ASQ Certified Master Black Belt Portfolio

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Minimum required score for Section 1 is 10 pointsCRITERIA TO EARN POINTS1.3. Evidence of teaching/coaching/mentoring Champions, Executives, etc. (1 point per application by group;5 points maximum)1.3TEACHING/COACHING/MENTORING CHAMPIONS,EXECUTIVES, ETC. Provide detailed evidenceusing examples such as the type ofapproaches used and include detailssuch as subjects taught, method ofproviding coaching or mentoringfor specific types of group audience,duration of course, coaching, ormentoring process, executionmethod, or delivery system used. Supporting documents couldinclude copies of study materialused, training dates and rosters,mentoring notes, curriculum ormethodology used, feedback fromparticipants, letter from employerclearly describing your role andresponsibility, etc.Name of evidence file(s) you provided ___________________________________________________________ Total points claimed ______Additional Comments for Section 1: Teaching, Coaching, Mentoring16 | Master Black Belt | Form expires 12.01.13
2: OCCUPATIONAL EXPERIENCEAND RESPONSIBILITYMinimum required score for Section 2 is 6 points2.1. Evidence of using Six Sigma for business/processimprovement (1 point per project; 3 points maximum)2.2. Evidence of working in a professional support position(i.e., SSBB, MBB, statistician, etc.) (1 point per yearper position; 3 points maximum)2.3. Evidence of working in a position of leadership(i.e., MBB, project manager, executive sponsor, etc.)(1 point per year per position; 4 points maximum)CRITERIA TO EARN POINTS2.4. Evidence of working as a project deploymentchampion (1 point per project; 4 points maximum)2.5. Evidence of working in corporate level managementor consulting (1 point per year per position; 4 pointsmaximum)2.6. Evidence of leading or facilitating policy deploymentand transformation activities (1 point per set ofactivities presented; 5 points maximum)2.1USING SIX SIGMAFOR BUSINESS/PROCESSIMPROVEMENT Provide detailed evidence usingexamples such as the approachyou used (e.g., critical to quality)and how you applied the approachto realize projected or plannedoutcomes. Supporting documents couldinclude agendas and results, projectproposals, project pipeline, etc.Name of evidence file(s) you provided ___________________________________________________________ Total points claimed ______17 | Master Black Belt | Form expires 12.01.13
Page 1 and 2: ASQ CertifiedMaster Black Belt Port
Page 3 and 4: IntroductionThe ASQ Master Black Be
Page 5 and 6: Instructions FOR SUBMISSION1. Gener
Page 7 and 8: Six Sigma PROJECTCLARIFICATIONSix S
Page 9 and 10: MBB Application FORM AND CONTACT IN
Page 11 and 12: C2SIX SIGMA BLACK BELT PROJECTAFFID
Page 13 and 14: Burden of PROOF - EVIDENCEPlease re
Page 15: Minimum required score for Section
Page 19 and 20: Minimum required score for Section
Page 23 and 24: 3: TECHNICAL EXPERIENCEAND INNOVATI
Page 27 and 28: PORTFOLIO CHECKLISTUse this checkli
Page 29: SIX SIGMA BLACK BELT PROJECTAFFIDAV

ASQ Certified Master Black Belt Portfolio

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