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Personal Data:

Name *

Mobile Number: *

P. O. Box: *

Current Job Title: *

Work Phone: *

Zip Code: *

Address: *

E-mail Address: *

Company Name: *

Website: *

City, Country: *

Are you a member of IMC Jordan? *

Are you a full member of IMC Jordan? *

Please answer the following questions. The facts surrounding any question to which you answer (YES) should be explained in detail:

Are you presently charged with, or have you ever been convicted or found guilty of any felony or misdemeanor directly relating to your management consulting practice? *

Are you presently or have you during the past five years been the subject of any civil legal action directly relating to your management consulting practice? *

Are you presently, or have you during the past five years, been the subject of a consumer complaint filed with any consumer protection agency? *

Are you presently, or have you during the last five years been the subject of any disciplinary action by a management consulting professional association? *

Higher Education:

Please submit documentation to verify degree(s) earned. Acceptable documentation includes a photocopy of your degree, a final transcript, or official verification from your college.

University

Specialization

Degree *

Date

University

Specialization

Degree

Date

University

Specialization

Degree

Date

University

Specialization

Degree

Date

Professional Qualifications:

Are you presently, or have you during the past five years, been the subject of a consumer complaint filed with any consumer protection agency? *

If Yes , list city and date:

City:

Date

Have you attended an IMC Annual Conference? *

If Yes , list city and date:

City:

Date

Standards of Independence Self-Attestation:

Is the defined purpose of your business or profession is the provision of advice or assistance about a process of management to clients with management responsibilities? *

Are you either a solo practitioner of management consulting, or a member of a firm, group or division specifically charged with providing management consulting services? *

Is a substantial objective of your position to promote, provide technical support for, or sell the non-management consulting commercial interests of your employer, parent company or any affiliated entity? *

Are you or the management of your consulting practice free to select those consulting assignments you will accept; to refuse, on professional grounds, to accept a consulting assignment; and, to resign from an assignment for ethical or other professional reasons? *

Are your clients free to select the consultants they engage for an assignment; to reject a proposal by your consulting practice; and, to terminate an engagement with you on performance grounds? *

Before beginning a consulting assignment, do you and your client reach a mutual understanding as to the terms of the engagement? *

During conducting a consulting assignment, are you free to exercise your professional judgment without influence or interference from the non-consulting interests of your employer, parent company or affiliated entities? *

Please upload the following documents:

Latest CV (to include major achievements)
ID Card
Three CMC Engagement Summaries
Educational Certificates
Professional Certificates.

Choose File

CMC Application Form

Personal Data:

Higher Education:

Professional Qualifications:

Please upload the following documents: