	NC Awards for Excellence
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NCAfE Examiner Application

NCAfE Disclosure of Conflict of Interest

NCAfE Examiner Training Prework

Examiner Application

Examiner Information
First Name: MI: Last Name:

Company: Job Title:
Work Address:
City: State: Zip:
Work Telephone Number: - ext.
Fax: -
Email Address:

Home Address:
City: State: Zip:
Home Telephone Number: -

Please send materials to my (check one):
work address home address

Name as you'd like it to appear:
On nametag:
On certificate:

Job Experience
List the jobs you have had and the dates. Or, you may cut and paste information from your resume.

Self-Assessment

Please rate yourself in the following areas by clicking the appropriate button.

	Poor	Fair	Average	Good	Excellent
Leadership, category 1.0
Strategic Planning, category 2.0
Customer and Market Focus, category 3.0
Measurement and Analysis, category 4.0
Human Resources, category 5.0
Process Management, category 6.0
Analytical skills
Writing skills
Communication skills
Leadership skills
Work as a team member
Broad expertise and experience

Submit electronically or download and mail to:
North Carolina Awards for Excellence (NCAfE)
NC State University
Industrial Extension Service
Campus Box 7902
Raleigh, North Carolina 27695-7902

Or fax to NCAfE (919) 515-6159

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NCAfE Process Booklet

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NC Awards for Excellence

Related Services

NCAfE Examiner Information

Examiner Application

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