2026 MMP Affidavit of Attendance

1
Legal First Name* This field is required.
2
Legal Last Name* This field is required.
3
Email* This field is required.
example@example.com
4
Mailing Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Primary Phone* This field is required.
Please enter a valid phone number.
6
Cell Phone
Please enter a valid phone number.
7
Fax
Please enter a valid phone number.
8
Company / Family Trust
9
NARO Membership Number (if known)
10
Certification level* This field is required.
RMM
CMM
Candidate or Not Yet Certified
Unknown
11
Education type* This field is required.
NARO-sponsored or NARO-approved event
Non-NARO convention, seminar, workshop, or event
College course
Another education program
12
Event name
13
Event sponsor
14
Event location (City/State)
15
Event start date
Date
Month
Day
Year
16
Event end date
Date
Month
Day
Year
17
Start time
9
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
00
10
20
30
40
50
Minutes
AM
AM
PM
18
Break / non-instruction time
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
PM
AM
PM
19
Time zone
20
End time
9
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
00
10
20
30
40
50
Minutes
AM
AM
PM
21
Actual education hours attended excluding breaks
22
Requested General Education Credits
23
Requested Ethics Credits
24
Relevant subject area
Please Select
Please Select
Accounting
Division Orders
Law
Business
Leasing
Title Analysis
Ethics
Mineral Management
Other
25
Institution
26
Course title
27
Completion date
Date
Month
Day
Year
28
Semester hours
29
Final grade
30
Requested credits
31
Subject / relevance
32
Program agenda or schedule* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.0MB
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33
Proof of attendance
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Select files to upload
Max. file size: 10.0MB
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34
Proof of completion / transcript
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Select files to upload
Max. file size: 10.0MB
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35
Course syllabus or schedule
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Select files to upload
Max. file size: 10.0MB
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36
Notes for the Registrar
37
NARO uses this information only to administer the Mineral Management Program. Contact information is not provided or sold outside NARO unless the participant opts in or disclosure is legally compelled. NARO may confirm whether an individual currently holds a Program certification.
38
Agreement to Mineral Management Program Policies and Procedures* This field is required.
I agree to the Mineral Management Program Policies and Procedures
39
Verification* This field is required.
40
Submit your form attachments
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Select files to upload
Max. file size: 10.0MB
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41
Applicant Signature* This field is required.
42
Certification of Accuracy and Committee Review* This field is required.
I certify that the information and supporting documents are accurate, and that requested credits remain subject to Committee review
43
Signature Date* This field is required.
Date
Month
Day
Year
Should be Empty: