"国际注册管理咨询师(CMC)认证考核申请表(中文部分)

"(A)个人详细资料",,,,,,,"姓名",,"拼音",,,,"照片","性别",,"学历",,,,,"微信",,"身份证号",,,,,"移动电话",,"座机电话",,,,,"QQ号",,"电子邮箱",,,,,"邮编",,"通讯地址",,,,,"职务",,"工作单位",,,,,"工作年限",,"单位人数","10人以下","10-100人","100-500人","500人以上","(用颜色标注)""(B)企业高级管理经验",,,,,,,"开始时间","结束时间",,"单位名称",,"职务及工作职责",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"(C)管理咨询工作经验",,,,,,,"开始时间","结束时间",,"单位名称",,"职务及工作职责",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"(D)教育背景",,,,,,,"开始时间","结束时间",,"学校名称",,,"专业与证书(附证书号)",,,,,,,,,,,,,,,,,,,,,,"(E)曾获得专业技术等级资格证书(附复印件或其他证明)"证书名称",,"专业等级",,"颁发日期",,"颁发机构",,,,,,,,,,,,,,,,,,,,,,,,,,,,,"(F)参加过的管理或管理咨询培训及授课情况",,,,,,,"1.
接受培训课程",,,,,,,"开始时间","结束时间",,"培训内容",,,"培训证书(如果有)",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"2.
参加授课情况",,,,,,,"开始时间","结束时间",,"授课内容",,,"授课证书(如果有)",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"(G)专业条件(至少八项)"说明:此处填写由以下两种或其中任意一种内容组成.
"1.
管理咨询工作:本人担任项目经理角色组织完成的咨询项目或研究课题.
"2.
企业管理工作:本人组织领导完成的效果明显的管理改善、创新等活动.
"项目标题",,,"完成时间","项目耗时","客户联系方式(姓名电话)",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"(H)咨询领域及课题",,,,,,,"请用符号"1"标注你最擅长的课题(至多三个):",,,"请用符号"1"标注你最擅长的行业(至多三个):",,,,,,,,,,,"战略规划",,,"汽车",,"/媒体",,"/市场和营销",,,"/金融",,"/交通",,"/财务管理",,,"/能源",,"/医药",,"/人力资源",,,"/化工",,"/环保",,"/组织",,,"/物流",,"/电气",,"/生产管理",,,"/IT服务",,"/大型设备",,"/质量管理",,,"/旅游",,"/酒店",,"/流程再造",,,"/零售",,"/电子商务",,"/信息系统",,,"/教育",,"/农副",,"/企业文化",,,"/贸易",,"/政府",,"如有其它,请在此注明:",,,"如有其它,请在此注明:",,,,,,,,,,,,,,,,,,"(I)CMC认证申请人声明",,,,,,,"1.
我声明,上述申请表里的信息都是真实和准确的.
"2.
我确信我的能力符合ICMCI关于CMC知识体系的要求,并运用到我的咨询实践中.
"3.
我保证,在我申请CMC延续前三年始终从事管理咨询及相关工作.
"4.
我同意遵守ICMCI关于CMC的相关规定和其它规章制度以及今后修改完善的条款.
"5.
我声明遵守ICMCI的行业准则与道德规范,尽我所能,帮助客户完成目标.
,,,,,,,"申请人签名(电子签名):日期:"(J)CMC推荐人""推荐人(1)"鉴于我对申请人的了解,我认为该申请人在个人品质、专业能力、工作独立性等方面表现出色,我愿意推荐他作为国际注册管理咨询师(CMC)候选人,并自愿在申请人的申请文件上署名并提供担保.

,,,,,,,"推荐人姓名:电话:"Email:"推荐人(2)"鉴于我对申请人的了解,我认为该申请人在个人品质、专业能力、工作独立性等方面表现出色,我愿意推荐他作为国际注册管理咨询师(CMC)候选人,并自愿在申请人的申请文件上署名并提供担保.