Fillable Supervisor Signature Form CPM Supervisor Statement Commitment

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Supervisor Signature Form CPM Supervisor Statement Commitment

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Wyoming CPM Program
Supervisor Statement of Commitment
To parcipate in the CPM program, I understand that _____________________________________________
will require release me for class aendance, agency nancial support, travel to training site, and compleon
of a work related Capstone Project during a 12 month period.
Supervisor’s Printed Name: _________________________________________________
Supervisor’s Signature: _____________________________________________________
Agency: _________________________________________________________________
Billing Contact Name: ________________________________________ Phone: _____________________
Email:___________________________________________________________________
Submit this signed supervisor form via email, fax or USPS to:
Cered Public Manager Program of Wyoming
Training Center Room 117
1400 E. College Drive
Cheyenne, WY 82007
Email: dkaelin@lccc.wy.edu
Fax: 307.432.1604
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Supervisor Signature Form CPM Supervisor Statement Commitment

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Completed 16 February 2020

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