REFERENCE QUESTIONNAIRE–CONFIDENTIAL

RIZVI, Syed 100520660

Name of Applicant: File No:

1. Please check the box that best describes your relationship with the applicant:
Supervisor c Colleague c Other c If other, please specify:

2. Are you/were you related to this applicant by birth or by marriage? No c Yes c If yes, please specify:

3. How long have you been familiar with the applicant’s work? From to
MM/YYYY MM/YYYY

4. Please provide the name and location of the applicant’s workplace as well as their position during the time you became familiar
with their work?
Name of organization: Location:

Position:

5. How would you rank your familiarity with the applicant’s engineering ability?
Slightly familiar c Moderately familiar c Very familiar c

6. Besides competence in engineering, what can you say about the applicant’s suitability as a prospective member of PEO in
terms of honesty, integrity and professionalism? (100 words max)

7. Please briefly describe the engineering experience the applicant gained during the time mentioned in question 3. (360 words max)

Association of Professional Engineers of Ontario Revised February 2019 1/2

 REFERENCE QUESTIONNAIRE–CONFIDENTIAL

8. Please rate the applicant’s degree of exposure to each of the experience areas in the chart using the scale below:
Do not know: X None: 1 Limited: 2 Good: 3 Very good: 4 Excellent: 5

EXPERIENCE AREA DEGREE OF EXPOSURE

Application of engineering: Analysis, design, synthesis, testing or implementation methods

Practical experience: Understanding limitations of real systems, visits to engineering works, equipment as part
of larger systems, significance of time in the engineering process and familiarity with applicable Canadian
codes, standards and regulations

Project management/supervisory experience: Planning, task scheduling, allocation of resources, identification

of labour materials and overhead, team building, monitoring of expenses and schedules, risk assessment

Communication skills: Written work, oral presentations, presentations to the public

Exposure to social implications of engineering: Awareness of potential positive and negative consequences of
a project, understanding of safeguards and responsibility to prevent adverse effects, understanding the role of
regulatory bodies

9. In your opinion, is the applicant able to identify where engineering principles are applicable to real situations?
No c Yes c Do not know c

10. In your opinion, is the applicant able to apply engineering principles to resolve problems, modify designs and demonstrate
sound judgement? No c Yes c Do not know c

11. If your response to either question 9 or 10 is “No” or “Do not know,” please comment on whether additional experience
would help the applicant achieve sufficient competency. (95 words max)

REFEREE INFORMATION

Name:

Current employer: Current title:

Are you a P.Eng.? No c Yes c If yes, please specify the following:

Province(s): Licence no.: Years licensed:

Field of practice:

Signature: Date:
Electronic signature accepted MM/DD/YY

Association of Professional Engineers of Ontario Revised February 2019 2/2