59
198.00
152.00
Aged 60 69
99.00
Aged 70 or over
68.00
28.00
41.00
58.00
3. FREE JOURNAL
Choose one title only. Please note your free journal will be provided in electronic format only, unless an annual 12.50 supplement
is paid to receive all issues of the free journal in hard copy
Journal of the Geological Society
(6 issues per/yr)
FREE
OR Quarterly Journal of Engineering Geology & Hydrogeology
OR Petroleum Geoscience
(4 issues per/yr)
(4 issues per/yr)
(4 issues per/yr)
FREE
FREE
FREE
41.00
Petroleum Geoscience
41.00
41.00
Geology Today
50.00
Geology
60.00
80.00
37.50
GRAND TOTAL:
To pay by credit card, please supply card details on the enclosed form. To pay by cheque please make your cheque
payable to The Geological Society.
Start
Date
Addre Date
ss at
which
your
card is
regist
ered
W1J 0BG
London,