• No results found

REGISTERED PROFESSIONAL LANDMAN APPLICATION FORM

N/A
N/A
Protected

Academic year: 2021

Share "REGISTERED PROFESSIONAL LANDMAN APPLICATION FORM"

Copied!
16
0
0

Loading.... (view fulltext now)

Full text

(1)

R

EGISTERED

P

ROFESSIONAL

L

ANDMAN

A

PPLICATION

F

ORM

(2)

RPL Application Revised September 2015

Instructions to Apply for

Registered Professional Landman (RPL) Certification

PLEASE READ CAREFULLY

1. Complete the questionnaire prior to the application to determine if you are qualified.

You must be an Active Member of AAPL for at least one year to apply. Student and Associate Members, Division Order and Lease Analysts are not eligible to apply for the RPL Certification.

You must currently be Primarily engaged in “Qualifying Landwork”, as defined in the Certification Program Specifications, Article II B in the AAPL Membership Directory and outlined in this Application.

Complete this application form only if you are qualified.

Please be thorough in completing this application. Approval of your application is based on the information provided in your application. This application is your best opportunity to illustrate your qualifications. Be advised that the Certification Committee carefully reviews your responses and verifies the information provided.

2. Do not attach resumes, letters, or other items relating to your experience to the application. All such items will be removed and not considered in the approval process.

3. Submit a certified college transcript that shows the degree(s) earned (only if applicable as a 4-year degree is not required).

4. Copy and send the Applicant Sponsor Verification Form for completion by two CPLs or a

minimum of one CPL and one RPL. The Sponsor Verification Form must be prepared in the

Sponsor’s own words and sent by the Sponsor directly to the AAPL. When combined, your sponsors must cover ALL the required total credit year’s experience. That is, total years sponsored must equal or exceed the minimum number of credit years required.

5. Designate a local association to be contacted as a part of the peer review process. 6. Send completed application form and the non-refundable $75.00 application fee to:

Paying with Credit Card Paying with Check

AAPL AAPL

800 Fournier Street P.O. Box 225395

Fort Worth, TX 76102-3597 Dallas, TX 75222-5395 Attn: Certification Attn: Certification

7. You must complete the entire application process, including sufficient verification from two qualified CPLs, or a minimum of one CPL and one RPL, within 120 days from the date the application is received by AAPL or the application may be returned and a new application required to continue the process. It is your responsibility to monitor the process and assure that all necessary parts of the application are accurately and timely completed.

You may take the exam prior to approval of your RPL application but only if you qualify. The results of your exam will have no bearing on the approval of your application. The results of the exam will not be disclosed until your application is completed and approved by the Certification Chairman. You must submit your application within 60 days of taking the exam for the exam to qualify; however, this does not apply to the CPL or RPL Sponsor Verification Forms.

When all parts of the application have been received, including all sponsor forms, your application will be reviewed by a member of the AAPL Staff, and, if complete, will be submitted to the AAPL Certification Committee for consideration. You will then be notified of the decision of the Certification Chairman. If you have taken the exam, your results will be promptly provided. Time to publish your name in either the

Landman or Landman 2 Magazine must be allowed.

Depending on how long it may take to receive a completed application, timing of publication and other circumstances, the total time to receive an approval letter may be between 4 and 6 months.

(3)

RPL Application Revised September 2015

Registered Professional Landman Application Form

You are responsible for reading the current Certification Program, as amended, found in the AAPL Membership Directory. A brief summary of the Program is listed below; however, in the event of a conflict between this summary and the Program, the Program shall prevail. The application must be legible, be submitted on the currently approved form, and be accompanied by a $75.00 non-refundable application fee.

SUMMARY OF REQUIREMENTS, DEFINITIONS, AND RULES

I. In order to be qualified to become a RPL, you must:

1) Have at least 5 "Credit Years" of full-time experience as a Land Professional;

2) Be primarily engaged, on a full-time basis, in the performance of “Qualifying Landwork”, as outlined below, for at least the immediate past:

TWO years if applying WITH a 4 year college degree, or FOUR years if applying WITHOUT a 4 year college degree;

3) Score at least a grade of 70 on each part of the AAPL administered RPL exam; and 4) Be an ACTIVE (not associate) member of AAPL for at least 1 year.

II. “Land Professional” shall mean a person who derives a significant portion of their income as a result of performing Landwork.

III. “Landwork" shall mean the actual performance or supervision of any one or more of the following functions as outlined in the AAPL Bylaws:

A. Negotiating for the acquisition or divestiture of mineral rights.

B. Negotiating business agreements that provide for the exploration for and/or development of minerals. C. Determining ownership in minerals through the research of public and private records.

D. Reviewing the status of title, curing title defects, providing title due diligence and otherwise reducing title risk associated with ownership in minerals or the acquisition and divestiture of mineral

properties, but shall not include division order or lease analyst functions.

E. Managing rights and/or obligations derived from ownership of interests in minerals. F. Unitizing or pooling of interests in minerals.

“Qualifying Landwork” is described as Letters A, B and/or C above. For each year during which you primarily performed, on a full-time basis, Qualifying Landwork, you will be awarded 1 “Credit Year”. It is required that at least the immediate past (i) 2 “Credit Years” when applying with a college degree and (ii) 4 “Credit Years” when applying without a college degree, be primarily engaged in Qualifying Landwork.

“Other Landwork” is described as Letters D, E and/or F above. For each year during which you primarily performed, on a full-time basis, Other Landwork, you will be awarded 1/2 “Credit Year”, up to a maximum 1.5 “Credit Years”, if applying WITH a 4 year college degree and a maximum 1 “Credit Year” if applying WITHOUT a 4 year college degree.

IV. The following Education credits (up to a maximum of 3 “Credit Years”) are available for meeting certain educational requirements:

a. 1.5 “Credit Years” will be awarded if you have earned a bachelor's degree from a regionally accredited university or college;

b. 1.5 additional “Credit Years” will be awarded If the bachelor’s degree accredited above is with a concentration or major in Petroleum Land, Energy or Natural Resource Management from an AAPL accredited university or college;

c. 0.5 additional “Credit Year” will be awarded if you have earned a law degree from an ABA-approved law school;

d. 0.5 additional “Credit Year” will be awarded for an advanced degree earned in business or certain other select programs approved by AAPL.

(4)

CY = Credit Year, which are determined on a total months worked basis

Registered Professional Landman Flow Chart:

You are not eligible for the RPL at this time.

Do you have a bachelor’s degree? (1.5 CY)

For all of the immediate past 2 years, have you primarily performed on a full time basis Qualifying Landwork (A, B, and/or, C)? (2 CY)

Do you have a Petroleum Land Management, Energy Commerce or Natural Resource Management Bachelor’s Degree? (1.5 CY)

YES

You are not eligible for

the RPL at this time.

NO

YES

NO

NO

You are not eligible for

the RPL at this time.

You are eligible for

the RPL at this time.

NO

You are eligible for the RPL at this time.

YES

NO

NO

NO

YES

For all of the immediate past 4 years, have you primarily performed on a full time basis Qualifying Landwork (A, B, and/or, C)? (4 CY)

YES

You have 4.5 credit years. To qualify for the RPL, you need 0.5 additional credit year. Excluding the 4.5 credit years listed above, have you primarily performed on a full time basis:

1) Qualifying Landwork (A, B, and/or C) for 0.5 additional year

OR

2) Other Landwork (D, E, and/or F) for

1 additional year (1 credit year per

2 years worked)

OR

3)

A combination of Qualifying Landwork and Other Landwork totaling 0.5 additional credityear

?

You have 3.5 credit years. To qualify for the RPL, you need 1.5 additional credit years. Excluding the 3.5 credit years listed above, have you primarily performed on a full time basis:

1) Qualifying Landwork (A, B, and/or C) for 1.5 additional years

OR

2) “Other Landwork” (D, E, and/or F) for 3 additional years (1 credit year per 2 years worked)

OR

3) A combination of Qualifying Landwork and Other Landwork totaling 1.5 additional credit years? Do you have a Law Degree? (0.5 CY) Do you have a Law Degree? (0.5 CY)

YES

You have 4 credit years. To qualify for the RPL, you need 1 additional credit year. Excluding the 4 credit years listed above, have you primarily performed on a full time basis:

1) Qualifying Landwork (A, B, and/or C) for 1 additional year

OR

2) Other Landwork (D, E, and/or F) for 2 additional years (1 credit year per 2 years worked)

OR

3) A combination of Qualifying Landwork and Other Landwork totaling 1 additional credit year?

NO

NO

YES

NO

YES

Do you have an Advanced Degree other than a Law Degree? (0.5 CY)

YES

(5)

RPL Application Revised September 2015

ARE YOU QUALIFIED TO BECOME A RPL?

There are two scenarios that can apply when determining if you are eligible to obtain RPL

certification:

� � Applying without a 4-year Bachelors Degree.

� � Applying with a 4-year Bachelors, Graduate, and/or Law Degree.

▲ Applying WITHOUT a 4-year Bachelors Degree.

Before completing the RPL Application, complete this questionnaire to determine if you meet the MINIMUM qualifications to apply for RPL certification. Answer the following questions by marking each space with the appropriate number of credit years and then total your responses to see if you meet the requirements.

1. “Qualifying Landwork” Experience

(Article III A of Application) Do NOT double count credit years otherwise included in 2 below.

“Qualifying Landwork” as defined in Article II of the Certification Program Specifications, which can be found in the Membership Directory, is the performance of Landwork Letters A, B and/or C as follows:

A. Negotiating for the acquisition or divestiture of mineral rights.

B. Negotiating business agreements that provide for the exploration for and/or development of minerals. C. Determining ownership in minerals through the research of public and private records.

Total Credit Years of Experience primarily engaged in “Qualifying Landwork” = (MUST INCLUDE THE IMMEDIATE PAST 4 CREDIT YEARS)

2. “Other Landwork” Experience

(Article III B of Application) Do NOT double count credit years otherwise included in 1 above.

Enter the number of years you have been, or at one time were, primarily engaged in the performance of one or more of the following:

D. Reviewing the status of title, curing title defects, providing title due diligence and otherwise reducing title risk associated with ownership in minerals or the acquisition and divestiture of mineral properties, but shall not include division order or lease analyst functions.

E. Managing rights and/or obligations derived from ownership of interests in minerals. F. Unitizing or pooling of interests in minerals.

Total years “Other Landwork” times 50% =

Total Other Landwork Experience excluding Qualifying Landwork as defined in 1 above. (1/2 “credit year” for each full year worked) (MAXIMUM of 1.0 can count toward total)

Total credit years (Total 1 + 2) =

If the total of 1 and 2 above is 5 credit years or greater and you are currently and have

been for the immediate past 4 years PRIMARILY ENGAGED in

“Qualifying Landwork”

then you are ELIGIBLE to apply for RPL certification without a college degree.

(6)

RPL Application Revised September 2015

ARE YOU QUALIFIED TO BECOME A RPL?

There are two scenarios that can apply when determining if you’re eligible to obtain RPL

certification:

� � Applying without a 4-year Bachelors Degree.

� � Applying with a 4-year Bachelors, Graduate, and/or Law Degree.

▲ Applying WITH a 4-year Bachelors, Graduate, and/or Law Degree.

Before completing the RPL Application, complete this questionnaire to determine if you meet the MINIMUM qualifications to apply for RPL certification. Answer the following questions by marking each space with the appropriate number of credit years, and then total your responses to see if you meet the requirements.

1. “Qualifying Landwork” Experience

(Article III A of Application) Do NOT double count credit years otherwise included in 2 below.

“Qualifying Landwork” as defined in Article II of the Certification Program Specifications, which can be found in the Membership Directory, is the performance of Landwork Letters A, B and/or C as follows:

A. Negotiating for the acquisition or divestiture of mineral rights.

B. Negotiating business agreements that provide for the exploration for and/or development of minerals. C. Determining ownership in minerals through the research of public and private records.

Total Credit Years of Experience primarily engaged in “Qualifying Landwork” =

(MUST INCLUDE THE IMMEDIATE PAST 2 CREDIT YEARS) 2. “Other Landwork” Experience

(Article III B of Application) Do NOT double count credit years otherwise included in 1 above.

Enter the number of years you have been, or at one time were, primarily engaged in the performance of one or more of the following:

D. Reviewing the status of title, curing title defects, providing title due diligence and otherwise reducing title risk associated with ownership in minerals or the acquisition and divestiture of mineral properties, but shall not include division order or lease analyst functions.

E. Managing rights and/or obligations derived from ownership of interests in minerals. F. Unitizing or pooling of interests in minerals.

Total years “Other Landwork” times 50% =

Total Other Landwork Experience, excluding Qualifying Landwork, as defined in 1 above. (1/2 “credit year” for each full year worked) (MAXIMUM of 1.5 can count toward total) 3. Education

(Article II of Application)

 A bachelor’s degree from a regionally accredited university or college. (Enter 1.5 credit years)  If the bachelor’s degree credited above is with a concentration or major in Petroleum Land,

Energy or Natural Resource Management from an AAPL accredited university or college. (Enter 1.5 credit years)

 A degree from an ABA-approved law school. (Enter 0.5 credit year)  An advanced degree in business or certain other select programs

approved by AAPL. (Enter 0.5 credit year)

Total Education credits (Maximum of 3) =

Total credit years (Total 1 + 2 + 3) =

If the total of 1, 2 and 3 above is 5 credit years or greater and you are currently and

have been for the immediate past 2 years PRIMARILY ENGAGED in

“Qualifying

Landwork” then you are ELIGIBLE to apply for RPL Certification with a college

degree.

(7)

RPL Application Revised September 2015

75.00 Application Fee Enclosed (Non-Refundable)

75.00 Charge My Credit Card # _

M/C Visa Am Ex D Club Exp Date Sec Code Authorized Signature

REGISTERED PROFESSIONAL LANDMAN APPLICATION

(Complete Questionnaire Prior to Application)

I. PERSONAL DATA

AAPL Member #: Application Date:

Name: Date of Birth:

First Middle Last

Home/Cell Phone: Home Address:

Street City State Zip Code

Employer or Independent:

Your title: Business Phone:

Business Address:

Street

City State Zip Code

Email address:

Where should mail be sent?

What local landman association(s) do you belong to? Designated Local Association

:

(Required for local association peer review)

Have you ever been indicted for or convicted of a felony? Yes No

If yes, attach a detailed description of the offense and the status of the matter.

II. EDUCATION

Name of University or College:

Years attended from: (month/year) To: (month/year)

Degree received: Major area of Study:

1.5 credit years if you have earned a bachelor's degree from a regionally accredited university or college. 1.5 credit years if the bachelor's degree credited above is with a concentration or major

in Petroleum Land, Energy or Natural Resource Management from an AAPL accredited university or college.

Name of law, professional or graduate school(s)

Years attended from: (month/year) To: (month/year)

Degree received: Major area of Study:

0.5 credit year if you earned a law degree from an ABA-approved law school. 0.5 credit year if you earned an advanced degree in business or certain other

select programs approved by the AAPL.

II. Total Education Credit Years (Maximum of 3)

(8)

RPL Application Revised September 2015

III. WORK EXPERIENCE -

A

: QUALIFYING LANDWORK EXPERIENCE

Do NOT double count credit years in this section and in section III B.

Describe in your own words your experience as a “Landman” and indicate the number of credit years you have been primarily engaged in “Qualifying Landwork” Letters A, B and/or C below. Use additional copies of this page if necessary.

“Qualifying Landwork” as defined in Article II of the Certification Program Specifications, which can be found in the Membership Directory, is the performance of Landwork Letters A, B and/or C of the AAPL Bylaws as follows. Please check the following boxes as it pertains to each position.

A. Negotiation for the acquisition or divestiture of mineral rights.

B. Negotiating business agreements that provide for the exploration for and/or development of minerals. C. Determining ownership in minerals through the research of public and private records.

Employer / Client:

Supervisor(s): Phone:

Your title(s):

Date From: (month/year) Date To: (month/year) Business Address:

Street

City State Zip Code

Please mark the Type of Work performed for each job you list. If you did all three, mark all three. Then describe in detail the “Qualifying Landwork” that you performed associated with your job duties and work history. Be specific concerning details of Landwork performed consistent with Letters A, B and/or C above. Do NOT attach a résumé.

If you have worked for the same employer or client for more than one year use the next page of this application to describe your job titles and work history chronologically.

Type of Work: A. □ B. □ C. □ | Job Description(s):

This page may be copied if additional employers or clients are required to cover experience in “Qualifying Landwork” Credit years are determined on a total-months-worked basis.

III A. Total years experience equals Total Qualifying Landwork credit years = Applying WITH a college degree, MUST include the immediate past TWO credit years. Applying WITHOUT a college degree, MUST include the immediate past FOUR credit years.

ATTACHED RÉSUMÉS AND LETTERS WILL NOT BE CONSIDERED

Credit Years counted under III A are NOT to also be counted under III B. You are either performing the above Qualifying Landwork duties as outlined in Letters A, B and/or C or performing “Other Landwork” as outlined in Letters D through F Section III B.

(9)

RPL Application Revised September 2015

III. WORK EXPERIENCE -

A

: QUALIFYING LANDWORK (CONTINUED)

Employer / Client:

Month/Year From: Month/Year To:

Type of Work: A. □ B. □ C. □ | Job Duties (Qualifying Landwork):

Month/Year From: Month/Year To:

Type of Work: A. □ B. □ C. □ | Job Duties (Qualifying Landwork):

Month/Year From: Month/Year To:

Type of Work: A. □ B. □ C. □ | Job Duties (Qualifying Landwork):

Month/Year From: Month/Year To:

Type of Work: A. □ B. □ C. □ | Job Duties (Qualifying Landwork):

(10)

RPL Application Revised September 2015

III. WORK EXPERIENCE - B: OTHER LANDWORK EXPERIENCE

If additional credit years are needed, describe in your own words your experience in Other Landwork with indication of the number of years you have been, or were, primarily engaged in the performance of one or more of the following activities. Use additional copies of this page if necessary.

D. Reviewing the status of title, curing title defects, providing title due diligence and otherwise reducing title risk associated with ownership in minerals or the acquisition and divestiture of mineral properties, but shall not include division order or lease analyst functions.

E. Managing rights and/or obligations derived from ownership of interests in minerals. F. Unitizing or pooling of interests in minerals.

Employer / Client:

Supervisor(s): Phone:

Your title(s):

Date From: (month/year) Date To: (month/year)

Business Address:

Street

City State Zip Code

Please mark the Type of Work performed for each job you list. If you did all three, mark all three. Then describe, in detail, your duties associated with OTHER LANDWORK consistent with Letters D through F above. Be specific concerning details of other landwork performed. Do NOT attach a résumé.

If you have worked for the same employer or client for more than one year use the next page of this application to describe your job titles and work history chronologically.

Type of Work: D. □ E. □ F. □ | Job Description(s):

This page may be copied if additional employers or clients are required to cover experience in “Other Landwork” Credit years are determined on a total-months-worked basis.

III B. Total years experience _ times 50% equals Total Other Landwork Credit Years =

(1/2 “credit year” for each full year worked)

Applying WITH a college degree MAXIMUM of 1.5 credit years can count toward total. Applying WITHOUT a college degree MAXIMUM OF 1.0 credit year can count toward total.

ATTACHED RÉSUMÉS AND LETTERS WILL NOT BE CONSIDERED

Only complete this portion if you have “Other Landwork” experience not covered in III A. DO NOT DOUBLE COUNT CREDIT YEARS UNDER BOTH SECTIONS III A and III B.

Credit Years counted under III B are NOT to also be counted under III A. You are either performing the above Other Landwork duties as outlined in Letters D through F or performing “Qualifying Landwork” as outlined in Letters A, B and/or C Section III A.

(11)

RPL Application Revised September 2015

III. WORK EXPERIENCE - B: OTHER LANDWORK EXPERIENCE (CONTINUED)

Employer / Client:

Month/Year From: Month/Year To:

Type of Work: D. □ E. □ F. □ | Job Duties (Other Landwork):

Month/Year From: Month/Year To:

Type of Work: D. □ E. □ F. □ | Job Duties (Other Landwork):

Month/Year From: Month/Year To:

Type of Work: D. □ E. □ F. □ | Job Duties (Other Landwork):

Month/Year From: Month/Year To:

Type of Work: D. □ E. □ F. □ | Job Duties (Other Landwork):

(12)

RPL Application Revised September 2015

IV. COMBINED EXPERIENCE

Pursuant to Sections II, III A and III B above indicate the number of “credit years” to which you are entitled:

Section II, Education (Maximum of 3 credit years)

(A college degree is NOT required for all applicants, but counts as credit years towards the requirements for the RPL certification)

Section III A “Qualifying Landwork” Experience

Section III B “Other Landwork” Experience

V. SPONSORS

TOTAL CREDIT YEARS =

(Minimum of 5 credit years)

Applicant is required to secure sponsorship from two CPLs or a minimum of one CPL

and one RPL in good standing.

The sum of all sponsor verifications MUST reflect in detail the type, quantity and quality of

the applicant’s work history covering ALL of the applicant’s required “credit years.”

Each CPL and RPL sponsor will be required to describe on the Sponsor Verification Form

the applicant’s experience and attest to the applicant’s ethics for the time period they are

verifying.

Sponsors MUST know the applicant and be willing to attest to the applicant’s qualifications,

job experience and ethical conduct.

Sponsors may be required to answer additional committee questions regarding applicant’s

qualifications and should not be named unless willing to supply additional information as

may be necessary.

The names and addresses of my sponsors are:

(

This page may be copied if additional sponsors are necessary to cover the required “credit years”.)

Name:

Company:

Street City State Zip Code

Phone E-Mail

CPL #

or RPL #

***************************************************************************************************************

Name:

Company:

Street City State Zip Code

Phone E-Mail

CPL #

or RPL #

***************************************************************************************************************

Name:

Company:

Street City State Zip Code

Phone E-Mail

CPL #

or RPL #

***************************************************************************************************************

(13)

RPL Application Revised September 2015

RPL APPLICATION AFFIDAVIT

STATE OF COUNTY OF

Before me, a Notary Public, on this day of ,

(Date) (Month) (Year)

personally appeared,

who after being duly sworn by me, declared: (Applicant’s full name)

I have read the instructions and inquiries that constitute the Registered Professional Landman application form. I have responded to all inquiries on this form fully and frankly, and all information contained in my application is true and correct. I understand that any misstatement of facts deemed material is ground for denial of my application. All documents that I have provided or will provide to the Certification Committee, that are not required to be certified copies, are, to the best of my knowledge, true and correct copies of the original documents. I am submitting my application in good faith and belief that I am eligible to become a Registered Professional Landman. I know of no reason why I would not be qualified for certification.

I HAVE READ AND UNDERSTAND THE CURRENT CERTIFICATION PROGRAM SPECIFICATIONS AS OUTLINED IN THE AAPL MEMBERSHIP DIRECTORY. I UNDERSTAND THAT THE RESPONSES SUBMITTED ON THIS APPLICATION AND ALL ATTENDANT FORMS ARE SUBMITTED UNDER OATH AND THAT FAILURE TO RESPOND TO ANY INQUIRY OR TO DISCLOSE FULLY AND ACCURATELY ALL FACTS AND INFORMATION CALLED FOR HEREIN MAY RESULT IN DENIAL OF MY APPLICATION AND/OR REFERRAL TO THE AAPL ETHICS COMMITTEE.

I hereby authorize the Certification Committee to verify all information pertaining to my eligibility. I further agree that in the event that certification is not granted to me, or if granted and later withdrawn for ethical or competency reasons or for failure to meet continuing education requirements, I will make no claim against the American Association of Professional Landmen, its Board of Directors, any committee, or any individual member.

Furthermore, I pledge that if I am accepted as a Registered Professional Landman, I will endeavor to maintain a high degree of professional competence, ethical, moral and professional integrity, and will endeavor to raise the land profession to its highest level.

Signature of Applicant

Subscribed and sworn to me on this day of ,

(Date) (Month) (Year)

(Seal)

(14)

RPL Application Revised September 2015

AMERICAN ASSOCIATION

OF PROFESSIONAL LANDMEN

REGISTERED PROFESSIONAL LANDMAN

APPLICANT SPONSOR VERIFICATION FORM

EACH CPL SPONSOR WILL NEED TO FILL OUT THIS FORM IN ITS ENTIRETY, INCLUDING ALL

QUESTIONS, BLANKS AND PAGES.

PLEASE PROVIDE EACH OF YOUR SPONSORS WITH THIS FORM FOR THEM TO FILL OUT.

THIS VERIFICATION FORM MUST BE COMPLETED BY THE SPONSOR, IN THE SPONSOR’S OWN

WORDS. IF ANY QUESTION, BLANK OR PAGE OF THIS VERIFICATION FORM IS PREPARED BY THE APPLICANT, THE APPLICATION WILL BE RETURNED AND WILL NOT BE CONSIDERED AGAIN FOR ONE YEAR AND THE SIGNATORY SPONSOR MAY BE SUBJECT TO REFERRAL TO THE AAPL ETHICS COMMITTEE.

This form may be handwritten (legibly) or typed and must be mailed to AAPL, 800 Fournier Street, Fort Worth, TX 76102-3597 Attn: Certification

(Photocopies of sponsor’s comments will not be accepted)

has applied for certification as a Registered Professional Landman. You have been listed as one of the applicant’s sponsors. Please complete this form in full as your verification of the applicant’s qualification to become a Registered Professional Landman.

Your Name: CPL # or RPL #

Your Company: Your Address: Your Phone #: Your Email Address:

What is your relationship to the applicant?

(FAMILY MEMBERS MAY NOT BE SPONSORS)

How long have you known the applicant?

Time period for the landwork experience you are verifying: From: (month/year)

To: (month/year)

1. Do you have an economic interest in the applicant gaining RPL certification?

Please sign your initials _________ Yes _________ No

If you answered Yes, please elaborate _____________________________________________________________ ____________________________________________________________________________________________

(Sponsor’s signature)

(15)

RPL Application Revised September 2015

Sponsor Verification Form – Page 2 Applicant’s Name

2. BASED UPON YOUR PERSONAL KNOWLEDGE, please describe in detail the applicant’s work experience. This should include the full extent of types of work (i.e., negotiating acquisitions of mineral rights, negotiating

business agreements, determining mineral ownership, reviewing title, curing title defects, due diligence, reducing title risks, managing rights derived from ownership in minerals, unitization or pooling of interests in minerals, etc.) and the approximate year(s) and/or month(s) involved.

Employer / Client:

Month/Year From: Month/Year To:

Job Duties (Description of Landwork):

Employer / Client:

Month/Year From: Month/Year To:

Job Duties (Description of Landwork):

Employer / Client:

Month/Year From: Month/Year To:

Job Duties (Description of Landwork):

(16)

RPL Application Revised September 2015

Sponsor Verification Form – Page 3

3. Please describe the applicant’s professional and ethical conduct.

4. Please make comments you feel pertinent to the committee’s decision (both at the local and national level).

5. Are you verifying Landwork experience for a period of time longer than you have personally known the applicant?

Yes: No:

If Yes, please continue to question number 6. If no, please disregard question number 6.

6. If you answered Yes to the question number 5, please describe the specific ways in which you have verified the applicants specific work experience for the period of time which you did NOT personally know the applicant.

I hereby certify that I have personally prepared the foregoing verification form. I have responded to all inquiries on this form fully and frankly, and all information contained herein is true and correct to the best of my knowledge. I hereby affirm that the applicant meets or exceeds the professional and ethical standards for RPL certification. I

UNDERSTAND THAT FAILURE TO DISCLOSE FULLY AND ACCURATELY ANY FACTS OR INFORMATION CALLED FOR HEREIN MAY RESULT IN REFERRAL TO THE AAPL ETHICS COMMITTEE.

Date Signature of Sponsor

References

Related documents

Electron micrographs of mannonamide aggregates from water (a-e) or xylene (f): (a and b) details of aged fiber aggregates of D-mannonamide 2 negatively stained

Table 2 reports more comprehensive evidence for the relation be- tween cash flow growth and consumption growth. Panel A reports de- scriptive statistics for the annual growth rate

In order to calculate the estimated flight endurance we make the assumption that when the platform is flying the thrust is equal to its own weight. It is also assumed that

[r]

The market research function is an integrai part af each af Marriott's major businesses and has a significant role in shaping corporate strategy.. As Mar- riott's businesses

For B - SDMT total responses, C - total correct responses and E - GNT the older elderly participants who received caffeine perform significantly worse than the

Interviews were conducted before and after intervention using a physical restraint questionnaire to examine any change in staff knowledge, attitudes, and behaviours on physical

In addressing an identified local need, national calls for pain management education and recommendations for authentic methods of IPL (Gordan et al., 2018) we aimed to