Application for Membership

Check type of membership desired:*
Associate Member (Not seeking certification yet but desire to join IMI)Regular Member (Seeking IMI certification)
Check desired certification:*
CDPCIAMCIPACRFSCIMPCISTCAMSCIGECMSCNo Certification
If seeking certification, please also submit the appropriate certification application after you submit your membership application. It is the responsibility of each applicant to demonstrate his or her application to warrant acceptance. The sufficiency of demonstrating qualifications is particularly critical if applicant intends to be a candidate for certification.

First Name*:
Middle Name:
Last Name*:

How did you find out about IMI? Please check one and describe.*
GoogleLinkedInFacebookYouTubeReferredOther
If you found us in an Internet search, what keywords were you searching?
If referred by a member, please enter name:
If you have a code, please enter:

Personal Phone*:
Mailing Address*:
City*:
State or Region:
Postal Code*:
Country*:
Personal Email*:
Business Email*:
Preferred Email*:	PersonalBusiness
Company Name:
Your Job Title:
Your LinkedIn Profile Link:

Have you ever been found guilty of fraud or ethics violations*?
NoYes
If yes, please explain:

Application Process

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