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NEHA Application for Professional Credential

Application for Professional Credential (Please allow 4-6 weeks for processing) REV 1/18 Step 1. Name and Address of Applicant (Please print or type.) NEHA Membership # if known:_____ NAME: _____ Sustaining member # if known:_____ PREFERRED MAILING ADDRESS: Job Title:_____ _____ Street Address City/State/Zip Code Work Telephone: _____ Home Telephone: _____ Mobile phone: _____ E-mail (this is required): _____ Employer Information:_____ Place of Employment Street Address City/State/Zip Code Step 2.

Step 3. Administration Options (Please select A or B below, and fill out the requested information.) A. REHS/RS, CP-FS & CFOI Credentials: OPTION ONE – NATIONAL CONFERENCE.The CP-FS, CFOI and REHS/RS exams are administered each year at the NEHA Annual Educational

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