(Staff use only)
1st Review 2nd Review 3rd Review
Accept - CEM AEM Send special ltr.
Send back for re-submission
Reject
Candidate
Review Worksheet
Candidate Name______
CEM® Re-submission
AEM Upgrade to CEM®
Acceptable?
YESNO
Signed Cover Sheet / Candidate Signature Page
Acceptable?
YESNO
Work History / Experience
3 years
2 years with baccalaureate degree or higher in Disaster/Emergency Management
2 additional years work experience for each year of college credit lacking a baccalaureate degree (for International, Asia, and Canadian candidates)
Additional work experience recommended
Further documentation required (explain/list)
Comments:
Acceptable?
YESNO
Experience (Experience must provide description and proof)
Full-scale exercise
Two separate functional exercises
Actual disaster/emergency management participation in disaster.
Major Public Event
Candidate role and comments:
Acceptable?
YESNO
References (Three individual signed reference letters included)
Did you make a verification phone call? Yes No
Comments:
Acceptable?
YESNO
Education
Not Applicable (for AEM applicants)
Not Applicable (for International, Asia and Canadian CEM applicants).
Comments:
Commissioner's Name:
(date of review)
Please list in each box below all the accepted courses, so the candidate may be given specific instructions if necessary on what to re-submit.
Acceptable?
YESNO
Emergency Management Training
Course title / Acceptable hours1.
2.
3.
4.
5.
6.
TOTAL HOURS ACCEPTABLE
Explain why the courses/hours are unacceptable which are not included above:
Acceptable?
YESNO
General Management Training
Course title / Acceptable hours1.
2.
3.
4.
5.
6.
TOTAL HOURS ACCEPTABLE
Explain why the courses/hours are unacceptable which are not included above:
Please check off either yes or no for each submission made; leave blank if a submission was not made in an area.
Acceptable?
YESNO
Professional Contributions (Six "yes'es" must be checked below.)
A. Membership
B. Professional Conference
C. Service Role (cannot be part of normal job duties)
D. Leadership Role (cannot be part of normal job duties)
E. Special Assignment
F. Speaking
G. Teaching
H. Course Development
I. Publications
J. Audio-Visual and Interactive Products
K. Awards or Special Recognition
L. State/Province Certification
M. Legislative Contact
N. Conducting Research
O. Other
If any contributions were not acceptable, please describe reasons why:
Acceptable?
YESNO
Management Essay (Must earn 18 out of 24 possible points.)
Design Elements / Yes / No1 / Identification of the problem.
Not just a re-statement of the scenario.
2 / Identification of the objective.
Specific points or desired outcomes.
3 / Description of necessary actions.
Tasks or steps necessary to meet the objective(s).
4 / Description of intended outcome.
What will be reached, not a re-statement of the objective(s).
5 / Description of human resources.
What people are necessary to meet the objective(s), who or what groups.
6 / Description of material resources.
What technical guidance is used, what things must be used.
Total points (6 max)
KSA / Knowledge and Abilities of disaster/emergency management and written communication Skills / Good
2 / Fair
1 / Not Covered
0
1 / Demonstrated ability to develop a solution for the stated problem.
2 / Demonstrated knowledge of the Prevention phase of disaster/emergency management and activities.
3 / Demonstrated knowledge of the Mitigation phase of disaster/emergency management and activities.
4 / Demonstrated knowledge of the Preparedness phase of disaster/emergency management and activity.
5 / Demonstrated knowledge of the Response phase of disaster/emergency management and activity.
6 / Demonstrated knowledge of the Recovery phase of disaster/emergency management and activity.
7 / Demonstrated knowledge of the organization and the environment in which it operates.
8 / Demonstrated knowledge of codes, legislation, regulations, plans, policies, or procedures which impact the disaster/emergency management function.
9 / Demonstrated skill in written communication as evidenced by the essay that demonstrated your ability to present information in a logical, clear manner.
Total Points (18 max)
Scale: O – Not covered, minimal 1 – Covered, 2- Coverage in depth
Acceptable?
YESNO
Signed Independent Work Statement
Acceptable?
YESNO
Properly Formatted?
RECOMMENDED LANGUAGE FOR INCOMPLETE ESSAYS
List the Design Elements not covered
List Knowledge and Abilities of disaster/emergency management and written communication Skills that are not scored
G:/IAEM/CEM/CEM Mtg./Mtg. Materials/USA Evaluation.doc