Please read the information that follows before beginning. Incomplete applications will delay the review and approval process.

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1 Certified Manager Certification Application Intruction Completing the Application Congratulation on chooing to purue the Certified Manager (CM ) certification. The application i the tarting point toward obtaining the CM certification. It determine your eligibility to take the CM certification exam by aeing point in two area: education and experience. Pleae read the information that follow before beginning. Incomplete application will delay the review and approval proce. The Application Proce The Certified Manager application proce conit of four tep. Step 1: Enroll in the Program Go to the Certified Manager certification page on the Outreach & Engagement webite, under noncredit program and click the Enroll button on the top left of the page. *Group applicant hould conult the JMU Outreach & Engagement CM program coordinator for intruction before regitering. Step 2: Regiter and Pay CM Program Fee Regiter and pay CM program fee online by credit card [Via, MaterCard, Dicover or American Expre] or ubmit regitration form with payment by check. Program fee mut be paid prior to CM regitration. Step 3: Complete and Submit the CM Application and Documentation Complete the CM application and aemble documentation to verify education and experience point. Submit the application and upporting documentation by one of the following method: to outreach@jmu.edu, or Fax to 540/ , or Print and mail to: JMU Outreach & Engagement Attn: WFD 127 W Bruce St, MSC 6906 Harrionburg, VA, USA Step 4: Await Notice of Approval Application for eligibility are reviewed on Tueday and Thurday. Notice of approval i ed within 5 buine day and acce to the ICPM e-learning Center i granted at that time. Application are not reviewed without payment. Certified Manager Application PG 1

2 Certified Manager Certification Application Intruction Frequently Aked Quetion Have quetion about the CM certification or application proce? See the FAQ below or contact JMU Outreach & Engagement at or How do I know if I meet the eligibility requirement for CM certification? To be eligible to take the CM exam, an applicant mut be able to document a minimum of 10 point for education and experience. Specific point aignment are detailed on the CM application. How long do I have to complete the CM certification? Applicant have 15 month from the date of application approval to complete the three CM exam. Applicant that do not complete the exam by the expiration date may renew their CM application one time for an additional 12 month for a $75 fee. Will I receive a trancript from Jame Madion Univerity? The CM certification i a noncredit program of profeional development, thu, it i not eligible for college credit or a college trancript. Applicant that need evidence of coure completion can ue their final exam letter which document completion of the three CM exam. Applicant can alo requet a noncredit trancript from JMU Outreach & Engagement. What documentation i required to upport the CM application? Applicant mut provide documentation to upport the eligibility point recorded on their CM application. For experience, a igned employer reference i required from the applicant mot recent employer. For education, either a trancript or photo copy of the applicant diploma or training certificate i required. Military peronnel may ubmit a DD214, Smart Trancript, Statement of Service or other appropriate documentation. What happen after I become CM certified? Applicant that obtain CM certification will receive a CM certificate iued by the Intitute of Certified Profeional Manager and a elf-promotion kit which explain how to obtain the mot value from the CM certification. Certified Manager may ue the profeional credential CM after their name to publicize their accomplihment to the buine community. The CM credential remain current for one year, at which time the CM mut recertify by paying a $50 annual fee and completing four profeional development activitie. Certified Manager Application PG 2

3 Certified Manager Certification Application Eligibility Requirement To be eligible for CM certification, an applicant mut document at leat 10 total point and meet the minimum point requirement for both education and experience. ICPM Code of Ethic In keeping with the miion of the Intitute of Certified Profeional Manager - to advance managerial excellence internationally by developing and validating core competencie for management practice: I will recognize that management i a call to ervice with reponibilitie to my direct report, aociate, upervior, employer, community, nation and world. I will maintain honet relation with cutomer, upplier, management and employee. I will recognize that, a a leader, my own pattern of work and life will exert more influence than what I ay or write. I will give the ame conideration to the right and interet of other that I ak for myelf. I will report and encourage other to report unethical buine practice to appropriate authoritie. I will conider and look for value in the idea and opinion of other. I will regard my role a a manager a an obligation to help other achieve peronal and profeional fulfillment. I will et reaonable performance goal for myelf and or my direct report and balance the interet of management and employee during challenging time. I will promote and practice the management principle and method I have learned in achieving management certification. I will dicourage and confront any inappropriate behavior oberved or reported to me. I have read and agree to abide by the ICPM Code of Ethic. I. Peronal Contact Information Enter your name a you wih to ee it on your certificate Prefix (Mr. M, etc.) : Firt Name: Middle Name: Lat Name: Phone Number: Certified Manager Application PG 3

4 I. Peronal Contact Information Continued City: State / Territory: Zip Code: Country: II. Education Point & Documentation Education point hould be documented with one of the following: A copy of your highet degree or global equivalent attained A college/univerity trancript Letter/certificate() of management training attended To meet the education eligibility requirement for the CM certification applicant mut record and document at leat 3 but no more than 6 point. High School ( 1 point ) School Name: College ( record highet degree attained only : AA = 2 pt, BA/BS = 4 pt, Mater /PhD = 5 pt) College: Degree: Management Training ( 40 hour = 1 pt ) Coure 1 Name: Hour: Coure 2 Name: Hour: Coure 3 Name: Hour: Certification ( PMP, PHR, etc. - each certification = 1 pt, maximum 2 pt ) Certification 1: Certification 2: Education Point Sub-Total (um of all education point - Minimum = 3 pt, Maximum = 6 pt) Certified Manager Application PG 4

5 III. Experience Point & Documentation To meet the experience eligibility requirement for the CM certification applicant mut record and document at leat 4 but no more than 7 point. Point mut be documented via a Reference Statement completed and igned by your current or mot recent employer or a copy of your reume. If you are elf employed or are unable to provide a reference tatement becaue an employer i no longer in buine, pleae provide a note to thi effect and ubmit a copy of your reume. Point for military ervice hould be documented by a Joint Service Trancript. Active duty military do not need to provide a reume. Management ( manager, upervior, leader, etc. - full time = 1 pt/yr, part-time = 0.5 pt/yr) Year: Year: Year: Non-Management (ale, manufacturing, etc. - full time = 0.5 pt/yr) Year: Year: Year: Military Service ( leaderhip role = 1 pt/yr, non leaderhip role = 0.5 pt/yr ) Branch of Service: Year: Current or Highet Rank: Experience Point Sub-Total (um of all experience point - Minimum = 4 pt, Maximum = 7 pt) Eligibility Point Total (Education Point Sub-Total + Experience Point Sub-Total) IV. Signature Verification I attet that all information provided on thi application i true and verifiable. I further attet that I agree to abide by the ICPM Code of Ethic. I undertand that payment of an annual recertification fee and the completion of ongoing profeional development are required to maintain current certification tatu. Signature: Date: Certified Manager Application PG 5

6 Certified Manager Certification Employer Reference Statement Reference Form Requirement Thi form hould be completed by your current or mot recent employer and igned at the bottom. Pleae can the completed form and ubmit with your CM application. To Be Completed By Applicant Applicant Information Full Name: Poition: Company: Supervior Name: To Be Completed By Employer Employment information The peron named above ha applied to the Intitute of Certified Profeional Manager to obtain the Certified Manager certification. All applicant are reviewed for eligibility before taking the CM certification exam. You are being aked to upport the candidacy of thi applicant by verifying their employment and workplace reponibilitie (managerial or non-managerial). You are NOT being aked to evaluate the candidate performance. Employer Repreentative Name: Poition: Buine Phone: Date of applicant employment - Start: Finih: Doe / Did applicant have management reponibilitie? (ye or no) If ye, pleae detail reponibility: Signature: Date: Certified Manager Application Employer Reference Statement

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