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DynaPro
Resources For Partnering Professionals
Application Form: Certified DynaMetrics Professional |
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| As a professional consultant, counselor, advisor, coach, or trainer, I hereby apply to DynaPro, a division of Professional DynaMetric Programs® to be considered for the certification process leading to the designation of "Certified DynaMetrics™ Professional." If accepted, I agree to be bound by the terms and conditions associated with this professional designation as specified in the PDP® Certification Agreement upon successful completion of a Learning Forum. |
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| Applicant: |
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Date: |
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| Title/Position: |
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Ofc Phone |
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| Business Name : |
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Fax Phone: |
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| Office Address: |
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City: |
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Zip: |
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| E-mail Address: |
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Cell Phone: |
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Qualifications: |
| Education |
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| Experience |
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| Describe your specialty area(s) |
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| List representative sample of current/past clients |
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| Identify any third-party programs or tools that you use regularly in your work |
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| Describe the extent of your computers/software/technical expertise |
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Describe your preferred service delivery methodology
consulting, workshops/seminars, education, internal consulting, coaching/career advising |
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| Please write a personal statement regarding professional integrity and ethics |
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| Describe your motivation for becoming a Certified Dynametrics™ Professional |
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| How do you expect to use DynaMetrics™ after becoming certified? |
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| How did you learn about Dynapro and Professional Dynametric Programs™? |
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| Please provide two professional references who we may contact - include name, organization, phone, e-mail. |
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| Please provide one personal reference who we may contact - include name, organization, phone, e-mail. |
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| Signature: |
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Date: |
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