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ABC Exam Award Application Form

Applicant Information

Name of Applicant:
Address:
City, State, Zip:
,
Telephone:
Example: 999-555-1234
Applicant's E-Mail Address:
CAC Membership Status:
Affiliate
Associate
Corresponding
Retired
Full
Life
   
ABC Membership Status:
None
Diplomate
Fellow
   

Exam Information

Exam Applying For:
 
(1) Comprehensive Criminalist  
     
OR (2) Specialty Discipline  
  Molecular Biology Drug Chemistry
  Fire Debris Analysis Trace Evidence (Hairs & Fibers)
  Trace Evidence (Paints & Polymers)  
     
Qualifications: I meet the minimum qualifications for this exam.
  I will meet the minimum qualifications for this exam within one year.
   
Financial Need?:
If you feel you qualify for this award based on financial need, please provide details. Examples: you are a student, you are not employed full time, or your employer does not provide a tuition reimbursement program.
 
 
Employer Requirements:
Does your employer require you to obtain ABC certification? Yes No
Does your employer give credit towards promotion if you are certified? Yes No
Are you applying for a job that requires or gives extra credit for certification? Yes No

Do not submit supporting documentation with this application form. The CAC Awards Committee will contact you if further information is needed. The CAC Awards Committee and Board of Directors will use the information on this form for purposes of this award only. The CAC will submit the name of the winner to the ABC, and reimburse the winner for their application fee. All other aspects of this award are the responsibility of the ABC. The ABC will require you to complete an application before you can take any exam.