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IPDI PMP Application Spreadsheet

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0% found this document useful (0 votes)
136 views32 pages

IPDI PMP Application Spreadsheet

Uploaded by

Anurag
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

PMP Exam Application Assistance Spreadsheet

Spreadsheet Provided by: Integrated Process Developers, Inc.


[Link] | 734.207.5470

The PMP® Exam Application Assistance Worksheet:


Copyright & Fair Use Policy

PMI Copyright & "PMI", the PMI logo, "PMBOK", "PgMP", "PMP", the PMP logo, and "CAPM" are marks or
Trademarks: registered marks of the Project Management Institute, Inc. in the United States and/or
other nations. For a comprehensive list of PMI marks contact the PMI Legal Department.

Comments: PMI® has not endorsed and did not participate in the development of this product. The
content of this worksheet is based on the official PMP® Credentials Handbook and the
PMI PMP online application (as of 3-Jan-09). Due diligence was taken in compiling the
information contained in this file. However, due to the changing nature of the PMP® Exam
and application process, the information required by the PMI® on the application form may
have changed.

No Expressed or Using this product does not guarantee that the PMP® exam taker will be approved
Implied Warranties for or pass the exam. No such guarantees or warranties are implied or expressed by
or Guarantees Integrated Process Developers, Inc. (IPDI)

Using this spreadsheet does not give any expressed or implied warranties or
guarantees that the user of the spreadsheet will have their PMP Exam Application
approved by PMI. This spreadsheet does not provide any expressed or implied
warranties or guarantees that the user will pass the PMP exam.

Use of this spreadsheet is at your own risk


There exists no expressed or implied warranties or guarantees that the calculations
used in this spreadsheet are correct and without error.

By using this spreadsheet, you understand and accept all


the statements made above and in the various
worksheets

Fair Use: This spreadsheet may be used by anyone interested in applying for the PMP exam
provided all comments above and on the other workbooks remain in place.

Example: IPDI has provided an Example on the PM Experience tab in the 'C' & 'D' columns. The
number of hours or the percentages of the hours in relation to the total project hours are to
demonstrate the worksheet functionality an are in no way representative of a 'typical'
project. Do not use this example as a guide. Fill in your actual project hours and your
actual project management experiences. Do not copy from this example. Be honest in
your application and report factual information.

This worksheet is free from Integrated Process Developers, Inc.


([Link] | 734.207.5470)
Version Date: 3-Jan-09
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

The following is from the PMI Project Management Professional (PMP®) Credential
Handbook

"PMI", the PMI logo, "PMBOK", "PgMP", "PMP", the PMP logo, and "CAPM" are marks or registered marks of
the Project Management Institute, Inc. in the United States and/or other nations. For a comprehensive list of
PMI marks contact the PMI Legal Department.

PMP Eligibility Requirements


The PMP Role Delineation states that candidates for the PMP credential:
• Perform their duties under general supervision and are responsible for all aspects of the project for
the life of the project
• Lead and direct cross-functional teams to deliver projects within the constraints of schedule, budget,
and scope
• Demonstrate sufficient knowledge and experience to appropriately apply a methodology to projects
that have reasonably well-defined project requirements and deliverables

To be eligible for the PMP credential, you must meet certain educational and professional experience
requirements. All project management experience must have been accrued within the last eight consecutive
years prior to your application submission.

Educational Background Project Management Experience Project Management Education

High school diploma, associate’s Minimum five years/60 months 35 contact hours of formal
degree or global equivalent unique non-overlapping education
professional project management
experience during which at least
7,500 hours were spent leading and
directing project tasks*

-OR-
Bachelor’s degree or global Minimum three years/36 months 35 contact hours of formal
equivalent unique non-overlapping education
professional project management
experience during which at least
4,500 hours were spent leading and
directing project tasks*

*Leading and directing project tasks as identified in the Project Management Professional Examination
Specification. Within the total hours of project management experience, experience in all five process groups
is required. However, on a single project, you do not need to have experience in all five process groups.

How to Document your Experience for the Application


Use the experience verification section of the online application to document and report your experience
leading and directing project tasks. Document projects individually regardless of the number of projects you
document.

Number of Months of Project Management Experience


Each month in which you worked on multiple, overlapping projects counts as one month toward the total
requirement. In the following example, the project manager worked on Project 1 and Project 2 simultaneously
February–April. However, the time spent on both projects counts as three, not six, months toward the total to
fulfill the professional project management experience requirement.
NOTE: This spreadsheet does NOT calculate the total number of non-overlapping months of
experience. It only calculates the total months of experience. PMI's online application will calculate
the total number of non-overlapping months of experience.

Number of Hours that You Led or Directed Project Tasks


Consider all of the projects that you have worked on and identify how many hours you led or directed project
tasks. For this section of the application, if you worked on multiple projects at one time, all the hours spent
leading and directing project tasks count toward the total.

Contact Hours of Project Management Education


Verify at least 35 contact hours of specific instruction that addressed learning objectives in project
management. Document all education hours regardless of when they were accrued. The course work must be
completed at the time you submit the application.
NOTE: One contact hour is equivalent to one actual hour (60 minutes) of training or instruction
received.
The course hours may include content on project quality, project scope, project schedule, project budget,
project communications, project risk, project procurement, and project integration management.

You can satisfy the educational requirements by demonstrating the successful completion of courses,
workshops and training sessions offered by one or more of the following types of education providers:
A. PMI Registered Education Providers (R.E.P.s)*
B. PMI Component organizations*
C. Employer/company-sponsored programs
D. Training companies or consultants
E. Distance-learning companies, including an end-of-course assessment
F. University/college academic and continuing education programs
*Courses offered by PMI R.E.P.s, PMI Components (chapters, specific interest groups, colleges), or PMI, are
pre-approved for contact hours in fulfillment of the educational eligibility requirement.

NOTE: One hour of classroom instruction equals one contact hour. If you have completed a university or
college course on project management that met for three hours per week for 15 weeks, you would document
45 contact hours. If only a portion of a course dealt with project management, only the hours spent on project
management can be applied toward the total.

The following education does not satisfy the education requirements:


• PMI chapter meetings*
• Self-study (e.g., reading books)
*If at least one hour of a chapter meeting is spent conducting a learning activity, the hour(s) spent in
that activity can be counted towards the educational eligibility requirement.
NOTE: While you may be able to document applicable classes that counted toward a bachelor’s degree or
MBA, you cannot document the degree program in its entirety because some classes within the program will
not apply
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

Application | Review Attained Education

Highest level of education attained: Bachelor Degree

Year degree awarded:

School/University:

Address: (Line 1)
(Line 2)
(Line 3)

City:

State/Province/Territory:

Zip/Postal Code:

Country:

Field of Study: Accounting


Business
Computer Science
Education
Engineering
Finance
Liberal Arts
Marketing
Science
Mathematics
Economics
Communications
Other
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

To become eligible, you are required to meet the following requirements:


Project Management Experience
You are required to document experience you've accrued leading and directing projects under general
supervision within the constraints of schedule, budget and scope. The project management experience being
documented should indicate you can appropriately apply a methodology to projects that have reasonable well-
defined project requirements and deliverables.

* Minimum of 4500 hours of project management experience.


* Project management experience dating back at least three years from application submittal date.
* Project management experience not dating back further than eight years from the application submittal
date.
* Minimum of 36 months of project management experience (gaps in experience and overlapping
experience will not be counted).
* Project management experience is required in each of the following process areas when all projects
are totaled, but not on each project:
* Initiating
* Planning
* Executing
* Monitoring & Controlling
* Closing

Project Management Education


Minimum of 35 contact hours of formal education in project management (one contact hour is equivalent to one
actual hour of training or instruction received). There is no timeframe associated with this requirement,
therefore, candidates can document all project management education, regardless of when it was accrued.
However, the coursework must be complete at the time of application.

In the next few sections we will be asking you to document your project management work experience and
education to meet the above requirements.
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Experience Worksheet


* indicates a required field.

Please identify the project. Please note that your project role is not
necessarily the same as your position title. PMI must have verifiable
information for your contact person's e-mail address and phone number
to be able to approve your application.

NOTE: Enter data in non-colored areas PROJECT NUMBERS:


Project Specific Information Example (Do NOT Use This Column) #1 #2 #3
* Project Title: ABC Project MasterLink Smart Radar FlexLine OneWiress R100
* Project Started: 1/1/2008 1/1/2015 1/1/2016 8/1/2016
Information

* Through: 12/15/2008 12/31/2015 7/31/2016 12/31/2016


Specific
Project

Number of calculated project months 11.47 12 7 5


* Project Role: Project Contributor Project Leader Project Manager Project Mana
(describe if you pick 'Other' above)
* Primary Industry: Other Other Manufacturing Communicati
(describe if you pick 'Other' above) XYZ Industry
Please identify the organization for whom you managed this project.

Organization Details
* Job Title: Project Engineer Project Leader Project Leader Project Leader
Organization Details

* Organization Name: LMNOP Company Honeywell Technology Solutions Honeywell Technology Solutions Honeywell Technology S
* Organization Address: 123 Main Street Survey No. 115, 11, Rd Number 2, Financ
Survey No. 115, 11, Rd Number 2, Financ
Survey No. 115, 11, Rd N
(Line 2) P.O. Box 890 Telangana, India Telangana, India Telangana, India
(Line 3) 500032 500033 500034
* City: Hometown
State/Province/Territory: Alaska
Zip/Postal Code: 12345
* Country: United States of America
Organization's Phone Number
Number

Country Code: 91 91 91
Phone
Org's

Area/State/City Code: 734 40 40 40


* Phone Number: 123-4567 66543570 66543570 66543570
Number
Phone
Org's
Project Specific Information Example (Do NOT Use This Column) #1 #2 #3
Extension: 61017 61017 61017
Please identify your primary contact for this project. PMI may contact
this person to verify your work experience.
Organization Contact
* Contact Name: Ms. Betty Boss Soumya Dey Soumya Dey Soumya Dey
Organizational

* Contact Relationship: Manager/Supervisor Primary Stakeholder Primary Stakeholder Primary Stakeh


Information

* Contact E-mail: bettyboss@[Link] [Link]@[Link] [Link]@[Link] [Link]@honeywel


Contact

Contact's Phone Number


Country Code: 91 91 91
Area/State/City Code: 734 40 40 40
* Phone Number: 123-0987 66543570 66543570 66543570
Extension: 61129 61129 61129
Please enter the number of hours spent on each of these tasks for this NOTE: Since no one has their hours broken down by the way PMI requests them, the most practical way to fill out the form is to follow these ste
project. 1) Determine the total number of project hours for the project
Note: 1 week is limited to 40 hours 2) Estimate what percentage of those hours were used for each of the five section (process groups)
Please enter a value between 0 and 9999; Hours must be entered in 3) Within each section (process group), estimate what percentage of those hours were spent performing each line item requested.
quarter hour increments. NOTE: Make sure the percentages add up to 100% - the cell colors will automatically change to assist. Yellow: Total percentage less than 100%
Total percentage equals 100% - Red: Total percentage greater than 100%

TOTALS Total Number of Project Hours Spent on this Project: 100% 1000 100% 1920 100% 1120 100%
688 Initiating Process 10% 100 10% 192 10% 112 10%
1488 Planning Process 25% 250 25% 480 20% 224 15%
1816 Executing Process 25% 250 25% 480 20% 224 25%
1912 Monitoring and Controlling 25% 250 25% 480 35% 392 35%
976 Closing Process 15% 150 15% 288 15% 168 15%
6880 TOTAL NUMBER OF CALCULATED PROJECT HOURS: 100% 1000 100% 1920 100% 1120 100%

You are eligible but it is recommended you apply with an additional


1500 hours above the minimum requirement - see below.
43 TOTAL NUMBER OF PROJECT MONTHS*
Bachelor Degree
Level 2
Based on your selected Educational Background you will need:
Minimum three years/36 months unique non-overlapping professional
project management experience during which at least 4,500 hours were
spent leading and directing project tasks
Project Specific Information Example (Do NOT Use This Column) #1 #2 #3
* This spreadsheet does NOT determine if the project months are
overlapping. PMI's online application will perform a running total
of non-overlapping project months.
Experience Narrative

* In the space provided, please summarize the project Enter a description of the project Objective:Deveop a configuration/ Objective: Deveop a software that
management tasks that you managed for this project. management work you performed or commissioning software for Oil and helps technitians in the Oil and Gas
Please limit your description to 500 characters or less. participated on for this project. Use Gas industry technitians. industry to commission field devices.
project management terminology, not Outcome:A desktop and mobile Outcome: A Desktop and Mobile
technical terminology. Be honest and based software. based software application.
specific. The number in the cell below (IN)Developed project charter and Based on market study, a project to
will tell you how many characters you defined high-level scope. develop a device configuration and
have used, but you need to click off the (PL)With fixed budget, I created a commissioning software was initiated
cell for the formula to activate - it is not project plan and schedule. by the Senior Management, and I was
dynamic as you type! (EX)Scrum Master of AGILE project, appointed as the Project Leader.
managed tasks of a 9 member team.
(MC)Conducted Sprint Review
meetings to measure schedule, scope
and quality.
(CL)Project delivery activities, and
documented lessons learned.

Note: The number of characters will appear here. The cell 365 476 344 0
will turn red if it is over 500 characters
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Experience Worksheet


* indicates a required field.

Please identify the project. Please note that your project role is not
necessarily the same as your position title. PMI must have verifiable
information for your contact person's e-mail address and phone number
to be able to approve your application.

NOTE: Enter data in non-colored areas


Project Specific Information #3 #4 #5 #6
* Project Title: OneWiress R100 Wireless Field Interface MiWireless Hardware Development
* Project Started: 8/1/2016 1/1/2017 1/1/2018
Information

* Through: 12/31/2016 12/31/2017 7/31/2018


Specific
Project

Number of calculated project months 5 12 7 0


* Project Role: Project Manager Project Leader Project Leader
(describe if you pick 'Other' above)
* Primary Industry: Communications Manufacturing Manufacturing
(describe if you pick 'Other' above)
Please identify the organization for whom you managed this project.

Organization Details
* Job Title: Project Leader Project Leader Project Leader
Organization Details

* Organization Name: Honeywell Technology Solutions Honeywell Technology Solutions Honeywell Technology Solutions
* Organization Address: Survey No. 115, 11, Rd Number 2, Financ
Survey No. 115, 11, Rd Number 2, Financ
Survey No. 115, 11, Rd Number 2, Financ
(Line 2) Telangana, India Telangana, India Telangana, India
(Line 3) 500034 500035 500036
* City:
State/Province/Territory:
Zip/Postal Code:
* Country:
Organization's Phone Number
Number

Country Code: 91 91 91
Phone
Org's

Area/State/City Code: 40 40 40
* Phone Number: 66543570 66543570 66543570
Number
Phone
Org's
Project Specific Information #3 #4 #5 #6
Extension: 61017 61017 61017
Please identify your primary contact for this project. PMI may contact
this person to verify your work experience.
Organization Contact
* Contact Name: Soumya Dey Soumya Dey Soumya Dey
Organizational

* Contact Relationship: Primary Stakeholder Primary Stakeholder Primary Stakeholder


Information

* Contact E-mail: [Link]@[Link] [Link]@[Link] [Link]@[Link]


Contact

Contact's Phone Number


Country Code: 91 91 91
Area/State/City Code: 40 40 40
* Phone Number: 66543570 66543570 66543570
Extension: 61129 61129 61129
ken down by Please
the wayenter
PMI the
requests
numberthem,
of hours
the most
spent
practical
on each way
of these
to fill out
tasks
thefor
form
thisis to follow these steps:
hours for theproject.
project
urs were used for each
Note: 1 weekof the five section
is limited (process groups)
to 40 hours
estimate what percentage of those hours
Please enter a value between 0 andwere spent performing
9999; Hours musteach beline item requested.
entered in
up to 100% - quarter
the cell hour
colors will automatically
increments. change to assist. Yellow: Total percentage less than 100% - Green:
al percentage greater than 100%

TOTALS Total Number of Project Hours Spent on this Project: 800 100% 1920 100% 1120 0%
688 Initiating Process 80 10% 192 10% 112 0%
1488 Planning Process 120 20% 384 25% 280 0%
1816 Executing Process 200 30% 576 30% 336 0%
1912 Monitoring and Controlling 280 25% 480 25% 280 0%
976 Closing Process 120 15% 288 10% 112 0%
6880 TOTAL NUMBER OF CALCULATED PROJECT HOURS: 800 100% 1920 100% 1120 0%

You are eligible but it is recommended you apply with an additional


1500 hours above the minimum requirement - see below.
43 TOTAL NUMBER OF PROJECT MONTHS*
Bachelor Degree
Level 2
Based on your selected Educational Background you will need:
Minimum three years/36 months unique non-overlapping professional
project management experience during which at least 4,500 hours were
spent leading and directing project tasks
Project Specific Information #3 #4 #5 #6
* This spreadsheet does NOT determine if the project months are
overlapping. PMI's online application will perform a running total
of non-overlapping project months.
Experience Narrative

* In the space provided, please summarize the project


management tasks that you managed for this project.
Please limit your description to 500 characters or less.

Note: The number of characters will appear here. The cell 0 0 0 0


will turn red if it is over 500 characters
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Experience Worksheet


* indicates a required field.

Please identify the project. Please note that your project role is not
necessarily the same as your position title. PMI must have verifiable
information for your contact person's e-mail address and phone number
to be able to approve your application.

NOTE: Enter data in non-colored areas


Project Specific Information #6 #7 #8 #9
* Project Title:
* Project Started:
Information

* Through:
Specific
Project

Number of calculated project months 0 0 0 0


* Project Role:
(describe if you pick 'Other' above)
* Primary Industry:
(describe if you pick 'Other' above)
Please identify the organization for whom you managed this project.

Organization Details
* Job Title:
Organization Details

* Organization Name:
* Organization Address:
(Line 2)
(Line 3)
* City:
State/Province/Territory:
Zip/Postal Code:
* Country:
Organization's Phone Number
Number

Country Code:
Phone
Org's

Area/State/City Code:
* Phone Number:
Number
Phone
Org's
Project Specific Information #6 #7 #8 #9
Extension:
Please identify your primary contact for this project. PMI may contact
this person to verify your work experience.
Organization Contact
* Contact Name:
Organizational

* Contact Relationship:
Information

* Contact E-mail:
Contact

Contact's Phone Number


Country Code:
Area/State/City Code:
* Phone Number:
Extension:
Please enter the number of hours spent on each of these tasks for this
project.
Note: 1 week is limited to 40 hours
Please enter a value between 0 and 9999; Hours must be entered in
quarter hour increments.

TOTALS Total Number of Project Hours Spent on this Project: 0% 0% 0%


688 Initiating Process 0 0% 0 0% 0 0%
1488 Planning Process 0 0% 0 0% 0 0%
1816 Executing Process 0 0% 0 0% 0 0%
1912 Monitoring and Controlling 0 0% 0 0% 0 0%
976 Closing Process 0 0% 0 0% 0 0%
6880 TOTAL NUMBER OF CALCULATED PROJECT HOURS: 0 0% 0 0% 0 0%

You are eligible but it is recommended you apply with an additional


1500 hours above the minimum requirement - see below.
43 TOTAL NUMBER OF PROJECT MONTHS*
Bachelor Degree
Level 2
Based on your selected Educational Background you will need:
Minimum three years/36 months unique non-overlapping professional
project management experience during which at least 4,500 hours were
spent leading and directing project tasks
Project Specific Information #6 #7 #8 #9
* This spreadsheet does NOT determine if the project months are
overlapping. PMI's online application will perform a running total
of non-overlapping project months.
Experience Narrative

* In the space provided, please summarize the project


management tasks that you managed for this project.
Please limit your description to 500 characters or less.

Note: The number of characters will appear here. The cell 0 0 0 0


will turn red if it is over 500 characters
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Experience Worksheet


* indicates a required field.

Please identify the project. Please note that your project role is not
necessarily the same as your position title. PMI must have verifiable
information for your contact person's e-mail address and phone number
to be able to approve your application.

NOTE: Enter data in non-colored areas


Project Specific Information #9 #10 #11 #12
* Project Title:
* Project Started:
Information

* Through:
Specific
Project

Number of calculated project months 0 0 0 0


* Project Role:
(describe if you pick 'Other' above)
* Primary Industry:
(describe if you pick 'Other' above)
Please identify the organization for whom you managed this project.

Organization Details
* Job Title:
Organization Details

* Organization Name:
* Organization Address:
(Line 2)
(Line 3)
* City:
State/Province/Territory:
Zip/Postal Code:
* Country:
Organization's Phone Number
Number

Country Code:
Phone
Org's

Area/State/City Code:
* Phone Number:
Number
Phone
Org's
Project Specific Information #9 #10 #11 #12
Extension:
Please identify your primary contact for this project. PMI may contact
this person to verify your work experience.
Organization Contact
* Contact Name:
Organizational

* Contact Relationship:
Information

* Contact E-mail:
Contact

Contact's Phone Number


Country Code:
Area/State/City Code:
* Phone Number:
Extension:
Please enter the number of hours spent on each of these tasks for this
project.
Note: 1 week is limited to 40 hours
Please enter a value between 0 and 9999; Hours must be entered in
quarter hour increments.

TOTALS Total Number of Project Hours Spent on this Project: 0% 0% 0%


688 Initiating Process 0 0% 0 0% 0 0%
1488 Planning Process 0 0% 0 0% 0 0%
1816 Executing Process 0 0% 0 0% 0 0%
1912 Monitoring and Controlling 0 0% 0 0% 0 0%
976 Closing Process 0 0% 0 0% 0 0%
6880 TOTAL NUMBER OF CALCULATED PROJECT HOURS: 0 0% 0 0% 0 0%

You are eligible but it is recommended you apply with an additional


1500 hours above the minimum requirement - see below.
43 TOTAL NUMBER OF PROJECT MONTHS*
Bachelor Degree
Level 2
Based on your selected Educational Background you will need:
Minimum three years/36 months unique non-overlapping professional
project management experience during which at least 4,500 hours were
spent leading and directing project tasks
Project Specific Information #9 #10 #11 #12
* This spreadsheet does NOT determine if the project months are
overlapping. PMI's online application will perform a running total
of non-overlapping project months.
Experience Narrative

* In the space provided, please summarize the project


management tasks that you managed for this project.
Please limit your description to 500 characters or less.

Note: The number of characters will appear here. The cell 0 0 0 0


will turn red if it is over 500 characters
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Experience Worksheet


* indicates a required field.

Please identify the project. Please note that your project role is not
necessarily the same as your position title. PMI must have verifiable
information for your contact person's e-mail address and phone number
to be able to approve your application.

NOTE: Enter data in non-colored areas


Project Specific Information #12 #13 #14 #15
* Project Title:
* Project Started:
Information

* Through:
Specific
Project

Number of calculated project months 0 0 0 0


* Project Role:
(describe if you pick 'Other' above)
* Primary Industry:
(describe if you pick 'Other' above)
Please identify the organization for whom you managed this project.

Organization Details
* Job Title:
Organization Details

* Organization Name:
* Organization Address:
(Line 2)
(Line 3)
* City:
State/Province/Territory:
Zip/Postal Code:
* Country:
Organization's Phone Number
Number

Country Code:
Phone
Org's

Area/State/City Code:
* Phone Number:
Number
Phone
Org's
Project Specific Information #12 #13 #14 #15
Extension:
Please identify your primary contact for this project. PMI may contact
this person to verify your work experience.
Organization Contact
* Contact Name:
Organizational

* Contact Relationship:
Information

* Contact E-mail:
Contact

Contact's Phone Number


Country Code:
Area/State/City Code:
* Phone Number:
Extension:
Please enter the number of hours spent on each of these tasks for this
project.
Note: 1 week is limited to 40 hours
Please enter a value between 0 and 9999; Hours must be entered in
quarter hour increments.

TOTALS Total Number of Project Hours Spent on this Project: 0% 0% 0%


688 Initiating Process 0 0% 0 0% 0 0%
1488 Planning Process 0 0% 0 0% 0 0%
1816 Executing Process 0 0% 0 0% 0 0%
1912 Monitoring and Controlling 0 0% 0 0% 0 0%
976 Closing Process 0 0% 0 0% 0 0%
6880 TOTAL NUMBER OF CALCULATED PROJECT HOURS: 0 0% 0 0% 0 0%

You are eligible but it is recommended you apply with an additional


1500 hours above the minimum requirement - see below.
43 TOTAL NUMBER OF PROJECT MONTHS*
Bachelor Degree
Level 2
Based on your selected Educational Background you will need:
Minimum three years/36 months unique non-overlapping professional
project management experience during which at least 4,500 hours were
spent leading and directing project tasks
Project Specific Information #12 #13 #14 #15
* This spreadsheet does NOT determine if the project months are
overlapping. PMI's online application will perform a running total
of non-overlapping project months.
Experience Narrative

* In the space provided, please summarize the project


management tasks that you managed for this project.
Please limit your description to 500 characters or less.

Note: The number of characters will appear here. The cell 0 0 0 0


will turn red if it is over 500 characters
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Experience Worksheet


* indicates a required field.

Please identify the project. Please note that your project role is not
necessarily the same as your position title. PMI must have verifiable
information for your contact person's e-mail address and phone number
to be able to approve your application.

NOTE: Enter data in non-colored areas


Project Specific Information #15
* Project Title:
* Project Started:
Information

* Through:
Specific
Project

Number of calculated project months 0


* Project Role:
(describe if you pick 'Other' above)
* Primary Industry:
(describe if you pick 'Other' above)
Please identify the organization for whom you managed this project.

Organization Details
* Job Title:
Organization Details

* Organization Name:
* Organization Address:
(Line 2)
(Line 3)
* City:
State/Province/Territory:
Zip/Postal Code:
* Country:
Organization's Phone Number
Number

Country Code:
Phone
Org's

Area/State/City Code:
* Phone Number:
Number
Phone
Org's
Project Specific Information #15
Extension:
Please identify your primary contact for this project. PMI may contact
this person to verify your work experience.
Organization Contact
* Contact Name:
Organizational

* Contact Relationship:
Information

* Contact E-mail:
Contact

Contact's Phone Number


Country Code:
Area/State/City Code:
* Phone Number:
Extension:
Please enter the number of hours spent on each of these tasks for this
project.
Note: 1 week is limited to 40 hours
Please enter a value between 0 and 9999; Hours must be entered in
quarter hour increments.

TOTALS Total Number of Project Hours Spent on this Project:


688 Initiating Process 0
1488 Planning Process 0
1816 Executing Process 0
1912 Monitoring and Controlling 0
976 Closing Process 0
6880 TOTAL NUMBER OF CALCULATED PROJECT HOURS: 0

You are eligible but it is recommended you apply with an additional


1500 hours above the minimum requirement - see below.
43 TOTAL NUMBER OF PROJECT MONTHS*
Bachelor Degree
Level 2
Based on your selected Educational Background you will need:
Minimum three years/36 months unique non-overlapping professional
project management experience during which at least 4,500 hours were
spent leading and directing project tasks
Project Specific Information #15
* This spreadsheet does NOT determine if the project months are
overlapping. PMI's online application will perform a running total
of non-overlapping project months.
Experience Narrative

* In the space provided, please summarize the project


management tasks that you managed for this project.
Please limit your description to 500 characters or less.

Note: The number of characters will appear here. The cell 0


will turn red if it is over 500 characters
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by:
Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Education Worksheet


* indicates a required field.

Please enter your project management


education information below. Specify the
number of hours that qualify from the course
being documented that are applicable to the
credential you are applying for. Course #1 Course #2
* Course Title:
* Institution Name:
Start date must be before end date.
* Course Start Date: (i.e. 1/3/2009)
Date must be between 1/1/1900 and today
* Course End Date: (i.e. 1/3/2009)
Please enter hours for this education. Hours
must be between 1.00 and 1000. Hours
must be entered in quarter hour increments.

* Hours:
Please enter qualifying hours for this
education experience. Hours must be
greater than 0. Hours must be entered in
quarter hour increments. NOTE: Qualifying
TOTAL hours are hours that are applicable to this
NUMBER credential only.
HOURS
0 * Qualifying Hours:
35 Add'l Hrs Req'd
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by:
Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Education Worksheet


* indicates a required field.

Please enter your project management


education information below. Specify the
number of hours that qualify from the course
being documented that are applicable to the
credential you are applying for. Course #3 Course #4
* Course Title:
* Institution Name:
Start date must be before end date.
* Course Start Date: (i.e. 1/3/2009)
Date must be between 1/1/1900 and today
* Course End Date: (i.e. 1/3/2009)
Please enter hours for this education. Hours
must be between 1.00 and 1000. Hours
must be entered in quarter hour increments.

* Hours:
Please enter qualifying hours for this
education experience. Hours must be
greater than 0. Hours must be entered in
quarter hour increments. NOTE: Qualifying
TOTAL hours are hours that are applicable to this
NUMBER credential only.
HOURS
0 * Qualifying Hours:
35 Add'l Hrs Req'd
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by:
Integrated Process Developers, Inc.
[Link] | 734.207.5470

Project Management Education Worksheet


* indicates a required field.

Please enter your project management


education information below. Specify the
number of hours that qualify from the course
being documented that are applicable to the
credential you are applying for. Course #5 Course #6
* Course Title:
* Institution Name:
Start date must be before end date.
* Course Start Date: (i.e. 1/3/2009)
Date must be between 1/1/1900 and today
* Course End Date: (i.e. 1/3/2009)
Please enter hours for this education. Hours
must be between 1.00 and 1000. Hours
must be entered in quarter hour increments.

* Hours:
Please enter qualifying hours for this
education experience. Hours must be
greater than 0. Hours must be entered in
quarter hour increments. NOTE: Qualifying
TOTAL hours are hours that are applicable to this
NUMBER credential only.
HOURS
0 * Qualifying Hours:
35 Add'l Hrs Req'd
PMP Exam Application Assistance Spreadsheet
Spreadsheet Provided by: Integrated Process Developers, Inc.
[Link] | 734.207.5470

The following is the agreement that you will 'sign' when you click the Submit button.

Please review the Agreement and check "I Agree".

PMI Certification Application/Renewal Agreement


By clicking the "I Agree" box below, you represent and agree to the following terms, conditions and releases
related to PMI's Certification Programs:
1) I agree to satisfy and conduct myself in accordance with all PMI certification program policies and
requirements, including this Agreement and the PMI Code of Ethics and Professional Conduct (as they may be
revised from time to time); and I shall maintain confidentiality of PMI examination questions and content.
Furthermore, I agree not to discuss, debrief or disclose, in any manner, the specific content of PMI examination
questions and answers, to any individual.

2) I agree that I shall at all times act in a truthful and honest manner and provide truthful and accurate
information to PMI. I agree that any intentional or unintentional failure to provide true, timely and complete
responses to questions in this application or renewal form may lead to further investigation and/or sanctions by
PMI. I also agree to promptly report to PMI any possible violations of the terms of this Agreement or the PMI
Code of Ethics and Professional Conduct by PMI members or by persons who have applied for a PMI
credential or have been awarded a credential by PMI.

3) I agree to notify the PMI Certification Department in a timely manner of changes concerning the information I
have provided, including my current address and telephone number.
4) I have reported, and will continue to report, to the PMI Certification Department, within sixty (60) days of
occurrence, any matters, proceedings, lawsuits, settlements and/or other agreements, administrative agency
actions, or organizational actions relating to my profession or occupation, including all complaints relating to my
professional activities as a project management practitioner, and matters or proceedings involving, but not
limited to certification, credentialing, malpractice, disciplinary ethics or similar matters. I also agree to promptly
report, within sixty (60) days of occurrence, any felony criminal charges, convictions, or plea agreements or
other criminal charges, convictions, or plea agreements relating to acts of dishonesty or unethical conduct.

5) I agree that if my compliance with any of the terms of this agreement requires or includes an explanation and
supporting documents, I will provide a complete and accurate explanation and true copies of the materials to
the PMI Certification Department with this application.
6) I agree that the PMI Certification Department has the right to communicate with any person, government
agency or organization to review or confirm the information in this application or any other information related to
my application for PMI credentialing. Further, I agree to and authorize the release of any information requested
by the PMI Certification Department for such review and confirmation.
7) I agree that the PMI credential status does not imply licensure, registration or government authorization to
practice project management or to engage in related activities.
8) I agree that all materials that I submit to the PMI Certification Department become the property of the PMI
Certification Department, and that the PMI Certification Department is not required to return any of these
materials to me.
9) I agree that upon achieving the PMI credential, my name may be posted on the PMI website as part of an
Online Registry to be created and maintained by PMI.
10) I agree that information related to my participation in the PMI certification process may be used in an
anonymous manner for research purposes only.
11) I agree that all disputes relating in any way to my application for a PMI credential and/or my involvement
generally in a PMI certification program, will be resolved solely and exclusively by means of PMI Certification
Department policies, procedures and rules, including the Appeals Process.
12) PMI reserves the right to suspend or revoke the credential of any individual who is determined to have
failed to uphold, or otherwise breached this Agreement, or committed a violation of the PMI Code of Ethics and
Professional Conduct.
13) I release and indemnify PMI and the PMI Certification Department from all liability and claims that may arise
out of, or be related to, my project management and related activities.
14) I hereby release, discharge and indemnify PMI, its directors, officers, members, examiners, employees,
attorneys, representatives, agents and the PMI Certification Department from any actions, suits, obligations,
damages, claims or demands arising out of or in connection with this application, the scores given with respect
to the examination or any other action taken by PMI with regard to credentialing, testing and professional
development including, but not limited to, all actions related to ethics matters and cases. I understand and
agree that any decision concerning my qualification for any credential, as well as any decisions regarding my
continuing qualification for any credential and my compliance with the PMI Code of Ethics and Professional
Conduct, rest within the sole and exclusive discretion of PMI, and that these decisions are final.

This Agreement may be updated or revised from time to time. For the most current information, please refer to
the online version of the credential handbooks located in the Certification Program section of PMI's website at
[Link].

I agree*
* indicates a required field.
* A brief, one-sentence project objective
* Project deliverables summarized by process areas (Initiating, Planning, Executing, Monitoring and Controlling, and Closing - a
* A brief, one-sentence project outcome

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