b. Facilitating a new Course, Workshop, or Seminar. Credit is only granted for the first time the course, workshop or seminar is facilitated for a non-post secondary institution, workplace, or client. Maximum 12 hours per day of course duration (ie 1 day=12, 2 day=24, etc) Maximum 36 hours per course. Title: Organization: Date: New/First Time? (yes or no) Duration of course/seminar: Describe the Program in 1-2 sentences: (copy above information for each activity you are claiming) Number of Hours: Number of Hours Claimed: c. Keynote Speaker/Guest Lecture at a national, provincial or regional conference. Credit is only granted for the first time the presentation is given. Maximum 8 hours per event. Presentation Organization: Date of keynote: New/First Time? (yes or no) Describe the keynote/lecture in 1-2 sentences: (copy above information for each activity you are claiming) Number of Hours: Number of Hours Claimed: d. Member at a national, provincial, or regional conference/seminar. Maximum 1 hour per Title: Organization: Date of panel: Duration: Describe the panel topic in 1-2 sentences: (copy information for each activity you are claiming) Number of Hours: Number of Claimed: Leadership – Mentoring/Leading Others e. Mentoring Acting as a one-on-one mentor, typically outside job duties (cannot include direct reports). There must be a signed agreement between mentor and mentee as part of a formal mentoring relationship. Maximum 25 hours per reporting period. Name of Mentee (optional): Duration of Program (start and end dates – month/year): Frequency of Meetings: Length of Meetings: Examples of Mentoring Activities: (copy above information for each activity you are claiming)(each mentoring relationship must be listed separately) Number of Hours: Number of Hours Claimed: f. Providing Guidance/Coaching an HR Practicum Student during a formal co-op, internship, or work placement where written appraisal is provided along with regular feedback. Maximum 25 per reporting period. Name of Student (optional): Duration of Program (start and end dates – month/year): Frequency of Meetings: Length of Meetings: Examples of Mentoring Activities: Number of Hours: Number of Hours Claimed:
(copy information for each activity you are claiming)(each student relationship must be listed separately) Leadership – Personal Development g. Participating in an Executive Coaching Program or Formal Mentoring Program as a Mentee must be a formal program with a service contract with a qualified professional coach or a signed mentor/mentee agreement. Maximum 15 hours per reporting period. Name of Mentor or Name of Executive Coaching Program: Start Date of Program (month and year): End Date of Program (month and year): Frequency of Meetings: Length of Meetings: Examples of Executive Coaching or Mentoring Activities: (copy above information for each activity you are claiming)(each relationship must be listed separately) Number of Hours: Number of Hours Claimed: Total Hours Claimed for 2. Leadership: Mentoring, Teaching, and Facilitation (please add all points claimed in this section): 3. Participation – Volunteer or Community Involvement (Section maximum: 70 hours) a. Board Service as Chair/Co-Chair Sitting on a Board of Directors for a registered non-profit or charitable organization. Must be able to demonstrate responsibilities for meeting organizational objectives, completing project work and/or leading sub-committees. Maximum 20 hours per year per Board. Start Date (month and year): End Date (month and year): Title: Organization: Describe your role and responsibilities: (copy above information for each activity you are claiming) Number of Hours: Number of Hours Claimed: b. Service as Board Member Sitting on a Board of Directors for a registered non-profit or charitable organization. Must be able to demonstrate responsibilities for completing project work and/or leading sub-committees. Maximum 15 hours per year per Board. Start Date (month and year): End Date (month and year): Title: Organization: Describe your role and responsibilities: (copy above information for each activity you are claiming)(if more than one position, must list each individually) Number of Hours: Number of Hours Claimed: c. Committee/Task Force – Chair/Co-Chair For a registered non-profit or charitable organization. Must be able to demonstrate responsibilities for completing project work and/or leading sub-committees. Maximum 15 per year per committee. Start Date (month and year): End Date (month and year): Title: Organization: Describe your role and responsibilities: Number of Hours: Number of Hours Claimed:
(copy above information for each activity you are claiming) d. Active Committee Membership in a non-profit or charitable organization. Must be able to demonstrate responsibilities for completing project work and/or leading sub-committees. Maximum 10 hours per year per committee. Start Date (month and year): End Date (month and year): Title: Organization: Describe your role and responsibilities: (copy above information for each activity you are claiming) Number of Hours: Number of Hours Claimed: Total Hours Claimed for 3. Participation – Volunteer or Community Involvement (please add all points claimed in this section): 4. Learning – Formal and Informal (Section maximum: 70 hours) Learning – Formal Activities a. University, College and Technical Institute – undergraduate and graduate credit coursework. Passing grade required (transcript will be required if audited). Maximum 30 hours per half credit course/one semester (based on instructional hours) Date: Title of Course: Organization: Duration (# instruction hours): (copy above information for each activity you are claiming. This includes individual courses in an overall program such as an MBA, courses must be listed individually with the above noted information) Number of Hours: Number of Hours Claimed: Learning – Formal Activities b. Non-Credit Courses – attendance at courses that may lead to a certificate. Maximum 15 hours per course. (does not include attendance certificate only courses) Date: Title of Course: Organization: Duration (# instruction hours): (copy above information for each activity you are claiming.) Number of Hours: Number of Hours Claimed: Learning - Informal Activities c. Seminars/Workshops/Conferences/Roundtables online or in person, offered internally or externally. This includes seminars, and breakfast/lunch/dinner events with educational components. Maximum 8 per day. Date: Title of Session: Organization: Duration (start and end times): (copy above information for each activity you are claiming)(You must also include the details above for CPHR PEI sessions, as the volunteer peer reviewers may not be familiar with the sessions) Number of Hours: Number of Hours Claimed:
c. Co-Authoring or Editing a Major Work Maximum 25 hours per project. Start Date (month and year): End Date (month and year): Title: Organization: Brief description (1-2 sentences): Number of Hours: Number of Hours Claimed: d. Acceptance of Master’s Thesis or Graduating Paper at a Master’s Level Must be in HR or a business related subject. Maximum 25 hours per thesis. Start and End Date (Month and year): Organization: Brief description (1-2 sentences): Number of Hours: Number of Hours Claimed: e. Acceptance of Doctoral Dissertation in an area directly related to HR or a business related subject. Maximum 50 hours per dissertation. Start and end Date (month and year): Title: Organization: Brief description (1-2 sentences): Number of Hours: Number of Hours Claimed: f. HR or Business Related Book Review, Editorial or Article published. Maximum 5 hours per independent article. Date (month and year): Title: Organization: Brief description (1-2 sentences): Number of Hours: Number of Hours Claimed: Total Hours Claimed for 5. Research & Publication (please add all points claimed in this section): Hours Claimed – total CPD Log (add sections 1 to 5):