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Please complete the Application Form, then press submit,
or print a copy and mail to address at bottom of page.
Thank You! 

 

Application Type?

First Name: 

Last Name: 

CPM?

Title: 

Agency/Organization:       

Mailing Address: 

City:       State: 

Zip Code: 

Work Phone: 

FAX: 

Email: 

Home Phone:

Cell Phone:

Highest CPM Level Completed:

Certification Obtained From:

Certification Year:

Are you currently a Certified Public Manager? 

Date Certified: 

Referred By:

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MEMBERSHIP FEE SCHEDULE

  • ASSOCIATE*: $50 Annually (Completion of Foundation, CPM Level III, or higher, but without CPM status)

  • MEMBER: $50.00 Annually (CPM status)

Please make checks payable to the Arizona Society of Certified Public Managers, Inc. (ASCPM).  Membership Applications will not be valid until payment in full is received by the Society.

Please Include verification of the Foundation Program, latest CPM course completion, or your CPM Certification with your check.

Make Checks Payable to:

Arizona Society of Certified Public Managers, Inc.

Send Checks and application to:

ASCPM

P. O. Box 33744

Phoenix, AZ  85067-3744 

* - Associate Members do not have Society voting rights and may not hold office.