2018-2019 CISO Certification Program
Participant Application

Thank you for your interest in the 2018-2019 CISO Certification Program!

Please fill out and provide all information requested below so we may evaluate your qualifications. Applications will not be evaluated until they are complete.

You may direct any questions regarding the program or the application process to Fred Sherman at fwsherman@gmail.com.
The application must be received by January 15, 2018 to be considered for the 2018-2019 program.

Applicants will be notified after January 31st, 2018 of their status in the program.

 

A. Please provide the following personal information:
Your complete name:  
Your current job position:
Name of your current employer (organization):
Contact phone number:
Contact email address:
 
B. List the total number of years that you have served as a and provide explanatory information as indicated.
(For an explanation of the acronyms used, refer to the Acronym Explanation below.)
#

List the total number of years that you have served as a

# Years Explanation
1 CISO in a California Community College With what college(s)?
2 CIO / CTO in other (non-California Community College) organizations With what organization(s)?
3 IT manager or higher (non CISO) in a California Community College With what college?
4 IT manager or higher (non CTO/CIO) in other (non-California Community College) organizations With what organization(s)?
5 IT professional (non-management) in a California Community College What position(s)? With what college(s)?
6 IT professional (non-management) in other (non-California Community College) organizations What position(s)? With what organization(s)?
         

C. Please respond with a yes or no to each statement below as it applies to you and provide explanatory information as indicated.

#

Statements

Yes or No Explain ...
7 I am currently a first time CISO in a CCC and was hired within the last 12 months. With what college?
8 I am currently a CISO in a multi-college CCC district, hired within the last 12 months, and this is my first time working in a multi-college district. With what college?
9 I have a technical, science or engineering degree from an accredited institution. What majors, degree(s)? Which institution(s)?
10 I have a management or business degree from an accredited institution. What majors, degree(s)? Which institution(s)?
Acronym explanation:      
 
  • CCC: California Community College
  • CISO: Chief Information Systems Officer; the California Community Colleges equivalent of a Chief Information Officer or Chief Technology Officer. Note that CISO may also signify a Chief Information Security Officer in other contexts but this definition should not be used here.
  • CTO: Chief Technology Officer
  • CIO: Chief Information Officer
  • IT: Information technology (includes administrative and instructional technology)
D. Please tell us in 200 words or less why you want to attend this program.
 

When you click submit a copy of your application will be sent to the contact email address you provided. Please print the application, sign it, have your CEO or Executive Sponsor sign it, and return it to Fred Sherman at fwsherman@gmail.com along with a copy of your current resume.