Associate MISMO Standards Professional Program Renewal Form

Associate MISMO Standards Professional

Program Renewal Form

AMSP Candidate Information

First Name*

Last Name*

Title

Company Name*

E-mail address*

Program Enrollment Fee Paid

The AMSP Renewal Enrollment Fee is $75 for members and $150 for non-members. MISMO Champions are given a limited # of complimentary enrollments into the program based on the level of membership.

If you are a MISMO champion and would like to see if you have complimentary enrollments remaining, please reach out to Dillon Tidgewell (dtidgewell@mismo.org) and check this box.

Program enrollment can be completed here. Check the box below once you are enrolled into the program.

Participation Points

Have you attended any Summits?*

Select

Please enter the number of Summits you have attended:

Please list any Summits you have attended:

Have you participated in any workgroups/committees?*

Participation is defined as attending at least 33% of meetings for a workgroup/committee over 1 year.

Select

Please list any workgroups/committees you have participated in, along with the years you participated:

Have you served in a Leadership position on a committee/workgroup?*

Leadership positions are: Chair, Vice-Chair, Information Management (IM) Representative, Architecture Workgroup (AWG) Representative, Education Council Representative

For all follow-up Leadership questions, multiple "years of service" can be earned per year if you have served in that position in more than 1 group during the course of 1 year.

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Have you served as a Chair or Vice-Chair?

Select

Please enter the number of years of service as a Chair or Vice-Chair:

Please list the workgroup/committee(s) you have served as Chair or Vice-Chair for, and the years you served:

Have you served as an Information Management (IM) Representative?

Select

Please enter the number of years of service as an IM Representative:

Please list the workgroup/committee(s) you have served as IM Representative for, and the years you served:

Have you served as an Architecture Workgroup (AWG) representative?

Select

Please enter the number of years of service as an AWG Representative:

Please list the workgroup/committee(s) you have served as AWG Representative for, and the years you served:

Have you served as an Educational Council Representative?

Select

Please enter the number of years of service as an Educational Council Representative:

Please list the workgroup/committee(s) you have served as Educational Council Representative for, and the years you served:

Have you served as a MISMO Boot Camp instructor?*

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Please enter the number of times you have served as a MISMO Boot Camp instructor:

Please list the MISMO Boot Camps you have served as an instructor at:

Have you developed any MISMO webinars?*

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Please enter the number of MISMO webinars you have developed:

Please list the MISMO webinars you have developed:

Have you authored a published MISMO-related industry article?*

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Please enter the number of MISMO-related industry articles have you authored:

Please list the MISMO-related industry articles you have authored:

Have you served as a MISMO Ambassador?*

Select or enter value

Please enter the number of times you have served as a MISMO Ambassador:

Please list the Summits you served as a MISMO Ambassador at:

Have you developed any MISMO Shorts?*

Select or enter value

Please enter the number of MISMO Shorts you have developed:

Please list the MISMO Shorts you have developed:

Have you presented at a Summit educational session?*

Select or enter value

Please enter the number of times you have presented at a Summit educational session:

Please list the Summit educational session(s) you have presented:

Include name of session and name of Summit

Have you served on an industry panel advocating use of MISMO standards?*

Select

Please enter the number of times you have served on an industry panel advocating use of MISMO standards:

Please list the industry panels you hae advocated use of MISMO standards at:

By clicking Submit, I acknowledge that the information provided in this document is true, correct, and complete to the fullest extent of my knowledge, and that MISMO staff may verify any of the items listed therein.

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