| Professional & Social Contributions |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
| (Minimum Points: 5) | IIMC Board | IIMC/OAMR | OAMR | OAMR/LOC | IIMC Annual | Presenter at IIMC/ | IIMC/OAMR | Unique OTJ performance | Personal accomplishment/ | Officer in related | |
| Year or | Member | Comm. Chair | Officer | Conf. attendance | Conf. attendance | OAMR Meeting | Comm. Member | of benefit to profession | benefit to prof./comm. | professional org. | |
| Description | Date(s) of | (2/year) | (2/year) | (2/year) | (1/event) | (4/event) | (1/session) | (1/year) | (2/year) | (2/year) | (1/year) |
| Service | Est. Points | Est. Points | Est. Points | Est. Points | Est. Points | Est. Points | Est. Points | Est. Points | Est. Points | Est. Points | |
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| TOTAL POINTS EARNED: | 0 | ||||||||||
| MINIMUM POINTS REQUIRED: | 5 | ||||||||||