HomeMy WebLinkAbout307015 1/12/17 q�% ti CITY OF CARMEL, INDIANA VENDOR: 360470
ONE CIVIC SQUARE NATIONAL RECREATION & PARK ASSOCHECK AMOUNT: S......**65.00*
=q CARMEL, INDIANA 46032 22377 BELMONT RIDGE ROAD CHECK NUMBER: 307015
��i Foxe ASHBURN VA 20148 CHECK DATE: 01/12/17
DEPARTMENT ACCOUNT PO NUM R INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341999 1/4/16 65.00 OTHER PROFESSIONAL FE
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R PA CPRP Renewal
National Recreation
and Park Association Application .
Ashburn, VA aoi�8 �S 16
Title(e.g.Mr./Mrs.): For• First Name: MI:L Last Name: ev
Address(Work/Home): }
City: Carmtj I State: 1N Zip: 4too-14
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Home Phone: 31'7- too'i- oallS I Work Phone: 3t1- 5'13- 523%
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Email address: NRPA member?tYes-Membership# i49i1tD14 t No
ERTIFICATION FEE INFORMATION
Renewal Application Fee txarn Fee If needed TOTAL
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NRPA Member:$65.00 PR ,Exam$195.00 Application Fee _
Non-NRPA Member:$75.00 • ly if you have not obtained Exam Fee('if needed')+
Current Student:$50.00 required 2.0 CEUs' Total Due:_ X05.to
SAVE $5 by filling out your CPP Renewal Application Online through the Online Certification at
www.nrpa.0�/Cprp/cprp
Please melte checks payable to:National Recreation and Park A ociation(NRPA)
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ocheck Credit Pard: OVisa OMasterC d U-\merican Fxpress ODiscom
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Credit Card Number.
Expiration Date:
Name on Credit Card: -----^----._,�-_--- CV V: _
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Billing Address: — --- -- — ----_. ... — --- -------
201 11
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CONTINU114G EDUCATION UNIT(CEU) REQUIREMENTS
Continuation of certification shall be continge t upon completion of a minimum of two(2.0)Continuing Education Units or
equivalent academic course work from an act Edited college or university in each 24-month period. Note change:Please do not
send official documentation of continuing edu cation to NRPA unless you are requested to do so as part of the audit process. The
second page of this application must be comp eted and submitted as proof of your CEU requirement completion. Upon receipt of
the recertification application,NRPA will select a random percentage of applications for audit. Certificants who are selected for
audit will be directly notified by NRPA. Certifi nts will have 30 days to submit their continuing education materials for the audit
process. Failure to submit the continuing education materials in a timely manner will result in a denial for recertification. If you do
not have your required 2.0 CEUs you must re-tale the current CPRP exam within your certification cycle.
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CONTINU D PROFESSIONAL DEVELOPMENT SUMMARY
(Must be comp) ted and submitted for application to be processed)
All CELls claimed for renewal must have occ red within your current 2-year certification cycle. Certificants must have official
documentation to support CEUs claimed bel w that include the following information:certificanes name,program dates,times and
the number of CEUs or college credits acqui d(these forms do not need to be submitted unless the certificant is selected for an
audit).
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TRACK YOUR CEUs ONLINE-Visit the N A Online Certification Center(at www.nrpa.org/certification)to begin tracking your
CEUs for your next CPRP renewal date.
Program Program Program Title CEOs/College Credits
Date(s) Location Acquired
S e2 A�wc h yvw-\
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AGREEMENT TO ALL TERMS
AGREEMENT TO ALL TERMS—I certify that al the information given in this application is true and correct to the best of my
knowledge. I further understand that falser presentation relative to any information will provide the basis for withdrawal of
certification. I have read,understood and a ee to comply with the CPRP/CPRE Policies and Procedures. I authorize NRPA and the
National Certification Board to release my cc itact information and current certification status to appropriate park and recreation
leadership,the me ' n e neral ubli .
Signature Date
-2-
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Page 1 of 5
Find Information by Topic L ogout Donate Join
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NationalNRPA Recreation
and Park Association
Welcome Kurtis Baumgartner
EE MENU Search
CEU Entry
Please use the area below to docui ient any CEUs not obtained from NRPA during your 2 year
certification cycle.CEUs may be tri cked at any time within your certification cycle however professionals
wilt not be presented with the opti n to renew your certification until six months prior to their expiration
date and only if 2.0 CEUs are doc ented.
NRPA will select a random percent ge of applications for audit.Also,if CEUs are entered outside of the 2
year certification cycle the applicat on will automatically be pulled for audit.Professionals must have
official documentation to support CEUs claimed below that include the following information:
professional's name,program dates,and the number of CEUs.
For college credit CEU conversion Cick here.
Current Credits(Not an Official Tra script)
Date Location Title #CEUs Knowledge Area
9/17/2015 Las Vegas,NV Creati a Culture 0.10
of Incl ion
9/16/2015 Las Vegas,NV Detivei ng Your 0.00
TED Ta k:How To
Speak o People
Listen j
9/15/2015 Las Vegas,NV custon er Service 0.10
Boot C mp:Back
To The 3asics For
Profes onals
9/15/2015 Las Vegas,NV The Th ee is of 0.20
Succes
http://apps.nrpa.org/CPRPRenew/ EU.aspx 1/3/2017
Page 2 of 5
9/16/2015 Las Vegas,NV Natior at Economic 0.10
Impac of Parks
and R4 creation
9/16/2015 Las Vegas,NV If You ona€TM't 0.10
Feed t ie
Super isors,They
Eat the Staff
10/7/2016 St.Louis,MO Count g What 0.10
Coun :Using
Data M Drive Real
Changi
10/5/2016 St.Louis,MO Prevei it the Next 0.10
Laws
Unde Land Why
Peopl Sue
10/5/2016 St Louis,MO Busin 0.10
Adver rRec
res in
Parks
10/6/2016 St Louis,MO CAP 0.10
Accr itation:You
Can D6 Itl
10/5/2016 St.Louis,MO Those�Vho Tell 0.10
the St ries Rule
the ld
4/18/2016 Bloomington, Tran rmational 0.30 Programming
Indiana Leade hip Delete
4/18/2016 Bloomington, Risky usiness: 0.30 Operations
Indiana How M manage it Delete
4/19/2016 Bloomington, Manal ing Change 0.30 Operations
Indiana throui i Job Delete
Progrt isions&
Succe Sion Planni
4/20/2016 Bloomington, Ultim 'te 0.30 Programming
Indiana Programming Delete
Portfc Jo Analysis
4/19/2016 Bloomington, Benefts are 0.30
Indiana Endle s Now What Delete
i
http://apps.nrpa.org/CPRPRenew/ EU.aspx 1/3/2017
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Page 3 of 5
Total Earned 2.60
Required for Renewal 2.00
Remaining Credits to Earn 0.00
Renew My CPRP
If you have credits to enter, please Ido so below.Your total above will update.You can enter up to five
programs at a time.Once you hit s ve you will be able to enter more. If you attended a multi-day event
please only type in the first date o the event.
Date Location Title #CE s* Knowledge Area
(mm/ddNM) (optional)
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*#CEU's:Please enter the number of C EUs or College Credits converted
to CEUs.Round CEU's to the nearest t nth. Save
Return To Certification Center
http://apps.nrpa.org/CPRPRenew CEU.aspx 1/3/2017