Mangili Application

Last Name*	Mangoli
First Name*	Sanjeev
Middle Name
Suffix (Jr, III...)
Title
Mailing Address*	2711 Vista Pkwy
	Ste B6
City*	West Palm Beach
State*	Florida
Zip Code	33411
County*	Palm Beach
Foreign Region/Province
Foreign Zip Code
Country
Primary Phone*	8442447227 Ext. 3515
Alternate Phone
Email*	sanjeev@constructionprof.com
Do not include me in system emails	False
Fax	8556273711

Business Information

Business/Firm Name*	Construction Professionals Institute
Enter Business Name*

Web Address	http://
Federal ID
Fax
Business Location Address*	2711 Vista Pkwy
	Ste B6
City*	West Palm Beach
State*	Florida
Zip Code	33411
County*	Palm Beach
Foreign Region/Province
Foreign Zip Code
Country

Evaluation Process Flowchart of Processes/Timelines

Describe how you intend to evaluate courses to ensure 100% compliance with the most current edition of the Florida Building Code and its latest amendments*

Date	Attached File
06/15/2022	860417-ACR_FLOW-FBC Advance Flow Chart Accreditation Application CPI.pdf

Upload Flowchart

Training provider Verification

Is applicant approved as a provider by any board within DBPR to provide continuing education?*

Yes No

DBPR Provider Number 0009116

Background Information

Has any license, registration or permit to practice any regulated profession, occupation, vocation or business been revoked, annulled, suspended, relinquished, surrendered, or withdrawn in Florida or in any other jurisdiction, or is any such proceeding or investigation now pending?*

Yes No

If Yes, Describe:

Certification Statements

	I agree that payment for accreditation services will be rendered by the Training Provider requesting services directly to the Accreditor offline.
	I agree to comply with the Florida Building Commission requirement that this course update take no more than 30 days for courses up to 8 credit hours, and 45 days for courses in excess of 8 credit hours.
	I hereby certify that all statements made on this application are true and correct. I agree and understand that any misrepresentations of material facts will result in revocation of this approval.

Subject/Trade Area (Select one or more areas)

Accessibility

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-ACCESSIB-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Administration

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-ADMINIST-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Building – Commercial

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-BCOMMER-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Building – Residential

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-BRESIDEN-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Building – Special Occupancy

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-BSPECIAL-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Energy

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-ENERGY-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Existing Building Code

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-IEBC-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Mechanical

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-MECHANIN-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Plumbing

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-PLUMBING-Sanjeev Mangoli CV 2021.pdf

Upload Resume

Roofing

Accreditor Qualifications (Select one or more qualifications)

Any person with a minimum four year college or graduate degree within the field of study in which the Accreditor will be working.

Degree:

A person who is professionally licensed within the technical field with which they will be accrediting and have a minimum of five years experience in that field.

Profession	License Number
	-

Add a License

A substantially qualified authority within their field of relevant expertise.

Supporting Documentation

Detailed Resume of the Accreditor*

Date	Attached File
06/15/2022	860417-ACR_RESU-ROOFING-Sanjeev Mangoli CV 2021.pdf