Analytics Magazine Analytics Magazine, January/February 2014 | Page 117

Recognized Analytics Continuing Education Provider Form To be recognized by INFORMS for training/education in the analytics profession, complete the application below and return it with appropriate fee(s) and items listed below. The completed form must be returned to INFORMS by the contact in one of the following methods: 1. The preferred method is to scan the completed form and send it as PDF to the INFORMS Certification Manager at certification@mail.informs.org. 2. Return the completed signed form to INFORMS by postal mail. Please form and attachments to: Certification Manager INFORMS 5521 Research Park Drive, Suite 200 Catonsville, Maryland 21228 USA 3. Or you may fax form to Louise Wehrle at 443.757.3515. As part of the application, provider must provide examples of: Certificate granted to student Brochure/website copy/advertising of courses Registration requirements Refund policy Instructor/author qualifications Facilities management policy Org chart of organization TM For further information on the CAP™ credential, please visit www.INFORMS.org/certification Please PRINT the following information. Name of Organization Address of Organization Point of Contact Name Point of Contact Phone number Point of Contact Email Number of Courses Years of Operation Names of Courses Description of Courses Instructor(s) Name & Qualifications How did you hear about listing/CAP™/INFORMS? member colleague website contact from INFORMS Fees: $300 non-refundable application fee pe