PMI Alumni Directory and PMAG Membership Form

INSTRUCTIONS:

To become a dues paying member of PMAG submit this form (by email or by hard copy) and send a check for $15. Mail all checks (and hard copy submissions) to:

PMAG
Attn: Membership Coordinator
PO Box 23280
Washington DC 20024

In our efforts to expand the PMI Alumni network we continue to attempt to add additional alumni to our master list. IF YOU KNOW A FORMER PMI WHO HAS LEFT THE GOVERNMENT OR IS EMPLOYED BY A NON-CIVIL SERVICE AGENCY (SUCH AS THE CONGRESS), please forward this form to them or send their name and any contact information to us at: [email protected].

Thanks for your interest in PMAG!

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Part A:

First Name
Last Name
Maiden Name
PMI Class (Year Selected)
Title

Office

Departmental Agency or Bureau (Omit U.S.)

Common Abbreviation - if any - without periods

Spelled out

Full Department or Independent Agency (or Company/Organization)

Common Abbreviation - if any - without periods

Spelled out

Work Address

Work Address (line 2, if needed)

City

State
Zip Code


Work Telephone (Include Area Code)
Work Fax Number (Include Area Code)
Work Email

Home Address

Home Address (line 2, if needed)
City

State

Zip Code


Home Telephone (Include Area Code)

Home Email

Check here if we may include contact information for you at Work in the Directory
Check here if we may include contact information for you at Home in the Directory

Would you prefer to receive communications from PMAG at Work or Home?

Which best describes your current employer?

From what university did you receive a graduate degree when you were selected as a PMI:

Which description most closely describes your graduate degree at the time of entry into the PMI program?

If Other selected, please describe

Part B:

We occasionally produce reports on the PMI Program. Answers to the following questions will be used to help with those analysis and will be used to create reports on PMI alumni in the aggregate. Individual responses to these answers will not be published in the directory.

What is your gender? Male Female

Which race/ethnic group do you most closely identify with? (More than one can be selected)



What is your current (or last) job series occupational code (it's listed in Box 17 on your last SF 50; 0343, 0301, etc.)

What is your current grade, or if you have left the Federal Government, what was your highest grade? (Enter 20 for SES or higher, If non-standard please enter nearest GS equivalent)? GS/GM

Are you a supervisor? No Yes

Please add any comments you have below:

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