Application for:  2010 Kentucky Center for Performance Excellence Board of Examiners


Please complete all sections of the application and click submit Returning examiners from previous year only need to complete pages two and five. If your job situation has changed in the last year, please also complete page three. The application deadline is September 4, 2010.

 

Kentucky Center for Performance Excellence
Board of Examiners Selection
C/O Daniel  Dufresne
827 Isaac Shelby Circle
Frankfort, KY  40601
TEL:  502-695-8973

 

 

 

 

 

 

 

 

NAICS Code(s): (Click here for code list, select most relevant to expertise:

 

If you have been a KYCPE Examiner previously, list the year(s):

 


 

 

Experience

For the positions you have held during your professional career, please provide the information requested. Describe your last three positions. List your most recent position first. Use additional pages if necessary.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please indicate your level of ability to evaluate applications in the seven Categories of the Criteria for Performance Excellence.

Criteria for Performance Excellence

 

Leadership
None

Strategic Planning
None

Customer and Market Focus
None

Measurement and Analysis
None

Human Resource Focus
None

Process Management
None

Results
None

 

Please Indicate your ability to evaluate applications in the following sections.
Manufacturing
None

Service
None

Small Business
None

Health Care
None

Education (P-12)
None

Post-Secondary Education
None

Public Sector
None

 

 

Please Indicate your level of skills in the following areas.
Management
None

Analysis of Results
None

Written Communication
None

Leadership
None

Interpersonal Relations
None

Training or Education
None

 

 

Education and Training Background

 

Education and Background

 

 

Publications/Major Reports/Major Speeches Relevant to Quality

 

 

 
Outreach Activities, Achievements, Recognition and/or Professional Affiliations

 

Examiners who have not ever attended Examiner Training in Kentucky, National, or any other state required to attend a one-day New Examiner Orientation. Please select a day.

 



All Board of Examiner members must participate in one two-day examiner preparation training course. Please indicate your choice below.

 


 

 

 

I attest to the accuracy of the information in this application.  I have read the Examiner general information and requirements and understand the commitment I am making to the Kentucky Center for Performance Excellence.  If I am chosen to be an Examiner, I will abide by the Code of Ethical Standards and the Terms and Conditions of Appointment.


 

There is no charge for the two day all examiner training sessions provided that individuals agree to serve as examiners for the current examination year and execute defined examiner responsibilities. Please see the KYCPE website for these responsibilities and the training fee for non participants.

Attendees who participate in the new examiner orientation only and who elect not to attend the all examiner two day sessions have no further obligation to KYCPE. There is no charge for this training. We hope that individuals will use the knowledge gained for the pursuit of performance excellence within their organizations and consider becoming full fledged examiners in the future.

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