When

Wednesday, July 11, 2018 at 12:00 PM MDT
-to-
Wednesday, September 19, 2018 at 12:30 AM MDT

Add to Calendar

Where

Multiple Locations: CA, KS, MA, NY, & TN

Contact

Cindy Hayter, Executive Director & Amanda Brickey, Certificant Services Administrator
American Chiropractic Board of Sports Physicians™
844-327-2255
info@acbsp.com

ACBSP™ November 2018 CCSP® and DACBSP® Written Exams Registration

Please complete this online form to begin the application process for the Nov 3, 2018 CCSP® & DACBSP® written exams. Your application package will NOT be complete UNTIL your transcript, DC license and healthcare provider level CPR card are received by our office. All application documents must be received by the application deadline Sept 19, 2018.

* Required information

Exam Candidate Personal Information

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    I hereby attest that I have read, understand, and accept the ACBSP™ Certificant and Candidate Agreement and Release available at www.acbsp.com/node/173

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    I hereby attest that the email address I have provided on this registration form is a unique email address and not shared by any other ACBSP™ certificant. I understand that this email address will used by the ACBSP™ to communicate important information to me regarding exam results and/or ACBSP™ policies and procedures. I also understand that this email address will be used to allow me to vote in the board elections assuming that I earn and maintain my certification and remain eligible to vote.

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    I am a DACBSP® candidate and I attest that my CCSP® certification is current and in an active status. If it should be found to not be current or inactive, I understand that I will need to remedy that situation prior to taking the DACBSP® examination(s).

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  • Fee

    Type Fee
    $350.00
    $300.00
    $400.00
    $350.00

Information about your education and about your certificate

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    Which college did you attend for your CCSP® / DACBSP® program? Or, in other words, which college is issuing your program transcript that will qualify you for the certification exam?

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    Indicate which term is to be used on your certificate (please check your state guidelines).

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    Choose your exam location. **Please note, a minimum of 15 examinees must be registered in each location for the exam to be held there. If there are less than 15 examinees registered for a location after the application deadline, examinees will be allowed to select another location. Exam fees will not be rolled over to a future exam date. A new location is required to be selected. **Please note the TN location will only hold up to 30 examinees. The first registrants will be priority seating.

$9,999.99

Payment

Payment Method

  • Please make check payable to:
    American Chiropractic Board of Sports Physicians™
    3210 E. Woodmen Road
    Suite 100, Office #3
    Colorado Springs, CO 80920

Payment Summary


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