CERTIFIED PROFESSIONAL ORGANIZERS EXAMINATION REGISTRATION FORM

BEFORE YOU BEGIN, please note that the final phase of this application where you schedule your actual appointment to take the exam requires that you use Internet Explorer. If you are using another browser, you might want to exit and continue in Internet Explorer now.

If you have already completed the registration process and wish to extend your "valid through" date, please contact mgarrison@smttest.com.

If you prefer to complete the initial portion of the application in a browser other than Internet Explorer, be sure to print a copy of each section before you proceed to the next screen. Take special care to print or write down your assigned username and password.

There are three steps to this application process:

Step One:
Complete the following form in its entirety. Incomplete or partially filled forms will not be processed. All fields marked with an asterisk require a response.

Step Two:
Submit online payment with Visa/MasterCard/American Express/Debit Card

Step Three:
Schedule your exam online. Remember that you must use Internet Explorer for this process.

If you have difficulties finding a site, or there are no available dates at your preferred site, contact IQT at 1-866-773-1114.

Application Type: Original (First-Time) Candidate Re-take Candidate
Registering for Computer-Based Testing: February June October
Last Name: : Mr. Ms. Dr.
First Name: Middle Initial:
Former Name(s):
Business Name:
Home Address: City:
State/Province: Country: USAAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaidjanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongoCook IslandsCosta RicaCote D'Ivoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuyanaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreat BritainGreeceGreenlandGrenadaGuadeloupe (French)Guam (USA)GuatemalaGuineaGuinea BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartinique (French)MauritaniaMauritiusMayotteMexicoMicronesiaMoldaviaMonacoMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew Caledonia (French)New ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPolynesia (French)PortugalPuerto RicoQatarReunion (French)RomaniaRussian FederationRwandaSaint HelenaSaint Kitts & Nevis AnguillaSaint LuciaSaint Pierre and MiquelonSaint Tome and PrincipeSaint Vincent & GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovak RepublicSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTadjikistanTaiwanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican City StateVenezuelaVietnamVirgin Islands (British)Virgin Islands (USA)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe
Postal Code:
Email: Email Confirm:
Daytime Telephone Number: - -
AAPO, NAPO, NSGCD or POC Membership Status: Member Non-Member

BCPO^® does not discriminate on the basis of race, religion, sex, national origin, marital status, sexual orientation or disability.

Have you ever been convicted of a felony, a crime based on dishonesty (felony or misdemeanor involving lying) or a Court Martial in military service, or is there a felony charge now pending against you? (Omit minor traffic violations and offenses prosecuted in juvenile court.)	Yes No
Have you ever had a professional license, certification, membership or registration revoked, or have you ever been censured or disciplined by any professional organization or government agency?	Yes No
Have you ever been known by any other name, alias, or pseudonym? (You need not include user identities or screen names with which you were publicly identified.)	Yes No
If you replied YES to any of the foregoing questions, please explain fully:

I have a physical or other disability that may require special arrangements. (Please refer to the BCPO^® web site for the complete policy on special accommodations.)

High School diploma or equivalent
AND one of the following:
A minimum of 1500 eligible hours of paid work experience as a Professional Organizer in the last three (3) years	1500 Hours
OR
A minimum of 1250 eligible hours of paid work experience as a Professional Organizer and a maximum of 250 eligible substitute hours in the last three (3) years. If you choose this option, you will need to complete SECTION 5 below.	1250+ Hours

Candidates may claim a MAXIMUM of 250 hours of credit towards the above 1500 hour prerequisite if they are deficient in work experience, from one or more of the following SUBSTITUTE categories.

Formal Education - non-cumulative, select one:	NoneAA Degree - 50 hours creditBachelor Degree - 75 hours creditAdvanced Degree - 100 hours credit
Continuing Education Courses Related to Organizing (within the last 3 years). For each course, the candidate may claim the actual hours attended, up to a maximum of 10 hours. (BCPO® will not "approve" an official list of continued education providers.)
Total Continuing Education Hours Credit:
Organizing-Related Professional Activities (within the last 3 years)
Organizing Related Coaching/Consulting, actual hours, maximum of 10 hours credit		Hours Credit:	00.511.522.533.544.555.566.577.588.599.510
Paid Speaking Engagements, actual hours, maximum of 10 hours credit		Hours Credit:	00.511.522.533.544.555.566.577.588.599.510
Mentor/Mentee/Apprenticeship, actual hours, maximum of 10 hours credit		Hours Credit:	00.511.522.533.544.555.566.577.588.599.510
Publishing Books, 20 credit hours per book, maximum of 40 hours credit		Hours Credit:	02040
Authoring Articles (minimum 500 words each article), 10 credit hours per article, maximum of 30 hours credit		Hours Credit:	0102030
Professional Association Membership, maximum of 10 hours credit		Hours Credit:	00.511.522.533.544.555.566.577.588.599.510
Trainer/Teacher, actual hours, maximum of 10 hours credit		Hours Credit:	00.511.522.533.544.555.566.577.588.599.510
Serving on an Organizing Entity's Board of Directors, maximum of 10 hours credit		Hours Credit:	00.511.522.533.544.555.566.577.588.599.510
Volunteer Work as an Organizer, actual hours, maximum of 10 hours credit		Hours Credit:	00.511.522.533.544.555.566.577.588.599.510
Relevant Paid Work Experience Prior to Becoming an Organizer, 25 per full-time year, maximum 3 years or 75 points. Experience must include the same criteria for transfer of skills as described in the Eligibility Requirements.
Total Prior Organizing Work Experience Hours Credit:			None1 Year2 Years3 Years
Total Substitute Hours Credit:			0

By registering for an examination, I hereby affirm that I understand, acknowledge and agree to the following:

• Cancellations and Refunds

BCPO^® reserves the right to cancel any examination 15 days in advance. BCPO^®'s liability shall be limited to a full refund of fees paid. Cancellation or rescheduling requests received in writing with 22 days notice or more will incur a cancellation or rescheduling fee in accordance with the published fee schedule. Cancellation or rescheduling requests received in writing with between 21 calendar days and the day prior to the exam will be given credit toward attendance at a subsequent program only (refunds will not be given) and will incur an additional fee for rescheduling in accordance with the published fee schedule. Cancellations received on the day of the exam, or "no shows," will not be given a refund or credit toward a later program unless there is a documented medical emergency. If you fail to show up for your examination at the appointment time (i.e. a "no show"), or you can not be admitted because you failed to bring proper identification, or your admission letter, your examination fees are forfeited and you must reschedule your appointment and pay a new examination fee. In the event that you must reschedule or postpone a computer based testing appointment, you must contact IQT by phone at 866-773-1114, or reschedule online, at least four (4) business days prior to your scheduled testing time. If you do not show up for, or fail to reschedule your examination without giving IQT at least four (4) business days notice, you will forfeit your fees already paid unless there is a documented medical emergency.

• Examination Retakes

It is BCPO^®'s policy to prohibit the retaking of any CPO^® certification exam by a certification holder more than ninety (90) days prior to the expiration of the holder's certificate. Furthermore, a certificate holder may not retake any exam if (1) he or she has been de-certified by BCPO^® and prohibited from being recertified; (2) he or she possesses the requisite CEUs for recertification; (3) he or she currently serves or intends to serve within the next ninety (90) days as an instructor or advisor assisting others to study for the exam, whether for BCPO^® or any other organization. Violation of any provision of this policy shall be submitted to the BCPO^® Professional Practices Committee for remedial action, including possible decertification.

• Confidentiality and Copyrights

I have read the BCPO^® Code of Ethics and hereby confirm that I have not violated any of its provisions in the past and that I will comply with it in the future. I will treat all information related to the examination as confidential, whether provided to me by BCPO^® or received from other sources.

By registering for an examination, I hereby affirm that I understand, acknowledge and agree to the policies outlined above.

By registering for a CPO^® certification examination, I hereby certify that I have read, understand, and agree to the CPO^® applicant requirements published on the BCPO^® web site (including the BCPO^® Logo Usage Guidelines, Privacy Policy, Examination Rules, Examination Appeals, and Contact Information Changes policies); agree to the policies in Section 6 above; meet each and every requirement set forth, and have completely, honestly and accurately completed this Examination Registration Form to the best of my knowledge.

All information provided by me in this application is true to the best of my knowledge. BCPO^® may, at its sole discretion, make inquiry of individuals and organizations directly or indirectly referenced in any part of this application to verify the accuracy and completeness of the information I have provided. I further agree to cooperate in any such investigation by BCPO^® regarding the information I have provided, including my criminal history. I understand that providing any information that is fraudulent, or failing to completely or accurately disclose facts known to me, or my failure to cooperate in any inquiry by BCPO^® into the information I have provided, will result in the refusal of BCPO^® to issue the credential to me or revocation of my credential if already awarded, and me being forever barred from attaining the CPO^® credential.

Any action arising out of this application, the CPO® examination or any BCPO^® certification (a) shall be governed by the law of the state in which the principal office of BCPO^® is located, without regard to that state's choice of law principles, and (b) must be brought in a state or federal court in the jurisdiction in which such principal office of BCPO^® is located. The undersigned applicant hereby submits to the personal jurisdiction of the state and federal courts in such jurisdiction.

I HAVE READ AND UNDERSTAND THESE STATEMENTS AND INTEND TO BE LEGALLY BOUND BY THEM.

Once you receive your username and password on the following screen, you will have to continue the registration process in Internet Explorer. If you are using another browser, be sure to print out or write down your username and password, open Internet Explorer, and proceed to https://www.smttest.com.