Please indicate your name and title as you would like it to appear on your certificate:

iV. CREDENTIALING INFORMATION

Candidates must achieve or exceed a total score of 200 points by completing this credentialing section. Applicants need to complete the Education, Certification and Licensure, Knowledge and Training and Experience sections. The point value for each item is to its right.

Please enter your total points for each section in the spaces provided (box under red lettering) and then add these scores together to calculate your total score (box under blue lettering below). You may provide additional information in each section for consideration when your application is reviewed.

Applicants who fail to demonstrate that they have met the requisite criteria for certification in the specialty area will be informed as to the reason for denial. The candidate will be given a second opportunity to provide additional supportive documentation.
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education (select highest level of education)

Please select your highest level of education and enter the corresponding point value in the TOTAL EDUCATION SCORE box provided below.

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CERTIFICATIONS AND LICENSURE (Select All that Apply)

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KNOWLEDGE AND TRAINING (Select All that Apply)

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experience (Select one category)

Please total your points from the Education, Certification and License, Knowledge and Training and Experience sections (numbers in each of the red boxes) and enter it below.

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V. DECLARATION

I hereby certify that all the information provided in this  Application Form is accurate and complete.   I understand that the certifications offered by the American Academy of Experts in Traumatic  Stress in collaboration with the National  Center for Crisis Management aims to identify applicants’ expertise by  virtue of their knowledge, experience, training and education.  I agree to abide by the Academy’s Code of  Ethical and Professional Standards and agree to hold harmless the American Academy of Experts in Traumatic  Stress and the National Center for  Crisis Management, its officers, consultants and employees for any  misrepresentation of my credentials and for any malpractice on my part either  willful or through negligent conduct, recklessness, and gross misconduct and  for all claims, loss, damage, judgment or expense.  I understand that the American Academy of Experts in Traumatic Stress and the National Center for Crisis Management  do not practice medicine or psychology or provide direct or indirect  patient/client care.  Furthermore, I  understand that certifications offered by the American Academy of Experts in Traumatic Stress and the National Center for Crisis Management  do not attest to my ability to treat people.  
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