Agile Project Management Term: 201501. Please use the following information to fill in your application form as it appears below:



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Agile Project Management Term: 201501 Please use the following information to fill in your application form as it appears below: COURSE TITLE / TITRE DU COURS CRN - D1 COURSE NUMBER / NUMÉRO DU COURS SECTION Agile Project Management 13178 CENG 224 761 Course Description: This course covers the application of Agile concepts, principles, and methodologies in project management, largely developed and tested on software development projects, and being successfully applied to projects of all sizes and types in other various industries. The course topics are aligned with the established Agile manifesto and principles supporting the Agile Certified Practitioner (ACP) certification offered and administered by the Project Management Institute (PMI ). Duration: 13 sessions. Offered one evening per week (Tuesdays) from 6-9pm. Location: McGill campus, Downtown Montreal (exact room number will be e-mailed to you prior to your first class or you can check the information on Minerva) PMI Professional Development Units (PDUs): 40; Continuing Education Units (CEUs): 4 Price: $1,295.00 Who Should Attend? Project/Product Managers, System Architects, Team Leaders/Members, Portfolio/Program Managers, Project Managers/ScrumMasters, PMO, Business Sponsors and Product Managers/Owners, System Architects, Team/Technical Leaders, Executives, and Managers interested in learning more about Agile Project Management Course Lecturer: Michael Delis, ACP, CSP, CSM, PMP, PRINCE2, Eng. Michael Delis is a senior project management consultant, Agile practitioner, portfolio/project manager, and certified project management instructor with two decades of diversified global consulting, training, project management and engineering experience. He has received the Agile Certified Practitioner (ACP) and Project Management Professional (PMP) certifications from the Project Management Institute (PMI ), the Certified Scrum Practitioner (CSP) and Certified Scrum Master (CSM) certifications from the Scrum Alliance, the PRINCE2 Foundation and Practitioner certifications from the Association of Project Managers Group (APMG), along with a bachelor degree in Electrical Engineering. Additional Information: There are no academic or language pre-requisites for this course. Students are expected to have access to the internet. The courses are given in English. Upon successful completion of the course, students will receive an attestation from the McGill University School of Continuing Studies indicating the number of CEUs and PDUs earned. Department of Career and Professional Development Telephone: 514-398-5454 pd.conted@mcgill.ca http://www.mcgill.ca/conted/prodep

Department of Career and Professional Development Tel.: (514) 398-5454 688 Sherbrooke Street West E-mail:pdregistrations.conted@mcgill.ca Montreal, QC H3A 3R1 http://www.mcgill.ca/conted/prodep/ Registration Instructions The following documents need to be submitted in order to complete your registration: 1. Registration Form, signed and dated 2. Permanent Code Data Form, signed and dated (If you do not have a McGill Student Number (ID) and/or do not know your Permanent Code, please fill in sections 3 8 on the Permanent Code Data Form; the ID number and code will be generated for you.) 3. One of the following supporting documents, clearly and legibly photocopied: Canadian Citizens: - Canadian Birth Certificate (Please note that if you are submitting a Quebec birth certificate, it must be the long version, which indicates both parents names) - Canadian Citizenship Card (both sides) - Canadian passport AND Québec High School or Cegep transcript only, not University Permanent Residents: - Permanent Resident Card (both sides) AND landing paper (IMM1000/5292) International Students - Valid passport AND one of the following: - Visitor stamp (valid for study for 6 months from the date of the stamp) - Visitor Visa* - Work Permit* - Study permit* NOTE: American passports are acceptable without a stamp or visa * (valid for study for 6 months from the 1 st day of class) How to submit your registration: - By e-mail to pdregistrations.conted@mcgill.ca (scan and attach clear copy of documents) - By mail or in person to: Department of Career and Professional Development McGill University School of Continuing Studies 688 Sherbrooke Street West, Suite 1199 Montreal, Quebec H3A 3R1 Opening Hours: Monday to Thursday: 9:00 am - 6:00 pm, Fridays: 9:00 am - 5:00 pm - By fax to 514-398-2650 Payment: Fees may be paid by Visa, MasterCard or AMEX by completing the appropriate section on the registration form. We also accept payment by personal cheque. If you wish to cancel your registration: Please advise the Department of Career and Professional Development in writing either: 1) Prior to the third lecture drop with full refund of course fees and a 100$ cancellation fee. 2) After the third lecture withdrawal with no refund of course fees (please note that this option implies a withdrawal, and a grade of W will appear on your transcript). Department of Career and Professional Development Phone: 514-398-5454 pd.conted@mcgill.ca http://www.mcgill.ca/conted/prodep/

Career and Professional Development 688 Sherbrooke Street W., Montreal, Quebec, Canada H3A 3R1 Tel: (514) 398-5454 Fax: (514) 398-5224 PERFECTIONNEMENT PROFESSIONNEL FMULAIRE D INSCRIPTION IF YOU HAVE ATTENDED MCGILL BEFE (INCLUDING SUMMER SESSION), GIVE YOUR STUDENT NUMBER. SI VOUS AVEZ DÉJÀ FRÉQUENTÉ MCGILL (Y COMPRIS AU TRIMESTRE D ÉTÉ), INDIQUER VOTRE NUMÉRO MATRICULE. PLEASE PRINT / REMPLIR LE FMULAIRE EN MAJUSCULES TERM/TRIMESTRE IF YOU WERE MARRIED IN QUEBEC ON AFTER APRIL 2, 1981, YOU MUST USE YOUR MAIDEN NAME. SI VOUS BOUS ETES MARIÉE AU QUÉBEC LE 2 AVRIL 1981 OU APRÈS VEUILLEZ INSCRIRE VOTRE NOM DE DE JEUNE FILLE. STUDENT NO. N MATRICULE DATE OF BIRTH YR/AN MO DY/JR DATE DE NAISSANCE HOME ADDRESS; if the same mailing address check here: ADRESSE PERMANENTE; si l adresse postale est la même, cochez ici : STUDENT NAME FAMILY NAME / GIVEN NAMES / MR. MRS. MISS MS. NOM / PRÉNOMS / M. MME. MLLE. NOM DE L ÉTUDIANT CANADIAN SOCIAL INSURANCE NUMBER N D ASSURANCE SOCIAL CANADIAN (OPTIONAL) MAILING ADDRESS (to be used on all correspondence) ADRESSE POSTALE (pour toute correspondence) STREET NUMBER, STREET NAME / N RUE, RUE APT. / APP. STREET NUMBER, STREET NAME / N RUE, RUE APT. / APP. CITY / VILLE POSTAL CODE / CODE POSTAL CITY / VILLE POSTAL CODE / CODE POSTALE PROVINCE STATE / PROVINCE OU ETAT COUNTRY / PAYS PROVINCE STATE / PROVINCE OU ETAT COUNTRY / PAYS HOME TEL. NO./ N DE TÉL. À DOMICILE BUSINESS TEL. NO./ N DE TÉL. AU TRAVAIL FMER LEGAL NAME NOM PATRONYMIQUE ANTÉRIEUR MOTHER TONGUE LANGUE MATERNELLE ENGLISH FRANÇAIS OTHER COUNTRY OF CITIZENSHIP CITOYENNETÉ PRINCIPAL LANGUAGE USED LANGUE D USAGE IF NON CANADIAN YOUR STATUS IS: (X) SI VOUS N ÊTES PAS CANADIEN / CANADIENNE VOTRE STATUT EST: (X) EMPLOYER/EMPLOYEUR PERMANENT RESIDENT / RÉSIDENT PERMANENT STUDENT VISA / VISA D ÉTUDIANT(E) DIPLOMATIC VISA / VISA DIPLOMATIQUE OTHER / AUTRE HIGHEST LEVEL OF EDUCATION COMPLETED (CHECK ONE ONLY) / ELEMENTARY/PRIMAIRE TECH. VOC. / FMATION TECHNIQUE PLUS HAUT NIVEAU D ÉTUDES COMPLÉTÉ HIGH SCHOOL / SECONDAIRE NON UNIV. PROFESSIONAL / FMATION PROFESIONELLE NON UNIVERSITAIRE (NE COCHEZ QU UNE SEULE CASE) UNDERGRADUATE DEGREE / DIPLÔME DE 1 ER CYCLE GRADUATE DEGREE / DIPLÔME DE 2 E / 3 E CYCLE E-MAIL ADDRESS/ COURRIEL PERMANENT CODE CODE PERMANENENT COURSE TITLE / TITRE DU COURS CRN - D1 CRN D2 COURSE NUMBER / NUMÉRO DU COURS SECTION METHOD OF PAYMENT / MODE DE PAIMENT: (PLEASE CHECK ONE / CHOISSIEZ) (Cheque made payable to McGill University / Chèque payable à l'université McGill) CREDIT CARD / CARTE DE CRÉDIT CHEQUE MONEY DER / MANDAT-CARTE DEBIT METHOD OF REGISTRATION / MÉTHODE D INSCRIPTION: AMOUNT PAID / MONTANT PAYÉ $ EMAIL / COURRIEL MAIL / POSTE IN PERSON / EN PERSONNE I hereby acknowledge that I am bound by and undertake to observe the statutes, rules, regulations and policies in place from time to time at McGill University and of the Faculty or Faculties in which I am registered, including those policies contained in the University calendars and other official documents. I understand that my obligations as a student commence with my registration and terminate in accordance with the University s statutes, regulations and policies. I certify that the information submitted on my application form is complete and correct at the time of submission, including my declaration of citizenship and immigration status, which I may be required to document. I agree to provide proof of eligibility in order to be assessed Canadian fees. Further, I understand that misrepresentation of any information may result in my admission to, or registration in, the University being rescinded. I recognize that a McGill student identity card is required for access to services. I understand that my likeness and signature will be captured in order to produce the card and stored for subsequent identification. I am aware of those provisions of Quebec Law concerning the protection of personal information including the right to correct my record and agree to release of nominative information as indicated on the reverse of the present form. This agreement is governed by the laws of the Province of Quebec. Je reconnais par la présente être lié(e) aux lois, règlements et politiques de l Université McGill, de la faculté ou des facultés auxquelles je suis inscrit(e) ainsi qu aux politiques mentionnées dans les annuaires de l Université et autres documents officiels, et je m engage à les respecter. Il est entendu que mes obligations à titre d étudiant(e) débutent lors de mon inscription et prennent fin conformément aux dispositions des lois, règlements et politiques de l Université. Je certifie par la présente que les renseignements figurant sur mon formulaire de demande d admission sont complets et exacts au moment de la demande, y compris la déclaration de citoyenneté et de statut d immigration que je me tiens prêt à justifier au besoin. Je m engage à fournir une preuve d admissibilité aux droits de scolarité canadiens. Il est entendu, par ailleurs, que tout faux renseignement peut entrainer la résiliation de mon admission ou de mon inscription à l Université. Je sais que la carte d étudiant de McGill est exigée pour avoir accès aux services. Je sais que la préparation de cette carte d identité nécessitera la prise de portrait et de ma signature, qui seront mémorisées pour fins d identification ultérieure. Je connais les dispositions de la loi du Québec concernant la protection des renseignements personnels, et notamment le droit qui m est reconnu de faire corriger mon dossier. Je consens à la divulgation de renseignements à mon égard qui figurent au verso du présent document. Cette convention est régie par les lois de la province du Québec. STUDENT S SIGNATURE / SIGNATURE DE L ÉTUDIANT DATE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - F OFFICE USE ONLY ONLINED BY:

PROTECTION OF PERSONAL INFMATION BILL 65: The Act Respecting Access to Information Held by Public Bodies and the Protection of Personal Information. Personal information is protected by legislation in the Province of Quebec. The provisions of this statute are such that discussion about a student s application file, or access to that file, is restricted to the applicant involved. Other persons or organizations can have access to information pertaining to a student s application only if the student has provided the Centre for Continuing Education with written authorization which specifies both to whom information can be given and the type of information which can be released. Certain information gathered by the University about an applicant or student will be released to the following bodies upon their request: a) the Student Association recognized by McGill University b) the McGill Alumni Association c) the school(s) or college(s) which the student attended d) the appropriate authorities involved with the external or internal funding of fees e) the professional bodies or corporations (e.g., engineers, dentists). A student may oppose the release of information to those named above by completing an opposition form at the Registrar s Office. Officers and members of the University staff (e.g. Faculty officers, Office of the Dean of Students, etc.) may also have access to relevant parts of such records for recognized and legitimate use. PROTECTION DE LA VIE PRIVÉE DES RENSEIGNEMENTS PERSONNELS LOI 65: Loi protégeant l accés aux informations détenues par des organismes publics et la protection de la vie privée. Les renseignements personnels sont protégés par une loi adoptée par la province de Québec. En vertu de cette législation, seul le candidat concerné a le droit de discuter de son dossier d inscription ou d avoir accès à ce dernier. Les données relatives au dossier de candidature d un étuident ne sont accessibles à d autres personnes ou organismes que si l étudiant a remis au Centre d éducation permanente une authorisation écrite précisant les personnes et organisations à qui ces données peuvent être divulguées. Certaines données recueillies par l Université sur un candidat ou un étudiant peuvent être divulguées aux organismes suivants à leur demande: a) les associations d étudiants reconnues par l Université McGill b) l Association des anciens étudiants de l Université McGill c) les écoles ou collèges que l étudiant a fréquentés d) les instances compétentes qui acquittent les droits de scolarité e) les associations ou corporations professionnelles (par exemple d ingénieurs, de dentistes). Un étudiant peut s opposer à la divulgation d informations aux personnes nommées ci-dessus en remplissant un formulaire d opposition au Registrariat. Les agents et membres du personnel de l Université (par exemple, les agents des facultés, le bureau du doyen des services aux étudiants, etc.) peuvent aussi avoir accès aux parties pertinentes des dossiers en vue d une utilisation reconnue et légitime.

McGill University Admissions, Recruitment & Registrar's Office Documentation Centre 688 Sherbrooke St. West, Montreal QC H3A 3R1 Fax: (514) 398-3227 PERMANENT CODE DATA FM Please complete this form in block letters. S'il vous plait remplissez ce formulaire en lettres moulées. 1 Permanent Code/Code Permanent (Please indicate here your Permanent Code if you have one/veuillez nous indiquer votre code permanent si vous en possédez un) If you provided your permanent code in section [1] above, you need to provide a document that has the permanent code pre-printed such as CEGEP transcript or a Québec financial aid document. Si vous avez fourni votre code permanent dans la section [1] au-dessus, vous devez attacher un document sur lequel figure votre code permanent tel qu'un relevé de notes (CEGEP) ou une attestation d'aide financière de la province du Québec. 2 McGill Student Number/Numéro de matricule McGill E-mail address/courriel 3 Legal Last Name/ Nom légal 4 Legal First Name/Prénom légal 5 Date of Birth / Date de naissance Year/Année Month/Mois Day/Jour Sex/Sexe (M/F) 6 Place of Birth/Lieu de naissance (City, Country- If Country is Canada, please also include Province/Ville,Pays- si le pays est le Canada veuillez aussi indiquer la province) City/Ville Province Country/Pays 7 Father's Last and First Names/Le nom et prénom de votre père Mother's (Birth) and First names/le nom (naissance) et prénom de votre mère 8 I hereby certify that the information provided in this form is true, accurate and exact. I understand that this declaration has the same force and effect as if made under oath, in conformity with the Canada Evidence Act. Je déclare que tous les renseignements fournis dans ce formulaire sont véridiques, exacts et complets. Je reconnais que la présente déclaration a la même force et le même effet que si elle était faite sous serment, en conformité avec la loi de la preuve du Canada. DATE: SIGNATURE: F OFFICE USE ONLY: ARR/January 2005 V7 UNIVERSITY SIGNATURE: DOCUMENT:

FMULAIRE D'AUTISATION DE CARTE DE CRÉDIT CREDIT CARD AUTHIZATION FM Prénom /First Name: Nom de famille / Last Name: Numéro de téléphone /Phone Number: Courriel /Email Address: Numéro du cours /Course Number: Session: Automne /Fall Frais du cours /Course Fee: Type de carte de crédit / Card Type Visa MasterCard AMEX Cardholder s Name: Numéro de carte /Card Number: / / / Date d expiration /Expiry Date: / Soussigné(e) autorise l école d éducation permanente de McGill de charger $ sur ma carte de crédit pour les frais applicables. I, authorize the McGill School of Continuing Studies to charge $ to my credit card for the applicable fees. Signature du titulaire/cardholder s Signature: Date: