APPLICANT
INFORMATION
 Please
provide your legal name as it appears on your driver's license, passport or other
official identification.
MR.
MS. MRS.
DR. OTHER
(PLEASE SPECIFY):
NAME:
OTHER CERTIFICATIONS/DESIGNATIONS:
In
the space provided below, please provide your primary contact information. The
CMP Network SA will use the information provided to contact you regarding your
application status and all other future communications. NOTE:
Insert the email address provided to you by the CMP Network SA PRIMARY
CONTACT INFORMATION
HOME WORK
TITLE:
ORGANISATION:
MAILING
ADDRESS:
CITY:
STATE/PROVINCE: ZIP/POSTAL
CODE:
COUNTRY:
PHONE: e.g.
+27 (0)11 784 5668
EMAIL*:
FAX:
 * NOTE: Insert your surname with initial of first name @cmpnetworksa.co.za
PLANNER
/ SUPPLIER CATEGORY
Choose
one planner or supplier category from below. Planner
Categories: (Select the job type which best describes your current employment
as a planner) ASSOCIATION
CORPORATE 3RD
PARTY/DMC GOVERNMENT
INDEPENDENT/CONSULTANT
INSURANCE/FINANCIAL
MEDICALRELIGIOUS
NON-PROFIT OTHER
Supplier
Categories: (Select the job type which best describes your current employment
as a supplier) AIRLINE
AUDIO VISUAL CONFERENCE
CENTRE
CRUISE LINE/YACHT CHARTER
CONVENTION
SERVICES MANAGER CVB CATERING/RESTAURANT
DMC/GROUND
OPERATOR
ENTERTAINMENT
TRAVEL EXHIBIT/DECORATING
HOTEL SALES HOTEL
SERVICE
STAGING/PRODUCTION
SPEAKERS BUREAU
OTHER
SECTION I - PROFESSIONAL
EXPERIENCE IN THE MEETING, EVENT, EXHIBITION AND HOSPITALITY/TOURISM INDUSTRY
Please
refer to page 6 of the CMP
Handbook for complete instructions and guidelines. Meeting, event, exhibition
and hospitality/tourism industry, hereinafter referred to as "industry". Applicant
must meet one (1) of the following requirements for professional experience in
the industry: Option
1: PROFESSIONAL EXPERIENCE:
I
am currently or recently employed (within the previous twelve (12) months) in
the industry with a minimum of 36 months work experience
as
outlined below. Option
2: PROFESSIONAL EXPERIENCE AND EDUCATION
I
am currently or recently employed (within the previous twelve (12) months) in
the industry with a minimum of 24 months qualifying work
experience,
AND, I hold a bachelor's degree or international equivalent in meeting/tourism/event
management, and I have attached
documentation
of my degree. NAME
OF INSTITUTION:
ADDRESS:
DEGREE
EARNED:
DATE RECEIVED:
CONCENTRATION
/ MAJOR: Option
3: PROFESSIONAL EXPERIENCE IN ACADEMIA:
Please refer to page 8 of the
CMP Handbook for an
example of experience.
I
am a full-time instructor of meeting, event, exhibition or hospitality/tourism
management at an educational institution or university
program
with 36 months of full-time experience in academia PROFESSIONAL
EXPERIENCE IN MEETING AND EVENT MANAGEMENT
 JOB
TITLE:
NAME
OF ORGANISATION/COMPANY:
TYPE
OF ORGANISATION/COMPANY:
START/END
DATE: FROM:
TO:
TOTAL
MONTHS*:
*(Months
are counted as 1st of the month to 1st of the next month.)
JOB
DESCRIPTION / DUTIES:
 JOB
TITLE:
NAME
OF ORGANISATION/COMPANY:
TYPE
OF ORGANISATION/COMPANY:
START/END
DATE: FROM:
TO:
TOTAL
MONTHS*:
*(Months
are counted as 1st of the month to 1st of the next month.)
JOB
DESCRIPTION / DUTIES:
 JOB
TITLE:
NAME
OF ORGANISATION/COMPANY:
TYPE
OF ORGANISATION/COMPANY:
START/END
DATE: FROM:
TO:
TOTAL
MONTHS*:
*(Months
are counted as 1st of the month to 1st of the next month.)
JOB
DESCRIPTION / DUTIES:
 JOB
TITLE:
NAME
OF ORGANISATION/COMPANY:
TYPE
OF ORGANISATION/COMPANY:
START/END
DATE: FROM:
TO:
TOTAL
MONTHS*:
*(Months
are counted as 1st of the month to 1st of the next month.)
JOB
DESCRIPTION / DUTIES:
TOTAL
MONTHS IN MEETING AND EVENT MANAGEMENT TOTAL:
See
additional meeting and event positions attached. SECTION
II - INTERNSHIP OR CONTINUING EDUCATION
Please
refer to page 7 of the CMP
Handbook for complete instructions and guidelines. Applicant
must have completed one (1) of the following qualifying professional development
activities:
An industry internship consisting of a minimum of 200 hours of work experience. Twenty-five
(25) clock hours of continuing education (within the last five (5) years). INDUSTRY
INTERNSHIP
TITLE
OF INTERNSHIP PROGRAM:
FOCUS OF INTERNSHIP:
PARTICIPATING ORGANISATION:
NAME
OF EDUCATIONAL INSTITUTION, UNIVERSITY
OR INTERNATIONAL SCHOOL (THIRD LEVEL):
ADDRESS/PROVINCE/COUNTRY:
FACULTY
ADVISOR NAME:
INTERNSHIP DATES:
FROM: TO:
I
have attached documentation of my internship. CONTINUING
EDUCATION
To
receive credit for Continuing Education, a minimum of 25 clock hours of continuing
education must be completed. SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE:
CLOCK HOUR(S):
SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
 SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
 SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
 SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
 SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
 SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
 SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
 SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
 SESSION
/COURSE TITLE:
CMP BLUEPRINT
SECTION:
PROGRAM SPONSOR/PROVIDER:
LOCATION (CITY/PROVINCE, STATE,
COUNTRY) : DATE: CLOCK
HOUR(S):
TOTAL
CLOCK HOURS FOR CONTINUING EDUCATION (MINIMUM REQUIRED 25) Total:
See
additional continuing education attached SECTION
III - AGREEMENT AND PAYMENT
A.
AGREEMENTApplicants must
complete the checklist below. Use only blue or black ink to complete this application
or type the information. If your application is not legible, it will not be processed.
Do not fax the CMP application. Faxed applications will not be accepted. If you
have not signed your application and enclosed the required documentation and correct
fees-your application will not be processed. CHECK
IF YOU HAVE:
Fulfilled the
minimum requirements of the CMP application
Read
the CMP Candidate Handbook
Completed
the application in its entirety
Initialled
each page and signed the application
Enclosed
documentation in the form of an official course outline or syllabus to receive
credit for full- time teaching at an educational
institution
or university program, if applicable
Enclosed
a completed professional resume/curriculum vitae
Enclosed
a copy of your educational institution or university transcript or diploma in
meeting/tourism/hospitality management with a
translation
of the degree or diploma if not presented in English
Enclosed
a letter from faculty advisor of internship, if applicable
Enclosed
documentation for each continuing education component
Enclosed
any additional sheets used to complete application questions
Made
a photocopy of the completed application for your own records
Enclosed
the application fee
Enclosed
a self-addressed, stamped postcard/envelope to receive confirmation that your
application was received APPLICANT
AGREES THAT: (Check each item)
I agree to be bound by the CIC/CMP
policies and procedures as outlined in the CMP Candidate Handbook
I
pledge to adhere to the CMP standards of conduct and understand that my CMP status
and my right to use the CMP trademark may be
revoked
It is my responsibility to ensure
that the application and documentation are received by the CMP Network prior to the published deadline.
Should this application
be received after the deadline, it will not be reviewed until the next application
period
I certify that all the
information contained in this application is accurate and truthful
I
understand that additional information may be requested to complete my application
review
I understand that all
of the information I have provided herein may be verified and I authorise such
verification
If certified,
I agree to abide by the rules and regulations set forth by the Convention Industry
Council (CIC), and understand if I ever fail to
maintain
or have revoked my CMP status, I must immediately cease referring to myself as
a Certified Meeting Professional and must stop
using
CMP or the Certified Meeting Professional trademark in any manner
I agree, if certified, to be listed in the online CMP Directory
SIGNATURE:
Before
signing, please review your application for any errors or omissions. Application
must be signed in order to be processed.
NAME:
SIGNATURE: DATE:
Copyright
© 2009 Convention Industry Council CERTIFIED
MEETING PROFESSIONAL and CMP are the certification marks of the Convention Industry
Council, Inc.
Convention Industry Council and CIC are servicemarks registered
at the U.S. Patent and Trademark Office. B.
PAYMENTPlease select
one of the payment methods found below. The
CMP application fee must be submitted with the completed application by cheque
or paid online (EFT) prior to the application submission. Amount
R1985.00 South African Rands
EFT: Date paid :
CMP Network SA Acc No 62253404372 Bank: FNB Code: 250137 Account: Cheque
Payment by cheque (enclosed
and made payable to CMP Network SA)
Name
on cheque:
Cheque number:
SUBMISSION
INSTRUCTIONSBefore submitting,
check that all required attachments are enclosed and submitted in English. Return
completed application form, attachments and application submission fee to: CMP
Network South Africa
Email : applications@cmpnetworksa.co.za
Tel:
+27 (0)11 326 4000
Mobile: +27 (0)82 820 5382
Website: www.cmpnetworksa.co.za Note:
Before processing the application fee - check first with the CMP Network re the
package deals available.
The CMP Network SA has a cost effective package, which
provides - from A to Z - the best choices for an effective CMP status attainment.
Check the significant inclusions on the website or enquire info@cmpnetworksa.co.za
for the details. |