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Certification Application and
Reference Evaluation Forms
The certification application and
reference evaluation forms are provided below in Adobe PDF format and in
an On-line form.
Please download them by clicking on the following links or fill in the
forms on-line and click submit when completed.
application.pdf (For CHCM - CHSP - CPSO -
CPSM - CHEP)
ON-LINE APPLICATION
reference_eval.pdf (For CHCM - CHSP -
CPSO - CPSM - CHEP)
ON-LINE REFERENCE EVALUATION FORMS(
MUST BE FILLED OUT BY 2 DIFFERENT REFERENCES)
If you do not have the free Adobe Reader,
please click on the "Get Acrobat Reader" icon below to obtain
it.
Requirements
The application fee stated in
the brochure must accompany the completed application. Mail to the address
on the front page. Add $10.00 if you live outside of North
America.
THE APPLICATION FEE IS NOT REFUNDABLE.APPLICATION AND EXAMINATION
FEES MUST BE PAID A MINIMUM OF 4 WEEKS PRIOR TO THE
DATE OF EXAMINATION. IF TAKING THE EXAM AT A COLLEGE OR MILITARY TESTING
CENTER
The Board will contact all
participants with exam results within (4) weeks after the date of the exam provided all required
documents including job descriptions,
college transcripts and fees have been received.
Instructions
Insert all required
information on the application form. Attachments may be
included as back up, but not as a substitute
for completing the application form. Check appropriate certification
boxes. There is a separate application fee for each designation desired.
Type or print legibly.
If extra space is needed for
qualification data, use blank space at end of form.
Forward Reference Evaluations
to persons listed as references.
Enclose or have forwarded:
Official job descriptions
Official college transcripts
Training certificates
Professional certifications or
registrations
Sign and mail completed
application with appropriate fee to the following address :
BCHCM
P.O.
Box 515
Helena,
AL 35080
For UPS, FedEx, or DHL
deliveries send to:
PLEASE
NOTE: FAXED APPLICATIONS & SUPPORTING DOCUMENTS WILL NOT BE ACCEPTED.
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