Accreditation of Prior Experiential Learning Exemption Portfolio
Candidate’s name:
Membership number
Date of submission of application
Level of exemption: e.g. Level 5 –
Advanced Diploma in Purchasing and
Supply
Name of unit for which exemption is
sought: e.g. Management in the
Purchasing Function
Please note that this template has expandable boxes for the purpose of completing
them electronically.
Section 1
A brief curriculum vitae
Extract from your own curriculum vitae and insert it into this box. However, you
should ensure that your CV includes a detailed overview of your current and previous
roles, and particularly the role associated with this portfolio. If this is not included
within your curriculum vitae, still attach it, but include further detailed description
here.
Make your entry here:
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Section 2
An outline description of your current role and if different, the role you were in
at the time of the ‘significant professional event’. (see section 4)
This section is designed to help the assessor recognise the context in which the
significant event took place. Your task is to paint a verbal picture so that the assessor
can understand the circumstances more clearly.
Make your entry here (Approximate number of words 250):
Section 3
Here outline your chosen area of the CIPS Syllabus content unit upon which
the ‘significant professional event’ is centred
The assessor will be looking for a link between theory and practice in the portfolio
and this is your opportunity to start that process. It is also the time to demonstrate
that you have a firm theoretical foundation on which to base your practice. This will
require you to look it up in text books and write something about it. The assessor will
want to be confident that you not only have experiential learning but that you also
have a theoretical base to that learning.
Make your entry here (Approximate number of words 850):
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Section 4
A description of the significant professional event.
This section is designed for you to help the assessor know what happened in the
event. It could be in the form of a diary but certainly you must provide a narrative of
the event. You may find the following questions helpful in writing this section:
 What happened?
 When did it happen?
 Where did it happen?
Make your entry here (Approximate number of words 500):
Section 5
A reflection on the significant professional event and relevant learning
experiences resulting from it.
It may help to answer the following questions in order to structure your reply, building
upon those given above:
 Why did the event happen?
 Who else was involved and what part did they play?
 Was the outcome expected or unexpected?
 What were your thoughts / ideas / assumptions – immediately before / during /
after and some time later?
 What were your feelings immediately before / during / after and some time later?
 How did the experience change you and your ideas and what did you learn about
ideas / principles / connections and any patterns of relationships or behaviours?
Make your entry here (Approximate number of words 850):
Section 6
An overview of actions that resulted and any recommendations on how you
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might improve current situations and associated responses in the future.
This section is designed to transfer your positive experiences and behaviours
associated with your ‘significant professional event’ into the future. So, you need to
describe what you did in a more recent situation, what you think you should have
done that would have been better and the lessons you have learned. You should
show the assessor that you are able to reflect on theory and practice in a
constructive, professional way and transfer success from one situation into another,
or even into a continuous situation.
Make your entry here (Approximate number of words 500):
Section 7
A Bibliography
You should submit a bibliography within your portfolio that provides a detailed
overview of the text books you have used, and any other relevant reading
Make your entry here:
Section 8
Authenticity statement.
Upon submitting your portfolio you must complete the table below with the
required details. Failure to complete this section will mean that your
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application is not be processed.
I confirm that all of the work included within this portfolio, is wholly and unequivocally
my own work and is not the work of others.
Membership Number:
Please note that the insertion of your membership number constitutes your own
personal signature.
Name:
Address:
Telephone:
Email:
Payment Details
Please note that your form will not be processed if your payment is not
received with this form.
Payment by
Mastercard
Visa
Amex
Maestro (delete as appropriate)
Name of Card Holder
Please debit my card
Issue number
Start date
Expiry date
Exemption fees £70 UK & ROW • £55 Africa, China and
Thailand (from 1st November 2009)
£
Checklist of evidence to be provided
Section
Official Use Y/N
(delete as appropriate)
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1. Curriculum vitae
Y/N
2. Current professional role and your role at time of
event
Y/N
3. Syllabus area
Y/N
4. Description of the event
Y/N
5. Critical reflection
Y/N
6. Overview of actions
Y/N
7. Bibliography
Y/N
8. Authenticity statement
Y/N
Official use only:
CIPS customer service advisers to confirm all of the above areas are completed prior
to processing.
If ‘no’ is ticked for any item, the application will be returned in full, with the missing
area highlighted for completion by the applicant.
Easton House, Easton on the Hill, Stamford, Lincolnshire PE9 3NZ, UK
Tel: +44 (0)1780 756777 • Fax: +44 (0)1780 751610
• Email: [email protected] • Web: www.cips.org
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