CMfgT AND CMfgE EXAM APPLICATION

NOTE: Complete address, phone, and email required

Name:
ENTER YOUR NAME EXACTLY AS YOU WOULD LIKE IT TO APPEAR ON YOUR CERTIFICATE: FIRST NAME MIDDLE LAST NAME, CREDENTIALS

Job Title:

Years in Manufacturing: Date of Birth: / /

BUSINESS ADDRESS None HOME ADDRESS

Company: Address:

Division/Dept: City:

Address: State/Province:

PO Box/Mail Stop: Zip Code:

City: Country:
Check if
State/Province: Phone: cell phone

Zip Code: Email:

Country: HIGHEST DEGREE GRANTED (CHECK ONE)

Phone: Technician Bachelor Doctorate

Cell Phone: Associate Master None

Fax: Other Education:

Email: PLEASE ATTACH YOUR RESUME (REQUIRED)

Please do not use my email address for communications outside of SME.

PURCHASE SELECTION (check all that apply)

MEMBERSHIP
1Year SME Membership: $138 2Year SME Membership: $248.50 3Year SME Membership: $352
If you are an SME member, please provide your member number:
If you were referred by someone, please provide his/her name:

EXAM FEES AND FORMATS

Select the exam and format you wish to take below.

CERTIFIED MANUFACTURING TECHNOLOGIST (MFGTECHNOLOGIST)

NONMEMBER SME MEMBER
Online Exam: $490.00 Online Exam: $245.00
Paper/Pencil Exam: $520.00 Paper/Pencil Exam: $275.00

CERTIFIED MANUFACTURING ENGINEER (MFGENGINEER)

NONMEMBER SME MEMBER
Online Exam: $490.00 Online Exam: $245.00
Paper/Pencil Exam: $520.00 Paper/Pencil Exam: $275.00

One SME Drive | Dearborn, MI 48128 | 800.733.4763 | sme.org/certification
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OPTIONAL: RECOMMENDED READING

Fundamentals of Manufacturing, 3rd Edition (BK11PUB15) Nonmembers $120.00
SME Members $108.00
Fundamentals of Manufacturing Workbook (BK14PUB2) Nonmembers $30.00
SME Members $27.00
Fundamentals of Manufacturing Package (PK14PUB2) Nonmembers $135.00
Includes the book and the workbook SME Members $121.50

TOTAL:

SHIPPING METHOD (SELECT WHEN ORDERING RECOMMENDED READING)

FedEx Ground FedEx Priority Next Day AM FedEx International Economy Air

ALL PRICES SUBJECT TO CHANGE. Shipping, handling, and applicable state taxes will be added to your total. Shipping charges are
based on your location and the method of shipping selected above. For a quote on shipping charges, call SME Customer Care at
800.733.4763 or 313.425.3000.

NUMBER OF PEOPLE EMPLOYED AT BUSINESS ADDRESS (check one box only)

Less than 20 5099 250499 1,0002,499
2049 100249 500999 Over 2500

JOB FUNCTION (check one box only)

Owner/Company Mgmt./Corporate Executive Product Design & Development
Manufacturing Production Management Product Development
Manufacturing Production Non-Management Control Engineering
Manufacturing Engineering Management Educator/Instructor
Manufacturing Engineering Non-Management Other Job Function: (indicate below)
Quality Management

PRIMARY END PRODUCT AT YOUR LOCATION

METHOD OF PAYMENT
Please remit application and payment to:
SME
Attn: Certification
One SME Drive
Dearborn, MI 48128

Check/Money Order (Payable to SME)

American Express MasterCard Visa Discover

Credit Card Number:

Expiration (MM/YY):

SME | v08_2014
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Would you like to receive or continue to receive CERTIFICATION AUTHORIZATION

I hereby attest that all facts on this application are correct and no false
magazine free of charge? SME members information has been supplied. Further, I release SME to make any
enjoy a continuous, uninterrupted subscription. inquiries, which are necessary in ascertaining my qualifications for
certification. I agree to abide by the decision of the Certification
Yes No
Oversight and Appeals Committee.

Type of Subscription: Digital Print Both SME may release my exam score to my employer, instructor,
and/or school.

Signature: Signature:

Date: Date:

Nonmembers must qualify in order to receive subscription.

NOTE: This application, along with the Proctor Form and Agreement, must be received by SME at least two
weeks prior to your planned exam date.

SME | v08_2014