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- If same as above Please enter SAA for the address
Upload PDF or JPG files or email your documents to info@globalhomeland.org (Limit: 1MB PDF or JPG file)
Have you ever been convicted of a crime (or in military service convicted by a general court martial) or is there any criminal charge now pending against you?* YesNo
If the answer is "Yes", please explain. 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.)
Have you ever had a professional membership, license, registration, or certification denied, suspended, or revoked (other than a lack of minimum qualification or failure of examination)?* YesNo
$50.00 of the certification fee is a non-refundable processing fee.
(Upon successful completion of the form, please go to the on-line payment options.)
$50 - View Member Benefits!