Certified Identity Protection Advisor (CIPA)® Application

Thank you for your interest in the Certified Identity Protection Advisor® (CIPA) designation. This application is for new registrations. Registered candidates who wish to request the online examination must email us to schedule the examination.

To qualify for CIPA certification, you must be a member of Identity Management Institute® (IMI), submit this application, and pay the required fees. If you are not currently a member of IMI, please submit the membership application after you submit the CIPA® application.

Process

Upon receipt and pre-approval of your application, you will receive an online payment voucher for the appropriate membership and/or CIPA fees. This process is introduced to pre-approve applications prior to payments and avoid collection of credit card numbers on the applications. Upon receipt of your payment, you will be sent the study guide. You must request and complete the test within one (1) year after receiving the study guide. Your online test and password will be sent to you within one (1) business day after your request is received and you will have 24 hours to complete and submit the test.

If you prefer to pay by check, are part of a paid group, or have additional questions, please contact us immediately.

Candidate Information

First Name*:
Middle Name:
Last Name*:
Email:*
Email must be the same as the one listed on the membership application. Note: If you are not an IMI member, please also submit a membership application.

Attestation

I certify that all information herein is true and complete to the best of my knowledge and belief. I authorize verification of this information and release all concerned from any liability in connection therewith. I hereby apply for the Certified Identity Protection Advisor (CIPA) program and affirm that I have read and understand the qualifications for certification and membership. I agree to abide by the Identity Management Institute's rules, regulations, and code of ethics and promote its objectives and purpose. I understand that providing false information in any of the IMI applications is sufficient grounds for denial of membership, denial of certification or expulsion from the Identity Management Institute®, when false or misleading information is discovered.

Full Name*:
Initials*:
Date*:
By typing your name and initials, you agree to the terms of this application.

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Certified Identity Protection Advisor (CIPA)® Application