Sharbeck Consulting - Certified Supervisor Application

Your CS Application has Been Successfully Submitted

Thank you for submitting your Certified Supervisor (CS) certification application. ICPM will review your application in the next 24 - 72 hours and will email you further instructions on how to get started with the CS certification.

Your professional development is ICPM's number one priority, therefore, do not hesitate to reach out if you have any questions.

CS Certification Application

Please review the eligibility requirements below before completing the application.

Applications are reviewed daily and applicants are notified of their approval status by email within 5 business days.

Eligibility Requirements

To be eligible for the Certified Supervisor certification, an applicant must document at least 4 total points and meet the minimum point requirement for both education and experience.

I. Personal Contact Information

Please provide your contact information below. All fields marked with an * are required.

Prefix:*

First Name:*

Middle Name:

Last Name:*

Suffix (Jr, II, III):

Company:

Phone:*

Email:*

City:*

State:

Zip/Postal Code:

Country:*

Industry:

How did you hear about ICPM?:

II. Education Points & Documentation

Please record and document a least 1 point. Education points should be documented with:

A copy of your highest degree or global equivalent attained, and/or
A college/university transcript, and/or
Letter/certificate(s) of management training attended.

High School (1 point)

School Name:

Points:

College (record highest degree attained only: AA = 2 pts, BA/BS = 4 pts, Master's/PhD = 5pts)

College Name:

Degree:

Points:

Management Training (40 hours = 1 pt)

Course 1 Name:

Course 1 Provider:

Hours:

Points:

Course 2 Name:

Course 2 Provider:

Hours:

Points:

Course 3 Name:

Course 3 Provider:

Hours:

Points:

Course 4 Name:

Course 4 Provider:

Hours:

Points:

Certifications (PMP, PHR, etc. - each certification = 1pt, maximum = 2 pts)

Certification 1:

Certification 2:

Points:

Education Documentation Upload (accepted file types include - jpg, jpeg, png, gif, pdf, doc, docx, odt, tiff)

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Education Points Sub-Total (sum of all education points - Minimum = 1 pt, Maximum = 6 pts):

III. Experience Points & Documentation

Record and document at least 1, beginning with your current or most recent employer and working backward. Points may be documented via a copy of your resume.

Points for military service should be documented by a Joint Services Transcript. Active duty military do not need to provide a resume.

Management (manager, supervisor, leader, etc. - full-time = 1 pt/yr, part-time = 0.5 pts/yr)

Employer:

Years:

Points:

Employer:

Years:

Points:

Employer:

Years:

Points:

Non-Management (sales, manufacturing, etc. - full-time = 0.5 pts/yr)

Employer:

Years:

Points:

Employer:

Years:

Points:

Employer:

Years:

Points:

Military Service (leadership role = 1 pt/yr, non-leadership role = 0.5 pts/yr)

Branch of Service:

Current or Highest Rank:

Years:

Points:

Experience Documentation Upload (accepted file types include - jpg, jpeg, png, gif, pdf, doc, docx, odt, tiff)

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Experience Points Sub-Total (sum of all education points - Minimum = 1 pt, Maximum = 7 pts):

Eligibility Points Total (Education Points Sub-total + Experience Points Sub-total):

IV. Signature Verification

I attest that all information provided on this application is true and verifiable. I further attest that I agree to abide by the ICPM Code of Ethics. I understand that payment of an annual recertification fee and the completion of ongoing professional development are required to maintain current certification status.

Signature:*

Date:*