Analytics Magazine Analytics Magazine, January/February 2014 | Page 110

CAP® Certification Application and Agreement Please PRINT the following information. 1 Personal Information ® INFORMS Membership ID # (if applicable) First name Middle initial Last name Job title Company/organization name Address work City office Non-INFORMS mail lists Non-INFORMS email lists INFORMS email home State Phone Please do not include me in: Zip/Postal home Country cell Primary Employment Classification Academic Government Business Consulting Retired, underemployed, & other E-mail I prefer to be excluded from the online certification registry. 2 Education Institution: _________________________________ Highest degree attained: (circle one) PhD Master’s Bachelor’s HS Year graduated: _________ Field of Study Analytics Operations research Management science Statistics Engineering Logistics Business (and directly related areas such as marketing, finance, etc.) Reason for Applying What is your reason for applying for the CAP® certification? Professional development Employer suggestion Employer requirement Other (please specify) __________________________________________ Applied or theoretical mathematics Information technology Computer science Decision science Marketing science Data Science Other (please specify) ___________________________________________ Note: At least seven (7) years of analytics-related work experience is required for individuals holding a BS/BA degree or higher in an education area unrelated to analytics. All applicants are required to submit either a photo copy or an official version of their final college or university transcript indicating the date of graduation and degree title. The official transcript or photocopy must be submitted to INFORMS with your application form to determine your eligibility for certification. Final certification status will not be granted until all application documents including transcripts, are received.