New York City Chapter of The National Institute of Public Procurement

Recertification as CPPO or CPPB

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    APPLICATION FOR RECERTIFICATION - 2019
 Please complete ALL sections of this application. Illegible or incomplete applications will be returned.  
SECTION I: APPLICANT INFORMATION
PART A: Applicant’s Name
   Mr.     Ms.    Mrs.   Dr.   Other her Certifications/Designations earned: ______________________________________
Full Name
: ______________________________________________________________    
Date of Birth: _______________ If any documentation appears under another name, please provide the name here: ___________________     
                              
Print name as you want it to appear on a certificate:_______________________________________________________________ 
PART B: Contact Information - Work
 Organization/Agency: ___________________________________________   Department: _____________________________________________ 
Official Position/Title: _____________________________________   Working Title (if different): ________________________________________ 
Work Address:  __________________________________________________________________________________________________________         
_________________________________________________________________________________________________________
City: ______________________________________________________    State/Province: _____________________________________________
Zip/Postal Code & Country: _________________________________________     Phone: ______________________________________________
Fax: _______________________________________    Work e-mail: ______________________________________________________________  
PART C: Contact Information – Home – All certification communications are sent to the home address provided.
 Street Address:   ______________________________________________________________________  Apt #: _____________            __________________________________________________________________________________________________ 
City: ______________________________________________________    State/Province: _________________________________ 
Zip/Postal Code & Country: __________________________________________________   Phone: ___________________________ 
Personal e-mail: _________________________________________________________________________________________________________ 
SECTION II: TYPE OF RECERTIFICATION
 Please indicate the certification(s) for which you are recertifying (check one application type):            CPPB® Recertification                 CPPO® Recertification                 Dual Recertification 
SECTION III: RECERTIFICATION REQUIREMENTS
 Ø General Recertification Requirements - Current CPPOs and CPPBs and those recertifying under “Dual Certification” status are required to earn a minimum of forty-five (45) qualifying contact hours in a minimum of two (2) of the three (3) possible categories. 
  Ø The Recertification Period – Contact hours to be used towards recertification must be earned during a specific 5-year time frame. Although certificants may file an application as soon as he/she meets the current recertification requirements, contact hours can only be earned during the current certification period.  For example, if an individual is due to recertify by January 2015, but files an early recertification in July 2014, any activities the individual participated in between July 2014 and January 2015 could not be counted towards the next recertification cycle. The new certificate printed for this individual would indicate an expiration date of January 2020 and contact hours for the next renewal date must have been earned between January 2015 and January 2020. 
 Ø Lapsed Status Requirements   Additional contact hours and fees are required for individuals who allow their certifications to lapse. Lapsed status refers to the period of time immediately following the expiration date of the current certificate and ending one (1) year following that date. Although lapsed certificants are not permitted to use the CPPO and/or CPPB certifications, they are still eligible to recertify. CPPOs and CPPBs in lapsed status and those recertifying under “Dual Certification” status when one or more certifications have lapsed must earn a minimum of fifty-five (55) qualifying contact hours in a minimum of two (2) of the three (3) possible categories.  Once the one (1) year lapsed status has ended, the individual’s certification(s) is officially expired. If a certification expires, the individual must start the certification process over as a new applicant and upon successful completion, will be issued a new certificate number. The continued use of the CPPO and/or CPPB credential(s) after expiration is misrepresentation and may carry legal implications. 
PART A: Continuing Education - Accredited
 Contact hours may be earned for the completion of procurement-related coursework at the formal education level or seminars, courses, training events, etc. that are offered by professional procurement organizations provided that they are accredited by a 3rd party  [i.e. IACET (International Association for Continuing Education & Training)].  Documentation is required for all activities recorded in this section.  An official, sealed transcript must be submitted to document coursework at the formal education level and a transcript or completion certificate must be submitted to document any other type of accredited continuing education. description of the course content and its relation to the current CPPO/CPPB Body of Knowledge is also required for each item listed to support procurement-related content as only procurement-related continuing education is applicable for recertification credit. Each credit hour earned for coursework completed at the formal education level may be multiplied by 8 to determine equivalent contact hours earned. CEUs earned for other accredited continuing education may be multiplied by 10 to determine equivalent contact hours earned. Calculate contact hours from CEUs ONLY IF contact hours are not already reflected on the transcript or completion certificate issued by the provider of the continuing education in which CEUs were issued.
Listing of Continuing Education
(Accredited) Courses: Title of Course: _______________________________________________________________________
Continuing Education Provider: _____________________________________________________________________________ 
Date(s): ______________________________________  
Contact Hours Earned: __________________________________ Description: _____________________________________  
Title of Course: ______________________________________________________________________________________ 
Continuing Education Provider: _____________________________________________________________________________ 
Date(s): ______________________________________ 
Contact Hours Earned: __________________________________ Description: _______________________________________
_____________________________________________________ 
______________________________________________________________________________________________________ 
 Title of Course: ___________________________________________________________________________________
Continuing Education Provider: _____________________________________________________________________________
 Date(s): ______________________________________  
Contact Hours Earned: __________________________________ Description: ________________________________________
____________________________________________________
 ______________________________________________________________________________________________________  
Title of Course: ______________________________________________________________________________________ 
Continuing Education Provider: _____________________________________________________________________________ 
Date(s): ______________________________________  
Contact Hours Earned: __________________________________ Description:____________________________________________
________________
if needed, attach additional sheets with title of course, continuing education provider, date(s), contact hours earned, and a description of the course which includes its relation to the current CPPO/CPPB Body of Knowledge.) 
 Total Contact Hours Earned in Part ATransfer total contact hours earned in Part A to Part D: Summary of Contact Hours  

 
PART B: Continuing Education – Non-Accredited
 Contact hours may be earned for attending procurement-related conferences, meetings, events, etc. The certificant may claim one (1) contact hour for each clock hour of education, including partial hours, up to a maximum of 8 hours per day. A description of the activity’s content and its relation to the current CPPO/CPPB Body of Knowledge is also required for each item listed to support procurement-related content as only procurement-related continuing education is applicable for recertification credit. For attendance at industry meetings, conventions and other events such as the annual NIGP Forum & Products Exposition, certificants may only claim contact hours for sessions and workshops that are specific to procurement and include a speaker, instructor, trainer, facilitator or moderator.  Networking, tradeshows, entertainment and social events are excluded and are not applicable for contact hours. This exclusion applies to stand alone events as well as those that are part of larger events such as the annual NIGP Forum & Products Exposition. Documentation is not required to be included with the application for activities recorded in this section, but may be requested by UPPCC Staff during the evaluation process. The certificant should be prepared to provide documentation for any activities listed below in the event the documentation is requested.
 Listing of Continuing Education (Non-Accredited) Activity: 
Title of Activity: ________________________________________________________________________________________ 
Continuing Education Provider: _____________________________________________________________________________ 
Date(s): ______________________________________    Number of Contact Hours: __________________________________ 
Description: ____________________________________________________________________________________________
 ______________________________________________________________________________________________________  
Title of Activity: ________________________________________________________________________________________ 
Continuing Education Provider: _____________________________________________________________________________ 
Date(s): ______________________________________   Number of Contact Hours: __________________________________ 
Description: ____________________________________________________________________________________________ 
______________________________________________________________________________________________________  
Title of Activity: ________________________________________________________________________________________
 Continuing Education Provider: _____________________________________________________________________________
 Date(s): ______________________________________  Number of Contact Hours: __________________________________ 
Description: ____________________________________________________________________________________________ 
______________________________________________________________________________________________________  
Title of Activity: ________________________________________________________________________________________ 
Continuing Education Provider: _____________________________________________________________________________ 
Date(s): ______________________________________    Number of Contact Hours: __________________________________ 
Description: ____________________________________________________________________________________________ 
______________________________________________________________________________________________________ 
 (If needed, attach additional sheets with title of activity, continuing education provider, date(s), number of contact hours,
and a description of the activity which includes its relation to the current CPPO/CPPB Body of Knowledge.) 
 Total Contact Hours Earned in Part BTransfer total contact hours earned in Part B to Part D: Summary of Contact Hours  

  
PART C: Professional Contributions
 Certificants may claim credit in the form of contact hours for professional contributions that are directly related to procurement, such as leadership on a Board of a professional procurement organization, authoring a procurement-related article or book, speaking or teaching at procurement-related meeting and/or event, and performing activities in support of UPPCC. Additional contact hours cannot be earned for teaching and/or speaking multiple times on identical topics within the same 5-year certification period. Contact hour values for each qualifying procurement-related activity are listed below: 
Officer on a Board - 3 per year   Board Member – 2 per year     Task Force/Committee member – 1 per year Teaching/Speaking at meeting/event – 1 per engagementConsulting Engagement – 2 per engagement    Developing a course – 1 per event   Authoring a published book – 2    Authoring a published article or chapter of a book - 2 Earning an individual award – 1   UPPCC Job Analysis Survey participant - 1  
Documentation must be submitted with your application for consideration of an activity. To submit documentation for a publication, please submit a re-print of the article or publication. Applicants should not submit original documents as the UPPCC will not return documentation to the certificant. 
 A maximum of 20 contact hours is permitted in this section.
 Please provide a description to indicate the activity’s relationship to procurement.
 Listing of Professional Contributions: 
Title of Activity/Service: _________________________________________________________________________________
 Date(s): ______________________________________    Number of Contact Hours: __________________________________
 Description: ____________________________________________________________________________________________ 
______________________________________________________________________________________________________  
Title of Activity/Service: _________________________________________________________________________________ 
Date(s): ______________________________________    Number of Contact Hours: __________________________________
Description: ____________________________________________________________________________________________ 
______________________________________________________________________________________________________  
Title of Activity/Service: _________________________________________________________________________________ 
Date(s): ______________________________________    Number of Contact Hours: __________________________________ 
Description: ____________________________________________________________________________________________ 
______________________________________________________________________________________________________  
Title of Activity/Service: _________________________________________________________________________________ 
Date(s): ______________________________________    Number of Contact Hours: __________________________________
 Description: ____________________________________________________________________________________________ ______________________________________________________________________________________________________ (If needed, attach additional sheets with title of activity/service, date(s), number of contact hours, and a description of the activity/service and its relation to procurement.) 
 Total Contact Hours Earned in Part CTransfer total contact hours earned in Part C to Part D: Summary of Contact Hours  

 
PART D: Summary of Contact Hours
 Total the number of contact hours prior to submitting the application for UPPCC Recertification. Transfer the total contact hours earned in each section to the Summary of Contact Hours table below and add all three totals together.
 Do not submit the application to UPPCC if the application is short the required number of contact hours or if contact hours were not earned in a minimum of two (2) of the three (3) sections.  
SUMMARY OF CONTACT HOURS
Part A Total: Continuing Education (Accredited) 
Part B Total: Continuing Education (Non-Accredited) 
Part C Total: Professional Contributions – 20 Contact Hours Maximum 
 Total Contact Hours EarnedTotal combined contact hours from all sections of the application (Part A + Part B + Part C = Total Contact Hours)   

 
SECTION III: UPPCC CODE OF ETHICS & PROFESSIONAL CONDUCT
 All applicants and certified professionals shall subscribe to and be bound by the following Code of Ethics & Professional Conduct. Ø  I shall only seek or accept a position of employment when fully in accord with the professional principles applicable thereto, and when confident of possessing the qualifications to serve under those principles to the advantage of my employer.Ø  I shall conduct myself in a professional manner that reflects the dignity and worth of the services rendered by my employment and the societal responsibilities assumed as a trusted public servant.Ø  I shall be governed by the highest ideals of honor and integrity in all public and professional relationships in order to merit the respect and inspire the confidence of my employer and the public served.Ø  I shall neither seek nor accept any form of personal aggrandizement or profit through misuse of public or personal relationships.Ø  I shall identify and eliminate participation of any individual in operational situations where a conflict of interest may be involved.Ø  I shall not at any time or under any circumstances accept directly or indirectly, gifts, gratuities, services or other things of value from suppliers, which might influence or appear to influence the performance of my professional duties.Ø  I shall keep my governmental organization informed, through appropriate channels, on problems and progress of applicable operations by emphasizing the importance of the facts.Ø  I shall handle all personnel matters on a merit basis.  Ø  I shall neither seek nor dispense personal favors that are in conflict with my professional duties.  Ø  I shall handle each administrative problem objectively and empathetically without discrimination.Ø  I shall subscribe to and support the professional aims and objectives of the Universal Public Procurement Certification Council. 
PROHIBITED ACTS Individuals currently certified by the UPPCC, certified in a retired status or applying for UPPCC certification may be subject to review and appropriate action including revocation or denial of certification for conduct detrimental to the dignity and respect for their position, including, but not limited to, the commission of any of the following Prohibited Acts: Ø  A material misstatement or misrepresentation or fraud on application materials for certification or recertification.Ø  Willful violation of examination procedures, confidentiality or security.Ø  Failure to report or concealing knowledge of potentially illegal activity by any staff, volunteer or vendor related to his or her job or professional activities.Ø  Failure to pay certification or recertification fees in a timely manner.Ø  Misrepresentation or improper use of the CPPO, the CPPB or any other professional credential.Ø  Conviction for or entry of a plea of nolo contendere to any crime involving an individual’s professional practice in the field of public procurement including but not limited to matters of conduct related to his or her employment and/or conduct related to professional associations and other professional activities.Ø  Failure to comply with the Code of Ethics provisions listed above or other behavior that may bring discredit to the profession. 
SECTION IV: RECERTIFICATION APPLICANT AFFIRMATION STATEMENT
 Read, sign and date the affirmation statement.  Applications for recertification are considered incomplete and will be returned to the applicant if not endorsed. I hereby affirm that I have read and understand the certification program information and policies as outlined in the Candidate Handbook in effect at the time of application. I understand that the UPPCC reserves the right to revise or update program requirements and the Code of Professional Ethics and Professional Conduct, and that it is my responsibility to be aware of the current requirements.   I further affirm that the statements and information set herein this application are true and correct, and that any falsification or willful misstatements or omissions intended to mislead the UPPCC will forfeit my right to certification as a CPPB or CPPO.  I further agree to abide by the UPPCC Code of Ethics and Professional Conduct.  Any violation of the UPPCC Code of Ethics & Professional Conduct may result in the revocation of this recertification application or other disciplinary action by the UPPCC. I affirm that I have no felony convictions related to the practice of public procurement. 
 Applicant's Signature:  _____________________________________________________   Date: __________________
 SECTION V: RECERTIFICATION APPLICATION CHECKLIST 

CHECK IF YOU HAVE:
    Completed all sections of the application completely, clearly and accurately.
   Provided sufficient information to document meeting minimum requirements.
   Enclosed an official sealed transcript to document continuing education at the formal education level (if applicable).
    Enclosed transcript from continuing education provider or completion certificates to document accredited continuing education not at the formal education level.
    Included payment information and document(s) if paying by purchase order, check or money order made payable to the UPPCC.
    Signed the application and agree to subscribe to the ethical principles as stated in the UPPCC CODE OF ETHICS & PROFESSIONAL CONDUCT.
    Made a photocopy of the complete application package for personal records.
    Addressed application package to the following mailing address: 
UPPCC
Attn: Recertification Department
151 Spring Street
Herndon, Virginia  20170   USA

  
SECTION VI: RECERTIFICATION FEE PAYMENT                     UPPCC Tax ID #: 54-1929791
   All forms of payment [money order, Visa, MasterCard, AMEX, or Purchase Order (PO)] must be made payable to the UPPCC in US currency. Please note that POs are an acceptable form of payment to initiate the recertification process only if the PO document is included. Although a purchase order is an acceptable form of payment to initiate the recertification process, the certification will not be renewed nor will a new certificate be released until the PO is paid in full. RECERTIFICATION FEES ARE NON-REFUNDABLE. 
 SCHEDULE OF FEES FOR RECERTIFICATION
MembersNon-Members
CPPO or CPPB Recertification:$200$250
 Dual Recertification:$300$350
CPPO or CPPB Lapsed Recertification:$350$400
Dual Recertification (1 certification lapsed)$450$500
Dual Recertification (both certifications lapsed)$600$650
 * The member rate applies to individuals that currently hold a valid membership with NIGP or NASPO. Memberships of NIGP at the chapter level only do not qualify for the member rate.
 PAYMENT INFORMATION (Please print clearly.)
APPLICANT’S NAME: ______________________________________ METHOD OF PAYMENT:   CHECK/MONEY ORDER # _________________   PO # __________________   VISA      MASTERCARD    AMEX CREDIT       
CARD #: ____________________________________________________   EXP: ____________________  
AMOUNT:  $ ________________ (USD) CREDIT CARD CVV CODE: _______________    CARD OWNERSHIP (Circle One)         Agency Card             Personal Card
CARD HOLDER’S NAME: ____________________________________________________   CARD HOLDER’S PHONE:  ________________________________
CREDIT CARD BILLING ADDRESS: ______________________________________________________