This form is used to report job experience for credit in the Kentucky Public Human Resources Association public personnel administrator certification program. Candidates for certification should be familiar with the official guidelines and standards of the program before completing the form. Copies of the guidelines may be acquired by contacting Elizabeth Schepens at email@example.com
. This form must be submitted by March 30th this year
, for credit earned during the preceding
calendar year (January 1 - December 31, 2017).