American Purchasing Society

Certification Update Application

Survey

American Purchasing Society, Inc.

CPP/CPPM/CGPP/CPDW/CPPC

* = Required

NAME*	BIRTH DATE*
CITIZEN OF*
HOME ADDRESS*	CITY*
STATE*	ZIP/POSTAL CODE*
PRESENT COMPANY AFFILIATION OR EMPLOYMENT	TITLE
BUSINESS ADDRESS	CITY
STATE	ZIP/POSTAL CODE
BUSINESS TELEPHONE	HOME TELEPHONE*
FAX	EMAIL*
	TYPE OF BUSINESS

Type of certification update for which you are applying (check all that apply)

Update for Certified Purchasing Professional (CPP)

Update for Certified Professional Purchasing Manager (CPPM)

Update for Both CPP & CPPM

Update for Certified Green Purchasing Professional (CGPP)

Update for Certified Professional in Distribution and Warehousing (CPDW)

Update for Certified Professional Purchasing Consultant (CPPC)

Please answer the following questions.

1) Have you ever been convicted of any crime or felony? Answer yes or no.*

2) Please provide a complete history of employment including titles, dates, responsibilities and names of immediate supervisors since your initial certification date or since your last update.*

Resume:

Please upload your resume in Adobe PDF format only

3) Please provide a complete history of any education received since your initial certification date or since your last update. Please include names of educational organizations, degree or courses, and dates.*

Diploma:	Please upload your diploma in Adobe PDF format only
Degree:	Please upload proof of your degree earned in Adobe PDF format only
Transcript:	Please upload your college transcripts in Adobe PDF format only

4) Please list any purchasing books and periodicals read in the last five years.*

5) Do you belong to any professional organizations or clubs? If so, what are they?*

Submit comments or explain any entry above deemed necessary for clarification. Submit any other data you feel pertinent.

I hereby apply for certification update from the American Purchasing Society as a fully qualified and professional purchasing practitioner and swear that all statements made by me on this form, to the best of my knowledge, are true and factual. I agree to and permit any investigation into my background that the American Purchasing Society deems necessary. I understand that I must at all times conduct myself in a businesslike and ethical way and if I do not, or if it is later discovered that there are any false statements or deception in submitting this form, an awarded certification may be revoked.

Certified Purchasing Professional (CPP) Update	M $125	NM $200
Certified Professional Purchasing Manager (CPPM) Update	M$125	NM $200
Both CPP and CPPM Update	M $200	NM $350

Certified Green Purchasing Professional (CGPP)	M $100	NM $150

Certified Professional in Distribution and Warehousing (CPDW)	M $100	NM $150

Certified Professional Purchasing Consultant (CPPC)	M $100	NM $150

Accounting, Finance, and Cost Management for Buyers	M $129	NM $154

Forecasting for Buyers, Managers, and Exec.	M $99	NM $129

Managing Inventory – Maintaining the Proper Level	M $129	NM $154

The Science and Art of Negotiation Online Course	M $175	NM $195

The Evolution of Sustainability	M $99	NM $129

Total $