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Print Date: 10/23/2019 5:02:29 PM

The application for a National Board Certified Individual is an online application form. The form is to be completed by the applicant's supervisor or other representative of the Certificate Holder. Listed below are some of the features of the application. 

Photo Required: A recent photograph of the applicant is required as part of the application. It will be printed on the certification card issued with each certification. 
The photo must meet the following requirements:
Please have the photo available electronically, as a feature of the application form is to allow the applicant to browse his/her computer and select the photo.
Questions: Contact Jeanne Bock:

Apply for New or Reinstatement of the National Board Certified Individual