Maintenance Work Management Certificate Application

1 Start 2 Payment 3 Complete

Welcome
This form is for individuals who have recently completed the requirements for Modules 1 & 6 of the MMP Program to apply for PEMAC's "Maintenance Work Management Certificate". If you are a member we recommend logging in and coming back to the form as you'll find it pre-filled.

Welcome

This form is for individuals who have recently completed the requirements for Modules 1 & 6 of the MMP Program to apply for PEMAC's "Maintenance Work Management Certificate".

If you are a member we recommend logging in and coming back to the form as you'll find it pre-filled.

Step 1 - Basic Information

If you would like to add a middle initial please add it to the "First Name" field.

First Name *

Last Name *

Module 6 Teaching Institution

Step 2 - Manager Letter Options

Would you like a letter sent to your manager? *

We would be happy to send a letter to your manager notifying them of your accomplishment. If you select "yes" please provide further information, below.

Yes

Manager First Name *

Manager Last Name *

Manager email address *

Step 3 - Email Your Transcripts.

Send them now or after you've completed this form.

admin@pemac.org

Step 4 - Make sure your Primary contact information is correct.

PEMAC Members: You can also view and update your address information under "My PEMAC Profile Info" in the top left of the screen when you are logged in.

Email *

Street Address *

City *

Postal Code *

Country *

State/Province *

Phone Number

Did you enrol in a course to qualify for this certificate? *

Yes, I enrolled specifically to get this certificate.

No, I had other reasons to enrol. The certificate will be a bonus.

Contribution Amount