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Project Management Institute Registered Education Provider

To receive Professional Development Units for this course please:

1. Print and complete two copies of this form. One form must be returned to StaffKit at the address below. The second copy must be retained in your personal PDP Folder as evidence of your participation.

2. Print your course scores. You must pass this course with 70% or better to receive credit.

3. Print and complete a course evaluation.

Return a copy of this application, your course scores and course evaluation to:

PDU Credit
c/o StaffKit
851 W. Third Ave.
Bldg. #3
Columbus, OH 43212

Mastery Requirement
To receive continuing education credit for a course, you must score 70% or better for each unit of the course, either in the course's skill assessment or within the course.

Application Information
Please print. An asterisk (*) indicates required information.

Name: *Last:_________________________ *First:_______________ MI:____

*Street Address:__________________________________________________

*City:_________________________ State/Province: _____ *Zip Code:_______

*Daytime Phone Number: _________________

Activity Title: Project Management - Project Management Overview

Program Number: 1602-proj01

Name of instructor: StaffKit.com, Inc.

*Date completed: _____________________

Number of PDUs awarded: 2.0

StaffKit Registration Number: 1602