HA: Provider Application

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The Exam administrator serves as the primary contact for the Associate exam and is responsible for:

Note: Instructors are not allowed access to the Exam and may not be the designated Exam Administrator or Proctor for the Exam.

Students have two options for taking the Associate Exam:

On-site, in a paper and pencil (P&P) format
Off-site, in a computer-based testing (CBT) format, at one of several hundred Castle Worldwide testing sites across North America.

Do you want to offer exams in P&P format?:

N/A

Yes

Exam Admin Center

First Name:

Last Name:

Title:

Street Address:		Order

City:

Country:

State/Province:

Zip/Postal Code:

Telephone:

Email Address:

Exam Admin RightAll applicants must download and read the Exam Administration Manual and download and sign the Exam Administration Agreement Form.

Upon application approval, login credentials will be sent to the Exam Administrator.

Field Progress:

Each "step" or page of the form has x fields on it. We need to determine, for each step, how many of the fields have been filled out.

Exam Type: *

Leave this field blank:

Please thoroughly review the Associate Provider Info Packet before completing your application.