New Applicants Form

Disclaimer & Signature

I confirm that I have provided the necessary documentation as requested for the attainment of my credentials. I certify that all information and documentation provided by me is accurate and true. I understand that if my membership has lapsed for more than three months, my credential(s) will be deemed expired, and I may be subject to associated late fees. I acknowledge that it is my responsibility to reactivate my credentials.

Furthermore, I understand that, if required, I must fulfill the following requirements to receive credentials: complete 90 hours of Continuing Education from an approved CME provider, provide evidence of current BLS certification from the American Heart Association, and participate in and attend a CE webinar as mandated.

I affirm that I will not engage in any fraudulent activities related to test-taking, nor will I assist others in doing so. I agree to abide by the policies and procedures set forth by the NCMA. I am aware that my compliance with NCMA standards directly impacts my credentials status. Additionally, I agree to refrain from any actions, whether direct or indirect, that may compromise the credibility, reputation, or validity of the NCMA.

3 + 7 =(Required)