OPMAB Member Application Form

Oregon Project Management Advisory Board Member Application Form
Please complete all sections of the following form to be considered for membership with the Oregon Project Management Advisory Board.
I. Personal Data:

Tell us about yourself
Full Name :*

First NameLast Name
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be sent
Agency/Employer Name :*
Agency/Employer Location (City):*
II. Professional Information:
Number of years working in State government:*
Number of years working in Project Management:*
Current position title:*
State employee classification:*
https://www.oregon.gov/das/HR/Pages/cc.aspx
Are you currently a full-time Oregon state employee?*

YesNo
Please identify any related certifications you currently hold:*

Project Management Professional (PMI)Oregon Project Management AssociateCertified Associate in Project Management (PMI)Program Management Professional (PMI)Other
Managerial approval and agency endorsement are required to serve as a member of the Board.
Manager's Name:*
Manager's Email*
example@example.com
III. Application Questions:
Can you commit to 4-5 hours per month to attend meetings, events, and/or work on assigned deliverables from the work plan?*

YesNo
Are you in a job classification with project management responsibilities?*

YesNo
What percentage of your time in your position is dedicated to project management responsibilities?*
Board members need to serve as a liaison and be authorized to speak on behalf of their agency or discipline within their agency in respect to project/portfolio management standards and principles. Please explain how you have the endorsement from your agency leadership:*

0/500
Please tell us why you are interested in being a member of the Oregon Project Management Advisory Board:*

0/500
Please explain your role or experience in project, program, or portfolio management, or in business analysis:*

0/500
Please provide examples of how you demonstrate a “passion for the profession”:*

0/500
What do you hope to accomplish by being a member of the Oregon Project Management Advisory Board? *

0/500
IV. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Should be Empty:

Oregon Project Management Advisory Board Member Application Form

I. Personal Data:

II. Professional Information:

III. Application Questions:

IV. Applicant's E-Signature