ERMEP Application

This is the sign-up form to participate in the Enterprise Risk Management Excellence Program.

1. Name of Entity *This question is required.

2. Name of person initiating the Program: (i.e. City Manager, County Manager, Superintendent, Board member, or authorized/designated person) *This question is required.

3. Title *This question is required.

4. Email *This question is required. This question requires a valid email address.

5. Entity is a POOL or PACT or POOL/PACT member. *This question is required.

6. Date this form is being submitted *This question is required. This question requires a valid date format of MM/DD/YYYY.

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7. Number of employees entity has (including full-time, part-time, temporary, seasonal, and compensated volunteers) *This question is required.

The following sections are required for all members seeking the ERMEP: Please identify each person who will be responsible for each of the following departments.

8. Risk Management *This question is required.

Name
Email

9. Human Resources *This question is required.

Name
Email
Entity’s POOL/PACT HR Partner

10. Human Resources

Has entity completed the POOL/PACT Human Resource Compliance Phase I Program? *This question is required.

11. Date of Completion *This question is required.

11. Fiscal Controls *This question is required.

Name
Email
Treasurer Name
Treasurer Email
Clerk Name
Clerk Email
Comptroller Name
Comptroller Email
Fiscal Officer Name
Fiscal Officer Email
Auditor Name
Auditor Email

12. Cyber Security *This question is required.

Name
Email

13. Board Governance *This question is required.

Name
Email

Additional Departments: If a department isn’t applicable, then leave blank:

14. Law Enforcement Road Operations

Name
Email

15. Law Enforcement Detention Operations

Name
Email

16. Fire Services

Name
Email

17. Parks and Recreation

Name
Email

18. Aquatic Facility

Name
Email

19. Streets and Roads

Name
Email

20. Library Services

Name
Email

21. Vehicle Fleet

Name
Email

22. Public Works

Name
Email

23. School District Facilities

Name
Email

24. Hospitals

Name
Email

25. Schools

Name
Email

26. Additional Department Not Listed

Name
Email

27. Additional Department Not Listed

Name
Email

If you have any questions, please contact Marshall Smith or Jarrod Hickman at (775) 885-7475.