Homeland Protection Certification Application

    Please complete the following form to continue:
    * = required fields

    Applicant Information







    Agency / Company Information:









    Preferred Postal Mailing Information

    (If same as above, please enter "SAA" for the address.)






     

    Certification Request





    Current Employer or School









    Required Documentation


    Upload PDF or JPG files or email your documents to info@globalhomeland.org
    NOTE: File uploads may not be supported by your Safari / IOS devices. Please email your files instead.
    (Limit: 5MB PDF or JPG files)

    Would you like to upload a file? yesno

    [dropuploader dropuploader-187 limit:52428800 filetypes:pdf|jpg] Add another? yesno
    [dropuploader dropuploader-188 limit:52428800 filetypes:pdf|jpg] Add another? yesno
    [dropuploader dropuploader-189 limit:52428800 filetypes:pdf|jpg] Add another? yesno
    [dropuploader dropuploader-190 limit:52428800 filetypes:pdf|jpg]


    Upload PDF or JPG files or email your documents to info@globalhomeland.org
    NOTE: File uploads may not be supported by your Safari / IOS devices. Please email your files instead.
    (Limit: 5MB PDF or JPG/PNG files)

    [dropuploader* dropuploader-368 limit:52428800 filetypes:pdf|jpg|png multiple]

    Demographic Information:



    (Please specify highest level completed)


    This information will not be circulated outside the Certification Board. An affirmative answer does not necessarily mean rejection of your application. (Please omit offenses committed before your 18th birthday.)



    This information will not be circulated outside the Certification Board. An affirmative answer does not necessarily mean rejection of your application. (Please omit offenses committed before your 18th birthday.)


    YesNo

    Upon successful completion of the form, please go to the on-line payment options.

    $50.00 of the certification fee is a non-refundable processing fee.



    NOTE: If your form submission just hangs, please remove attachments. Your device does not support file attachment submissions. Email your documents to us instead.