VMCTA- Clerk Advanced Level 1 Application
Points must be earned after the date your most recent VMCTA certification was submitted (January 31 or July 31). Submit no more than 65 total points of documentation. Minimum Required Points: complete all basic requirements in Section 1 and earn at least 60 total points, including 30 points from continuing education (Section 2) and 30 additional points from experience, professional service, or more continuing education. DEADLINE: Applications must be postmarked by January 31 or July 31 of the application year.
Applicant Name
First Name
Last Name
Municipality
Title
Please Select
Municipal Clerk
Assistant Clerk
Phone Number (Work)
Please enter a valid phone number.
Format: (000) 000-0000.
Email (Work)
example@example.com
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Section 1: Basic Requirements
1a. Date you became a Vermont Municipal Clerk or Assistant Clerk. (A minimum of 6 full years required)
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Month
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Day
Year
Date
1b. Date you became a Certified Vermont Municipal Clerk.
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Month
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Day
Year
Date
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Section 2: Continuing Education (30 Points Required)
Courses must relate to municipal clerk duties and must be earned after the date your most recent VMCTA certification was submitted (January 31 or July 31). Eligibility is determined by the Committee.
2. Courses (Provide certificates, verification forms, or other proof of attendance.
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2. Points: 1 point/2 hours
Total Continuing Education Points
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Section 3: Experience (Optional)
Experience points may be used for only one certification level and must be earned after the date your most recent VMCTA certification was submitted (January 31 or July 31). Eligibility is determined by the Committee.
3a. Municipal Clerk/Assistant Clerk Service (Provide town report pages or oaths of office.)
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3a. Points: 4 points/full year (Max 20)
3b. Other Related Municipal Experience (Provide town report pages or oaths of office.)
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3b. Points: 1 point/full year (Max 8)
3c. Associate Degree (Provide diploma or transcript.)
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3c. Points: 5 points
3d. Bachelor’s, Master’s, or Doctorate Degree (Provide diploma or transcript.)
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3d. Points: 10 points
3e. NEMCI Institute Certificate of Completion (Provide certificate.)
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3e. Points: 5 points
3f. IIMC CMC Certification (Provide certificate.)
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3f. Points: 5 points
3g. IIMC MMC Certification (Provide certificate.)
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3g. Points: 10 points
3h. Athenian Fellowship (Provide certificate.)
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3h. Points: 2 points
Total Experience Points
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Section 4: Professional Service (Optional)
Service must be related to municipal clerk duties and must be earned after the date your most recent VMCTA certification was submitted (January 31 or July 31). Eligibility is determined by the Committee.
4a. VMCTA Board or Committee (appointment) (Provide appointment letter from VMCTA President.)
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4a. Points: 1 point/year (Max 10)
4b. Board or Committee (attendance) (Can be any Board or Committee related to clerk’s duties. Provide minutes showing attendance.)
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4b. Points: 1 point/meeting
4c. Card Day, Town Fair or Local Government Day (Provide letter from event organizer.)
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4c. Points: 1 point/year
4d. Presenter at an in-person training (Provide certificate or agenda/presentation materials with date and location.)
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4d. Points: 5 points/training
4e. Presenter at a Roundtable or First Thursday (Provide certificate or agenda/presentation materials with date and location.)
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4e. Points: 2 points/training
4f. VMCTA Official Mentor (Provide a copy of the mentor list on the VMCTA website.)
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4f. Points: 1 point/year
4g. Testifying at the Legislature (Provide a letter from the VMCTA Legislative Committee Chair confirming the dates and topics of your testimony.)
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4g. Points: 1 point/testimony (Max 5)
4h. Other professional service to the VMCTA (Provide letter from VMCTA chair or President. Examples: Listserv administrator, website maintenance, writing VMCTA book, etc.)
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4h. Points: 1 point/year
Total PROFESSIONAL SERVICE Points
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Section 5: Payment (Required)
Mail a $35 check payable to: VMCTA c/o Susan McNamara-Hill 2 Lincoln Street Essex Junction, Vermont 05452
Section 6: Certification (Required)
I certify I am an active VMCTA member and my annual dues are paid.
Yes
No
I certify I have included all required documentation.
Yes
No
I certify I have met all basic requirements in Section 1.
Yes
No
I certify I have earned the following Continuing Education points (30 points required)
I certify I have earned the following Experience points.
I certify I have earned the following Professional Service points.
I certify I have earned the following Total points. (60 points required)
Signature
Today's Date
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Month
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Day
Year
Date
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