Analytics Magazine Analytics Magazine, January/February 2014 | Page 112

CAP® Certification Application and Agreement 1 2 3 I agree to comply with and conduct myself in accordance with all INFORMS certification program policies and requirements. In addition, I agree not to discuss, debrief, or disclose, in any manner, the specific content of INFORMS examination questions and answers to any individual. I agree to notify INFORMS in a timely manner regarding changes concerning the information provided, including my current name, address, email address, and telephone number. I agree that INFORMS has the right to communicate with any person, government agency, or organization to review or confirm any of the information submitted in conjunction with my application for certification. Furthermore, I agree to and authorize the release of any information requested by INFORMS for such review and confirmation. 4 I agree that all materials that I submit to INFORMS become the property of INFORMS and that INFORMS is not required to return any of these materials to me. 5 I agree that upon achieving certification status, my name may be posted on the INFORMS certification website as part of an online registry to be created and maintained by INFORMS. 6 I agree that all disputes relating to my application or certification status will be resolved solely and exclusively in accordance with INFORMS certification policies, procedures, and appeals processes. 7 INFORMS reserves the right to suspend or revoke the certification of any individual who is determined to have failed to uphold or otherwise breached this agreement. 8 I agree to return my certificate to INFORMS if for any reason I fail to maintain certification status or if my certificate is revoked for cause. 9 I release and indemnify INFORMS from all liability and claims that may arise related to my analytics and related activities. 10 I hereby release, discharge and indemnify INFORMS, its directors, officers, members, staff, and representatives/agents from any actions, suits, obligations, damages, claims, or any other action taken in connection with this application and my examination. _____ I have read and understand all of the policies and procedures described in the Candidate Handbook. _____ I have read and accept the terms and responsibilities outlined in the INFORMS Certification Application and Agreement. _____ I have read, understand, and agree to the policies and procedures described in the CAP® Code of Ethics. _____ I declare that all of the information I have provided is accurate and true. Furthermore, I understand that any misrepresentation or incorrect information provided to INFORMS can result in disciplinary action, up to and including the suspension of my eligibility for certification. Name (please print) Signature Date ®