CMA Two Part Program wo Part Program (Including Transition Exam)(Including Transition Exam)
TOTAL TOTAL PARTS PARTS
PPlleeaasse e cchheecck k bboox x iif f tthhiis s iis s a a nneew w aaddddrreessss.. PPlleeaasse e SSppeecciiffyy HomeHome BusinessBusiness
NOTES:
NOTES:
1.
1.CertifCertification entraication entrance fees arence fees areNOT REFUNDABLE.NOT REFUNDABLE.
2.
2.After 30 days from After 30 days from the date of the date of registration, examination fees areregistration, examination fees areNOT REFUNDABLE.NOT REFUNDABLE.Within 30 days of the registratWithin 30 days of the registration date an examination feeion date an examination fee
may be refunded
may be refundedIF NO TEST APPOINTMENT HAS BEEN SET. A $25 processing fee will IF NO TEST APPOINTMENT HAS BEEN SET. A $25 processing fee will be subtracted from the refund.be subtracted from the refund.
3.
3.There are There are no extensions available fno extensions available for exam reor exam registrations.gistrations.
PART 1PART 1
Financial Planning, Performance & Control Financial Planning, Performance & Control
May/JuneMay/June Sept/OctSept/Oct PART 2PART 2
Financial Decision Making Financial Decision Making
May/JuneMay/June Sept/OctSept/Oct PART TPART T Transition Exam Transition Exam May/JuneMay/June Sept/OctSept/Oct
Please select the part(s) and testing window(s) you would like to register for. (You must schedule your examination appointment at least three days Please select the part(s) and testing window(s) you would like to register for. (You must schedule your examination appointment at least three days in advance of the test date.)
in advance of the test date.)
** Please note: any registrations for parts
** Please note: any registrations for parts 1, 2, or 1, 2, or transition exam received after June 15th or October 15th will transition exam received after June 15th or October 15th will be registered for the followingbe registered for the following testing window.
testing window.
You must take the exam during the window you have registered for. Once you select a testing window you will not be able to change that testing You must take the exam during the window you have registered for. Once you select a testing window you will not be able to change that testing window.
window.
CMA Program
CMA Program
$200 Entrance Fee ($75 for Stu
$200 Entrance Fee ($75 for Student and Academic Members in the US, Canada, or Mexico new certification appdent and Academic Members in the US, Canada, or Mexico new certification applicants onlylicants only) The entrance fee for) The entrance fee for
the certification progra
the certification program must be paid before taking the examinations. Candidates must complete the CMA program within three years from entrym must be paid before taking the examinations. Candidates must complete the CMA program within three years from entry
into the program. Candidates also must register for an exam part within the
into the program. Candidates also must register for an exam part within the first 12 months of entering the first 12 months of entering the program. If a candidate does not registerprogram. If a candidate does not register
for an exam part within the first 12 months of entering the program, they will have to REPAY the entrance fee. If both exam parts are not success-
for an exam part within the first 12 months of entering the program, they will have to REPAY the entrance fee. If both exam parts are not success-
fully completed with
PREFERRED METHOD OF PAYMENT (All payments must be in U.S. Dollars)
PREFERRED METHOD OF PAYMENT (All payments must be in U.S. Dollars)
Wire PaymentsWire Payments
All wire transfers must be made with banks fees prepaid. Please notify IMA by e-mail ([email protected]) that you are paying by wire transfer.
All wire transfers must be made with banks fees prepaid. Please notify IMA by e-mail ([email protected]) that you are paying by wire transfer.
Include your name, member ID number if applicable, amount sent, and wire transfer receipt number.
Include your name, member ID number if applicable, amount sent, and wire transfer receipt number.
Check PaymentsCheck Payments M y
M y c hc he ce ck k f of or r $ $ , , p ap ayya ba bl e l e t o t o I CI CM AM A, , i s i s e ne nc lc lo so se de d. . N o N o cch eh ecck s k s d rd raaw n w n f rf ro m o m f of or er ei gi gn n b ab an kn ks s w iw il l l l b e b e aac cc ceep tp te d e d uun ln le se ss s t ht he y e y aar e r e p ap ay ay abbl el e
through U.S. correspondent banks and in U.S. dollars.
through U.S. correspondent banks and in U.S. dollars.
Credit Card PaymentsCredit Card Payments
Charge my credit card:
Charge my credit card: VISAVISA MasterCardMasterCard American ExpressAmerican Express DiscoverDiscover
Credit Card Number:
Credit Card Number: — — —— —— Expiration Date:Expiration Date:
Promotional Code (if applicable): Promotional Code (if applicable): Card Holder Name:
Card Holder Name:
Signature of Card Holder:
Signature of Card Holder:
If you are applying for admission to the certification program, please complete the following.
If you are applying for admission to the certification program, please complete the following.
ADDITIONAL EDUCATIONAL INFORMATION
ADDITIONAL EDUCATIONAL INFORMATION
Check one of the following and make arrangements for supporting documents to be forwarded to the IMA certification department. Check one of the following and make arrangements for supporting documents to be forwarded to the IMA certification department.
LaterLater-- By selecting this option, applicants choose to provide their educational credentials after completing the exams. By selecting this option, applicants choose to provide their educational credentials after completing the exams. If you would like to have If you would like to have youryour
credentials reviewed prior to taking the exams to ensure that they are acceptable, please select one of the options below.
credentials reviewed prior to taking the exams to ensure that they are acceptable, please select one of the options below. Please note that the educa-Please note that the educa-
tional requirement must be fulfilled prior to certification.
tional requirement must be fulfilled prior to certification.
College GraduateCollege Graduate-- Submit official transcript showing university degree conferred and official university seal or arrange to have proof of degree sentSubmit official transcript showing university degree conferred and official university seal or arrange to have proof of degree sent
directly from university.
directly from university.
CERTIFICATION PROGRAM APPLICATION
CERTIFICATION PROGRAM APPLICATION
CONFIDENTIALITY STATEMENT & PAYMENT INFORMATION
CONFIDENTIALITY STATEMENT & PAYMENT INFORMATION
I affirm that the statements on this registration are correct and agree to abide by IMA’s Statement of Ethical Professional Practice. I affirm that the statements on this registration are correct and agree to abide by IMA’s Statement of Ethical Professional Practice. I hereby attest that I will not divulge the content of this examination, nor will I remove any examination materials, notes, or other unauthorized
I hereby attest that I will not divulge the content of this examination, nor will I remove any examination materials, notes, or other unauthorized
materials from the examination room. I understand that failure to comply with this attestation may result in invalidation of my grades and disqualifica-
materials from the examination room. I understand that failure to comply with this attestation may result in invalidation of my grades and disqualifica-
tion from future examinations. For those already certified by the Institute of Certified Management Accountants, failure to comply with the statement
tion from future examinations. For those already certified by the Institute of Certified Management Accountants, failure to comply with the statement
will be considered a violation of IMA’s Statement of Ethical Professional Practice and could result in revocation of the certification.
will be considered a violation of IMA’s Statement of Ethical Professional Practice and could result in revocation of the certification.
PLEA
PLEASE SE COMPCOMPLETE LETE BOTH BOTH SIDES SIDES NOTE: NOTE: PAYMPAYMENT ENT IN IN FULL FULL MUST MUST ACCOACCOMPANMPANY Y REGISTREGISTRATION RATION FORM FORM - - FEES FEES SUBJESUBJECT CT TO TO CHANCHANGEGE
10 Paragon Drive • Montvale,
10 Paragon Drive • Montvale, New Jersey 07645-1760 • New Jersey 07645-1760 • www.imanet.orwww.imanet.orgg
(201) 573-9000 • (800) 638-4427 •
(201) 573-9000 • (800) 638-4427 • Fax Fax (201) 474-1600(201) 474-1600
Applying as a StudentApplying as a Student (U.S., Mexico and Canada) – Upon graduation, arrange for an official copy of your transcript to be sent.(U.S., Mexico and Canada) – Upon graduation, arrange for an official copy of your transcript to be sent.
Applying as FacultyApplying as Faculty (U.S., Mexico and Canada) – Please provide a letter on school stationery affirming full-time teaching status.(U.S., Mexico and Canada) – Please provide a letter on school stationery affirming full-time teaching status.
NOTE: Please pay the entrance fee before submitting your educational credentials. NOTE: Please pay the entrance fee before submitting your educational credentials.
S
Siiggnnaattuurree ooff AApppplliiccaanntt:: DDaattee::
IMA occasionally makes available its members’ addresses (excluding telephone and e-mail) to vendors who provide products and services to the
IMA occasionally makes available its members’ addresses (excluding telephone and e-mail) to vendors who provide products and services to the
management accounting and finance community. If you prefer not to be included in these lists, please check this box.
management accounting and finance community. If you prefer not to be included in these lists, please check this box.
MM/YY MM/YY 3 3 / / 1 1 0 0