PETITION TO WAIVE THE BACHELORS’ DEGREE REQUIREMENT

Petition To Waive The Bachelors' Degree Requirement

PERSONAL DATA:
Last Name & suffix (if any):
First & Middle Names and/or Initials:
Phone:
Address:
City
State:
Zip:
Email:

EDUCATIONAL BACKGROUND (List most recent educational experience first):


PROFESSIONAL DEVELOPMENT (List any relevant courses, workshops, or professional meetings attended in the past five years):


NAMES & AFFILIATIONS OF TWO REFERENCES WHO ARE PROVIDING LETTERS ATTESTING TO YOUR EMPLOYMENT IN RESEARCH ADMINISTRATION. (One letter must be from a current CRA or an institutional director of preaward or postaward research administration.)
Name:
Affiliation:
Name:
Affiliation:

CAREER HISTORY (List current or most recent position first):
Organization:
From:		To:
Address:
City:
State:		Zip:
Phone:
Position:
Supervisor:
Brief Job Description


Organization:
From:		To:
Address:
City:
State:		Zip:
Phone:
Position:
Supervisor:
Brief Job Description


Organization:
From:		To:
Address:
City:
State:		Zip:
Phone:
Position:
Supervisor:
Brief Job Description


Organization:
From:		To:
Address:
City:
State:		Zip:
Phone:
Position:
Supervisor:
Brief Job Description


WORK EXPERIENCE SUMMARY:
I. PROJECT DEVELOPMENT AND ADMINISTRATION Which includes: A. Collection and Dissemination of Information; B. Proposal Development; C. Ethics; D. Intellectual Property)


II. LEGAL REQUIREMENTS AND SPONSOR INTERFACE Which includes: A. Regulations and Statutes; B. Compliance – Federal Sponsors and General Management Practices; C. Federal/Sponsor Appeal Procedures)


III. FINANCIAL MANAGEMENT Which includes: A. Budgeting/Accounting; B. Costs; C. Sponsor Financial Reporting; D. Audit)


IV. GENERAL MANAGEMENT Summary of Work Experience: A. Facility Management; B. Environmental Management; C. Contracts and Purchasing; D. Records Management; E. Human Resource Management


LETTERS FROM TWO REFERENCES ATTESTING TO YOUR EMPLOYMENT IN RESEARCH ADMINISTRATION ARE REQUIRED. (One letter must be from a current CRA or an institutional director of preaward or postaward research administration.) Please email these letters to: racc@ptcny.com or mail them to: Research Administrators Certification Council 1350 Broadway, 17th Floor New York, NY 10018 212-356-0693
I attest to the accuracy of the information provided herein