SAVE International - Society devoted to the advancement and promotion of the value methodology
MODULE I/II WORKSHOP APPLICATION FORM

Certification Administration Office
SAVE International
136 South Keowee Street
Dayton, OH 45402
email: cao@value-eng.org

Instructions

  1. Complete application portions of applications.
  2. Attach 2 workbooks; original forms including WS1, WS2, or WS3 and WS4. Right click and choose 'save as' on the link to download the excel file.
  3. Include all required file attachments as pdfs in one compressed zip file (*.zip). All other file types will not be accepted. Maximum total file size is 2MB.
  4. Complete the required payment information.
  5. To submit an initial application via postal delivery, submit the following:
    a) Printed and completed application form.
    b) One hard copy and four disks with electronic files OR five hard copies of the supporting documentation.

    Mail and email documents to:
    SAVE International
    136 South Keowee Street
    Dayton, OH 45402
    USA
    T: (937) 224-7283
    F: (937) 222-5794
    cao@value-eng.org


Module Information

Member Status: SAVE Member or Non-Member

Module I Workshop
Module II Seminar
(Fees: Member - $150.00, Non-Member - $180.00)

If renewal, list current number:

Application Information

Mr. Mrs. Ms. Other
First Name:
Middle Name/Initial:
Last Name:
Title:
Company:
Address:
City:
State/Province:    Postal Code:
Country:
Home Telephone:
Work Telephone:
Email:

Yes I would like to join SAVE International, please charge my credit card $150 for membership dues. (Click HERE for more information about membership with SAVE International.)

I hereby state that the approved Module I workshop and/or Module II Seminar will be conducted as described in the application and that the Certificate Board may survey audit our course (s) at any time, at no cost to us. I retain the right to refuse individual on site auditors where a client/confidential or competitive situation exists.

I realize that this approval is only good for four (4) years and must be renewed under the requirements in force at that time.

Note: The prime CVS is responsible and accountable to the Certification Board for the conduct and performance of the seminar/workshop. All affililiates are accountable to the prime CVS.

CVS Name CVS No. Expires
Prime:
Affiliate:
Affiliate:
Affiliate:


Payment Information:

Total Fees: $
Credit Card Type: Visa Mastercard or American Express
Name on Card:
Credit Card Number:
Expiration Date:

File Attachment:
Note: Only file types of *.pdf and *.zip will be accepted. You must zip compress multiple files.
Maximum file size is 2MB total.


Affirmation

Having read the certification requirements, and believing myself fully qualified, I declare that all submitted information is correct to the best of my knowledge and belief. I have read the pledge to adhere to the SAVE International standards of conduct. I have attached confirming documentation, and will arrange for further evidence if requested by the Certification Board.

    

If you do not receive an electronic confirmation of your application submission, then please submit your application again.