Professional Experience Form Examples

The following examples are provided to guide eligibility applicants in determining how to write about their experiences. These examples are actual forms (proprietary information blacked out) submitted by CPIP candidates who were deemed eligible. Refer to the CPIP Eligibility Application Handbook, Section VI-D for details regarding the professional experience submission and assessment.

1. Competency 2 - Leadership and Professionalism, Exemplar III - Communications and Interpersonal Behaviors

2. Competency 3 - Integration/Innovation/Change Advocacy, Exemplar II - Cross-Functional Integration

3. Competency 4 - Quality and Continuous Improvement Focus, Exemplar I - Continuous Improvement Mindset