CBIP Application Form

Document Sample
CBIP Application Form Powered By Docstoc
					                                          CBIP RECERTIFICATION CREDITS FORM
                                                TDWI: The Data Warehousing Institute
                                          1201 Monster Road SW, Suite 250, Renton, WA 98057
                                                         Phone: 425-277-9126
                                             Web: www.cbipro.com ■ E-mail: CBIP@tdwi.org


   Required [Mr/Ms/Mrs]* last name*                         first name*
Information certificate number*                  email address*
    Update              To update your records only, fill out home address and/or business address
    Home street address
  Address street address (continued)
          city                                   state/province            postal code   country
 Business company/organization name                           phone number               fax number
  Address mailing address
          mailing address (continued)
          city                                   state/province            postal code   country
    Activity activity title*
Information activity description* include web link where applicable, limit description to 250 characters


             activity hours*                                  pick from list
             activity sponsor*                                activity start date*       activity end date*
    Activity activity title*
Information activity description* include web link where applicable, limit description to 250 characters


             activity hours*                                  pick from list
             activity sponsor*                                activity start date*       activity end date*
    Activity activity title*
Information activity description* include web link where applicable, limit description to 250 characters


             activity hours*                                  pick from list
             activity sponsor*                                activity start date*       activity end date*
    Activity activity title*
Information activity description* include web link where applicable


             activity hours*                                  pick from list
             activity sponsor*                                activity start date*       activity end date*
    Activity activity title*
Information activity description* include web link where applicable, limit description to 250 characters


             activity hours*                                  pick from list
             activity sponsor*                                activity start date*       activity end date*
                                                     Total Hours Submitted on this form               #VALUE!

                                                                                            submission date*
signature of applicant (signature not required if submitted by email)                      date of submission
        When activity type is ...                     Activity title is ...


College/University Credit Course            title of course

Seminar/Vendor Course                 title of course
Conference/Symposium with Educational
Content                               title of conference/symposium

Professional Society Educational Activity   title of activity

Company Sponsored Education Course          name of course

                                            name of course, lecture, or
Teaching/Lecturing/Presenting               presentation

                                            name of reading/research subject
Self Study                                  area


Published Article/Book                      name of article/book
Submitting Examination Questions            name of exam




Taking an Examination

Other Certification                         name/title of certification

** all activities must relate to business intelligence or data warehousing
                    Activity sponsor is ...           Activity description is ...


             name of college/university       brief course description
             Name of seminar sponsor or
             vendor organization              brief course description
             name of confernece/symposium     List and brief description of classes
             sponsor                          taken at conference/symposium

             name of professinal society      list and brief description of activities

             name of company                  brief course description

             name of college/university,
             organization                     brief subject description


             self                             list of material used


             name of publisher                brief synopsis including publish date
             TDWI                             provide approval date from TDWI




                                              complete name of the credential that
             certifying body                  you hold

arehousing
                      Number of Credits
1 Quarter Hour = 8 recertification credits
1 Semester Hour = 12 recertification credits
1 Continuing Education Unit (CEU) = 10 recertification credits

1 Contact Hour = 1 recertification credit

1 Contact Hour = 1 recertification credit

1 Contact Hour = 1 recertification credit

1 Contact Hour = 1 recertification credit
Credit may be granted for the development and initial
presentation of educational material. Credit is limited to 60
recertification credits per three year period.
Includes research done in preparation for work projects or just to
stay current in your field. Credit is limited to 60 recertification
credits per three year period.
Original book review (suitable for publication) or Published article
100 words = 1 recertification credit, Credit is limited to 60
recertification credits per three year period.


Recertification credits are awarded for taking examinations
based on performance percentage. The schedule is as follows.
70% or better = 60 credits
60-69% = 30 credits
50-59% = 20 credits
Less than 50% = 0 credits

One Other Certification = 40 recertification credits