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PROFESSIONAL DEVELOPMENT TRAINING APPLICATION For Project Management Professional (PMP) or Certified Associate in Project Management (CAPM)

For Project Management Professional (PMP) or Certified

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PROFESSIONALDEVELOPMENTTRAININGAPPLICATION

ForProjectManagementProfessional(PMP)orCertifiedAssociateinProjectManagement(CAPM)

ITD PROFESSIONAL DEVELOPMENT TRAINING APPLICATION

NAME AND PERSONAL INFORMATION

Name

Employee Number

Business Telephone Number

ITD Department

Supervisor’s name

Supervisor’s Email

Supervisor’s Telephone Number

Please select the certification you are applying for: Please rank the session(s) in order of preference:

Project Management Professional (PMP) ___ Summer ___ Winter

Certified Associate in Project Management (CAPM) ___ Fall ___ Spring

BRIEF SUMMARY

Please give a brief explanation (in 300 words or less) as to why you would like this training and how it will help you in your position in ITD.

I certify that all answers and statements on this application are true and complete to the best of my knowledge. I understand that, should this application contain any false or misleading information, my application may be rejected. Signature Date

ELIGIBILTY REQUIREMENTS

ELIGIBILITY: Please review the requirements and select one of the certifications (PMP or CAPM).

PMP Eligibility Requirements To be eligible for the PMP credential, you must meet certain educational and professional experience requirements. All project management experience must have been accrued within the last eight consecutive years prior to your application submission.

*Leading and directing the project as identified with the tasks, knowledge, and skills specific in the Project Management ProfessionalExamination Content Outline. You should have experience in all five-process groups across all your project management experience submitted on the application. However, on a single project, you do not need to have experience in all five-process groups.

My experience/education eligibility for PMP eligibility (check one):

BA/BS qualifying degree or global equivalent AND 3 years of unique non-overlapping professional project management experience Secondary/AA/AS qualifying degree or global equivalent AND 5 years of unique non-overlapping professional project management experience

CAPM Eligibility Requirements To be eligible for the CAPM certification, you must meet certain educational and professional experience requirements. At minimum, you need a high school diploma or global equivalent and must meet one of the following eligibility requirements.

OPTION 1 Educational Background Project Experience Secondary diploma (high school diploma / global equivalent)

AND 1,500 hours of professional experience on a project team

OR

OPTION 2 Educational Background Project Management Education Secondary diploma (high school diploma / global equivalent)

AND 23 contact hours of formal education

My experience/education eligibility for CAPM eligibility (check one):

Secondary diploma (high school diploma/global equivalent) AND 1,500 hours of professional experience on a project team Secondary diploma (high school diploma/global equivalent) AND 23 contact hours of formal education

Educational Background Project Management Experience Project Management Education

Secondary degree (high school diploma, associate’s degree or global equivalent)

Minimum five years/60 months unique non-overlapping professional project management experience during which at least 7,500 hours were spent leading and directing the project*

35 contact hours of formal education

OR

Four-year degree (bachelor’s degree or global equivalent)

Minimum three years/36 months unique non-overlapping professional project management experience during which at least 4,500 hours were spent leading and directing the project*

35 contact hours of formal education

PMP PROJECT EXPERIENCE

Name:

YOU MUST FILL OUT A NEW FORM FOR EACH PROJECT THAT YOU SUBMIT AS YOUR REQUIREMENT. You can access the following link http://www.pmi.org/certification/project-management-professional-pmp.aspx for additional information on how to record your experience.

PROJECT INFORMATION Project Name:

Project Location: State / Country

ORGANIZATION INFORMATION Organization Name (company you worked for)

Address/City/State/Zip

Phone Number

Contact Person Name (who can verify your information)

Email for Contact Person

YOUR INFORMATION

Total number of hours on the project: ___________

List your hours in each process area: Initiating the project Planning the Project Executing the Project Monitoring and Controlling the Project Closing the Project

Detailed summary of how you led and directed the project:

CAPM PROJECT EXPERIENCE (Required for Option 1 only)

Name:

YOU MUST FILL OUT A NEW FORM FOR EACH PROJECT THAT YOU SUBMIT AS YOUR REQUIREMENT. You can access the following link http://www.pmi.org/certification/certified-associate-project-management-capm.aspx for additional information on how to record your experience. Option 1: If you choose to report 1,500 hours of professional project experience, record your work on projects and record the number of hours applied to the five project management process groups and summarize, by process, your experience on each project.

PROJECT INFORMATION Project Name:

Project Location: State / Country

ORGANIZATION INFORMATION Organization Name (company you worked for)

Address/City/State/Zip

Phone Number

Contact Person Name (who can verify your information)

Email for Contact Person

YOUR INFORMATION

Total number of hours on the project: ___________

List your hours in each process area: Initiating the project

Planning the Project Executing the Project Monitoring and Controlling the Project Closing the Project

Detailed summary of how you assisted the project team:

Additional space for detailed summary: