Certification Application Form - IPMA Canada
left1778000IPMA-Canada’s International Certification Program - Application FormAdvancing Your Career begins withIPMA-CANADA CertificationI am applying for IPMA-Certified Professional In Training (IPMA-CPIT) designationI am applying for IPMA-Certified Professional (IPMA-CP) designation I am applying for IPMA- Advanced Certified Professional (IPMA-ACP) designation1.APPLICANT INFORMATIONPlease print clearly or type information if not filling in on-line:Dr. Mr. Ms. Miss. Mrs. Mail Certificate/Correspondence to:Last Name: Please check one Home AddressFirst Name: Initial: or Business AddressJob Title: Certificate in: EnglishOrganization: or FrenchAddress: Residence: City: Address: Prov./Terr.: Postal Code: City: Telephone: Prov./Terr.: Postal Code: Mobile Number: Name as it is to appear on Certificate:Email Address: 2.ELIGIBILITY CRITERIATo be eligible for certification, you must:Be a member of IPMA-Canada in good standing; andMeet the required level of education/experience for the requested designationMeet the Technical Proficiency Requirements for the requested designationPass the IPMA-Certification ExamAttend the IPMA-Canada “Developing Leaders in Human Resource Management Workshop” (IPMA-CPIT and IPMA-CP)3.POST-SECONDARY EDUCATION SUMMARY (if applicable)College/University Attended: Program Name: Human Resource Focus: Yes NoLevel Attained: Graduate Degree Bachelor’s Degree Diploma Certificate Other (please specify) Completion Date: Length of Program: College/University Attended: Program Name: Human Resource Focus: Yes NoLevel Attained: Graduate Degree Bachelor’s Degree Diploma Certificate Other (please specify) Completion Date: Length of Program: 4.EMPLOYMENT HISTORY (List most recent first – please attach resume)Employer: Position Title: Employment Dates: From: To: mm/dd/yyyy mm/dd/yyyyEmployer: Position Title: Employment Dates: From: To: mm/dd/yyyy mm/dd/yyyyPlease list other Employment History.5.CERTIFICATION REQUIREMENTS – Technical ProficiencyIPMA-CPITTo be certified as an IPMA Certified Professional In Training, an applicant is required to:Have 3 years of Human Resource experience (if applicant has no post-secondary education with a focus on Human Resources)IPMA - CPTo be certified as an IPMA Certified Professional, an applicant is required to:have one - three years’ experience (depending on level of education) at the journey level in at least one of the technical proficiency areas listed below; andIPMA-ACPTo be certified as an IPMA Advanced Certified Professional, an applicant is required to have exhibited proficiency at the journey level in at least three of the technical proficiency areas listed below or one journey and one mastery level. Employee and Labour RelationsOrganizational Effectiveness & Employee LearningRecruitment and SelectionClassificationCompensationEmployee BenefitsDiversity, Inclusion and Cultural AwarenessHR Policy, Planning, Research and AnalysisHealth, Wellness and SafetyLeadershipChange Management Please provide a narrative explanation to support your application for the appropriate designation in accordance with the Mastery/Journey descriptors document found on the website: ipmaigp.ca. It is recommended that you provide a narrative for each technical proficiency area that applies to your experience. A chart is attached at the end of this application to assist you.CERTIFICATION REQUIREMENTS – IPMA-Canada Certification Exam I have taken and passed the IPMA-Canada Certification Exam. Completion date: (confirmation is attached)mm/dd/yyyyI will take the IPMA-Canada Certification Exam once my technical proficiency has been accepted. I understand that the certification cannot be granted without successfully completing this exam. 7.PROFESSIONAL DESIGNATIONS HELDPlease list professional designations received from other human resources or management organizations. Please note whether your designation is still current.Designation Date Awarded Current? Yes No mm/dd/yyyy Yes No mm/dd/yyyy Yes No mm/dd/yyyy8.CERTIFICATION PROGRAM PAYMENT INFORMATION Initial application fee for an IPMA-Canada member is $200.00 + GST/HSTI am an IPMA-Canada member. My membership ID # is: Payment made via PayPalDate payment submitted: mm/dd/yyyyPlease charge: to my: VISA MasterCard AMEX Credit Card #: Expiration date: Signature (required): Cheque for: is enclosed, payable to IPMA-Canada I declare that all of the information contained on this form is accurate. I give the International Personnel Management Association-Canada permission to verify the information contained in this application. I understand that if any of the information contained in this application is false, that IPMA-Canada has the right to reject my application.Signature: Date: mm/dd/yyyyI hereby authorize IPMA-Canada to post notice of my certification approval on:IPMA Website/Newsletter:YesNoLinkedIn:YesNoTo Submit Your Application:Scan and email this form to: national@ipmaigp.ca Mail this form to: IPMA-Canada ? 20 Edwards Place, ? Mount Pearl, NL, A1N 3V5 For Additional Information: phone us at 1-888-226-5002If your application is rejected for any reason, you will receive a refund of your application fee less a $25 processing fee.Please make sure that you have included the following material/documentation:Completed Application form;Transcript of marks (if applicable)Résumé (in support of Sections 3 & 4, page 2);Copy of most recent position descriptions if available (in support of Section 3, page 2);Narrative explanation (in support of Section 6, page 3);Cheque or credit card information if not using PayPal.Thank you for your interest in the IPMA-Canada’s International Certification ProgramJourney and Mastery Descriptors to Accompany the Application for CertificationDescriptorMasteryJourneyDescription of How You Meet Journey or MasteryEmployee and Labour RelationsOrganizational Effectiveness & Employee LearningRecruitment and SelectionClassificationCompensationEmployee BenefitsDiversity, Inclusion and Cultural AwarenessHR Policy, Planning, Research and AnalysisHealth Wellness, and SafetyLeadershipChange Management ................
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