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Certified Individual Application

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:
  • Your photo must be in color.
  • Your photo must be taken within the last six (6) months.
  • Your photo must be a clear image of you (not blurry, grainy, or fuzzy) against a plain, light-colored background.
  • Your photo must be a head and shoulders shot of only you directly facing the camera in full-face view.
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:



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