CPPS Application Form "*" indicates required fields Step 1 of 6 - Applicant Data 16% Applicant Data Directions: This is the online form to apply for the Certified Professional Product Steward® (CPPS®) credential. You will have to submit and request other documents in addition to this form, so please familiarize yourself with the application requirements and the details of this form before you start your application. Please, answer all questions as completely as possible. When you have finished the application, please click Submit. Thank you.Examination Window Requested:Exam Window*SpringFallName* First Last Please indicate any previously-used last / surnames.Previous Name *Please advise BGC if your legal name has changed since graduating from a college or university. Documentation of name changes must be sent to BGC. AddressesPlease provide both your work and home addresses. Check your preference for mailing purposes and internet roster listing. Choose AddressUse Home AddressUse Work AddressCompany Name Division Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Business CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Business PhoneBusiness Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneHome Email Have you applied to BGC previously? Applied before?* No Yes If yes, for which credential?Credential Applied For Date Previously Applied MM slash DD slash YYYY Education An official transcript sent directly from each U.S. college or university attended is required. Official transcripts may also be sent by you in an envelope sealed with the Registrar’s seal. See the CPPS Candidate Handbook pages on this website for requirements about equivalency reports needed for international degrees awarded outside of the U.S./Canada. Degree 1* Major 1* School 1* Date Awarded 1* MM slash DD slash YYYY Degree 2 Major 2 School 2 Date Awarded 2 MM slash DD slash YYYY Degree 3 Major 3 School 3 Date Awarded 3 MM slash DD slash YYYY Job History 1 See the CPPS Candidate Handbook pages in this website for details on the reporting of creditable experience. Information must be provided on this form. Additional work experience can be documented in a supplemental manner as directed. The Description of Duties should include work environments and operations, and address criteria confirming professional-level activity, such as Depth of Action, Level of Interaction, Independence of Action, and Responsibility for Work Outcomes, listed below.Current Employer* Current Position* Date From* MM slash DD slash YYYY Present Date MM slash DD slash YYYY Percent of time practicing Product Stewardship:Current Percentage in PS* Immediate Supervisor(s)** who are providing references. ** A reference from your immediate supervisor(s) to BGC must be sent covering the entire time period for which you request experience credit. Use the CPPS Professional Reference Questionnaire for these references. When you are/were a principal in a business and have/had no supervisor, BGC will accept references from major clients. See the CPPS Candidate Handbook for acceptable alternative references. Current Supervisor Title* Name* First Last Date From* MM slash DD slash YYYY Date To* MM slash DD slash YYYY Description of Current Duties*Current Depth of Action*Current Level of Interaction*Current Independence of Action*Current Responsibility for Work Outcomes*Do you have more employment history to add?* Yes No Job History 2 See the CPPS Candidate Handbook for details on the reporting of creditable experience. Information must be provided on this form. Additional work experience can be documented on a supplemental sheet. The Description of Duties should include work environments and operations, and address criteria confirming professional-level activity, such as Depth of Action, Level of Interaction. Independence of Action, and Responsibility for Work Outcomes, listed below.Previous Employer 1 Previous Position Title 1 Previous Date From 1 MM slash DD slash YYYY Previous Date To 1 MM slash DD slash YYYY Percent of time practicing Product Stewardship:Previous Percentage in PS 1 Immediate Supervisor(s)** who are providing references. ** A reference from your immediate supervisor(s) to BGC must be sent covering the entire time period for which you request experience credit. Use the CPPS Professional Reference Questionnaire for these references. When you are/were a principal in a business and have/had no supervisor, BGC will accept references from major clients. See the CPPS Candidate Handbook for acceptable alternative references. Previous Supervisor Title 1 Name Previous First Name 1 Previous Last Name 1 Previous Date From 1 MM slash DD slash YYYY Previous Date To 1 MM slash DD slash YYYY Previous Description of Duties 1Previous Depth of Action 1Previous Level of Interaction 1Previous Independence of Action 1Previous Responsibility for Work Outcomes 1Do you have more employment history to add?* Yes No Job History 3 See the CPPS Candidate Handbook for details on the reporting of creditable experience. Information must be provided on this form. Additional work experience can be documented on a supplemental sheet. The Description of Duties should include work environments and operations, and address criteria confirming professional-level activity, such as Depth of Action, Level of Interaction. Independence of Action, and Responsibility for Work Outcomes, listed below.Previous Employer 2 Previous Position Title 2 Previous Date From 2 MM slash DD slash YYYY Previous Date To 2 MM slash DD slash YYYY Percent of time practicing Product Stewardship:Previous Percentage in PS 2 Immediate Supervisor(s)** who are providing references. ** A reference from your immediate supervisor(s) to BGC must be sent covering the entire time period for which you request experience credit. Use the CPPS Professional Reference Questionnaire for these references. When you are/were a principal in a business and have/had no supervisor, BGC will accept references from major clients. See the CPPS Candidate Handbook for acceptable alternative references. Previous Supervisor Title 2 Name Previous First Name 2 Previous Last Name 2 Previous Date From 2 MM slash DD slash YYYY Previous Date To 2 MM slash DD slash YYYY Previous Description of Duties 2Previous Depth of Action 2Previous Level of Interaction 2Previous Independence of Action 2Previous Responsibility for Work Outcomes 2 Agreement Total number of months of professional-level experience in Product Stewardship:Total Months FEES Application Fee: A nonrefundable application fee is required upon submission of this application. An additional examination fee will be payable upon notification of admission to the examination. Exam Fee: When your application has been approved, we will send you a link for exam registration and fee payment. DEADLINES This application and all supporting materials, including transcripts and references, must be postmarked no later than December 1, immediately preceding the spring examinations and no later than June 1, immediately preceding the fall examinations. I understand that it is my responsibility to send the link to the Professional Questionnaire Form (PRQ) link to my references; BGC does not make an initial contact.PRQ To References*NoYesPer the CPPS Candidate Handbook pages on this website, I understand the following: Official transcripts must be submitted for each degree. An “official” transcript is one sent directly to BGC by your college or university through mail or as secure e-transcripts. Alternatively, you may submit official transcripts if they are in a sealed envelope with the registrar’s stamp across the seal. If your transcripts have a name different from the name under which you are applying, please submit documentation of the name change to applications@GoBGC.org. (e.g. marriage certificate, divorce decree, etc.) When a degree includes credits that were transferred from another college or university, official transcripts for those course credits must be sent upon request. Email address for transcripts: applications@GoBGC.org. Physical address for transcripts: BGC, ATTN: CPPS, 6005 W. St. Joseph Hwy Ste 300, Lansing, MI 48917 USA. Transcripts to BGC*NoYesI certify that the documents I have submitted are, to the best of my knowledge, accurate and truthful. I understand that any falsification in this application for Certified Professional Product Steward credential will be grounds for rejection, or for later revocation of any certificate issued. I understand that I am subject to the terms and conditions set out for applicants in the CPPS Candidate Handbook pages in this website in effect at the time of application. I also recognize my obligation not to reveal the contents of the CPPS examination. I agree to adhere, to the best of my ability, to the Code of Ethics and be governed by the Ethics Case Procedures as published on the GoBGC.org website. If I am certified, I understand that I must pay annually such amount as BGC shall decide as a part of the CPPS certification maintenance requirement.Typed Signature* Submission Date* MM slash DD slash YYYY BGC does not discriminate among applicants as to age, sex, race, religion, national origin, disability or marital status.I am submitting a Test Accommodation Request for a disability covered by the Americans with Disabilities Act as amended or other applicable laws.Accommodations*NoYes CPPS Candidate Handbook About the CPPS Overview of Steps Reapplicants Eligibility Requirements Documents Needed CPPS PRQ Form Dates, Deadlines, and Fees Exam Overview Exam Preparation Exam Scheduling Exam Day Documents and Forms Apply Now Applicants Payments
