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Forms

Name: ________________________________________________________________ Member ID: _______________

Club: __________________________________________________________________ Position: ___________________

Phone: ______________________________ Fax: ____________________________ Chapter: ___________________

Please check the boxes below to indicate that you have met

all of the Certified Chief Executive (CCE) Requirements:

I am a Professional or Retired Professional Status member of CMAA.

I have obtained Honor Society Status.

I have successfully completed BMI Tactical Leadership (formerly BMI IV) and

BMI Strategic Leadership (formerly BMI V).

I have served as the top executive in a club (i.e.: GM, COO, CEO) for a minimum of five

years (can be from multiple clubs).

I have attached a current résumé to this petition documenting my club management

positions.

I have attached the signed and notarized CCE Verification Form from my current club

to this petition verifying that I have served as the top executive for at least five years (if

you have not been at your current club for five years, you must include the CCE

Verification Form from your previous club(s)to verify the five-year time-frame).

** The administrative fee covers the administration and recognition of the CCE designation.

(As it is to appear on your CCE plaque.)

Please Return this Form with a $75 Administrative Fee**

Remarks:

I hereby petition for recognition as a CERTIFIED CHIEF EXECUTIVE and swear or affirm that the above information is complete

and correct to the best of my knowledge and I understand that it is subject to verification. I also acknowledge that, once

I receive the CCE designation, I will be required to maintain my CCM designation through the Certification Maintenance

Requirement.

Signature: ___________________________________________________________________ Date: _______________________________

Sworn and subscribed before this ______________________ day of _______________________ in the year ________________

Notary Public: ____________________________________________________________________________________________________

METHOD OF PAYMENT

MAIL Check Payments to:

Club Managers

Association of America

PO Box 1918

Merrifield, VA 22116-1918

Certified Chief Executive Petition

Club Managers Association of America

1733 King Street • Alexandria, VA • 22314-2720

(703) 739-9500 • FAX: (703) 739-0124

FOR OFFICE USE:

PAID DATE

Updated 7/15

MAIL Check Payments (payable to CMAA) to:

Club Managers Association of America,

PO Box 1918, Merrifield, VA 22116-1918

CREDIT CARD: Contact the Education Department

at (703) 739-9500.