Commission for Case Management Certification May 2010 Non-Renewal
How would you like your name to appear on your certificate?
Profession
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CCM®
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
I agree
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Please indicate the extent to which any of the below reasons influenced your decision not to to renew your CCM certification.
I'm working in a different field.
Yes
No
I'm retired or planning to retire soon.
Yes
No
It's not required for my current position.
Yes
No
The certification is not useful to me.
Yes
No
The cost for renewal is too high.
Yes
No
I didn't have enough hours of continuing education.
Yes
No
I didn't have the time to take continuing education courses.
Yes
No
I didn't have the money to take continuing education courses.
Yes
No
There were not enough continuing education opportunities for me.
Yes
No
The administrative staff was not helpful to me.
Yes
No
I have other certifications that meet my needs.
Yes
No
CCM® is not recognized in my field.
Yes
No
I did not know how to do the renewal.
Yes
No
The online renewal process is too difficult for me.
Yes
No
I forgot to renew my certification.
Yes
No
Please check any other certifications you currently maintain:
CRC
CDMS
RN
CRRN
A-CCC
CMAC
CPHQ
CMC
CSWCM
OTR
CMCN
PT
CHMP
GCM
COHN
RCA
NCC
CPUR
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