Certification Enrollment - Certified Financial Peer Mentor "*" indicates required fields Step 1 of 3 33% HiddenName First Last Please complete all of the following fields with your personal/home contact information. We will request your school details on a following page.HiddenHome Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern 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AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country HiddenEmail HiddenWhich address would you like any physical mail sent to? Home School HiddenWhich email would you like notifications sent to? Personal School Have you ever been convicted of a felony?* Yes No Please provide each date of conviction, the felony or felonies in question, and a description of the circumstances of the conviction. Have you ever had a professional license or certification related to the financial services, financial counseling or education field(s) revoked, suspended or otherwise subject to disciplinary action?* Yes No Please provide each date of revocation, suspension or disciplinary action, the name of the licensing or certification body, and a brief explanation of the circumstances. Have you ever had a professional license or certification NOT related to the financial services, financial counseling or education field(s) revoked, suspended or otherwise subject to disciplinary action?* Yes No Please provide each date of revocation, suspension or disciplinary action, the name of the licensing or certification body, and a brief explanation of the circumstances. Have you ever filed bankruptcy?* Yes No Please provide each date on which you filed for bankruptcy and briefly explain the circumstances of the bankruptcy. Have you ever been or are you now subject to a judgment lien?* Yes No Please provide each date a judgment lien has been issued against you, provide the jurisdiction in which the lien was issued, and briefly explain the circumstances of each judgment lien. An Applicant or Certificant is required to have a minimum of a High School diploma or GED. An Applicant or Certificant must provide information about their highest level of formal education obtained, including the following information. Fincert.org reserves the right to verify reported information.I have obtained my High School diploma or GED* Yes No Highest degree level attained*Highest degree level attainedHigh School/GEDSome CollegeAssociates DegreeBachelors DegreeGraduate DegreeArea(s) of study* Institution from which degree was attained* Policy Review Affirmation* Yes "I have read and understand Fincert.org's Certification Policies and Standards. I understand that these Certification Policies and Standards are subject to change at any time, with or without notice, and that I am solely responsible for ensuring that I review any updates to these Certification Policies and Standards when they are published.Application, Renewal and Recertification Procedure Review Affirmation* Yes "I have read and understand Fincert.org's procedures, including but not limited to the Application, Renewal and Recertification Procedures. I understand that these procedures are subject to change at any time, with or without notice, and that I am solely responsible for ensuring that I review any updates to these procedures when they are published."Continuing Education Affirmation* Yes "I understand that after becoming certified through Fincert.org, I will be required to complete continuing education unit requirements. I have read and understand Fincert’s procedures, including but not limited to the CEU Procedures. I understand that these procedures are subject to change at any time, with or without notice, and that I am solely responsible for ensuring that I review any updates to these procedures when they are published."Ethical Affirmation* Yes "I have read, understand and will abide by Fincert’s Code of Ethics, found in Article II of Fincert.org's Certification Policies and Standards, which I understand applies equally to both Applicants and Certificants. I further understand failure to abide by the Code of Ethics may be grounds for the immediate denial, suspension or revocation of certification."Professional Conduct Affirmation:* Yes "I have read, understand and will abide by Fincert’s Code of Professional Conduct, found in Article III of Fincert Certification Policies and Standards, which I understand applies equally to both Applicants and Certificants. I further understand failure to abide by the Code of Professional Conduct may be grounds for the immediate denial, suspension or revocation of certification."Background Check Notice* Yes "I understand that Fincert.org reserves the right to check my criminal, employment and education history including, without limitation, criminal/driving records, references, and release of licensing and investigatory information possessed by any state, local, or federal agency. These checks may be conducted, with or without cause, at any time during the thirty-six month period following the submission of an Application for Certification or Application for Renewal of Certification. I hereby agree to provide such additional information, signed waivers or other such assistance as Fincert may from time to time request from me to conduct these background checks. I further acknowledge and agree that failure to provide such additional information or assistance shall constitute grounds for immediate denial, suspension or revocation of certification."No Employment or Agency* Yes "I understand that acceptance of this Application and/or certification by Fincert.org does not constitute an offer of employment with Fincert.org or any form of agency on its behalf."Fees Non-Refundable* Yes "I understand that any fees paid to Fincert.org with the submission of this Application, as well as any fees paid in the future for renewal, recertification, or for any other purpose, are completely non-refundable."Regulatory Reporting* Yes "I understand that Fincert.org may provide information about Applicants or Certificants to regulatory authorities and others upon request, or as otherwise required by law."Affirmation of Accuracy* Yes "By submitting this Application, I state that the information provided on this Application and any other information that I have provided is accurate and true to the best of my knowledge and ability to determine. Further, I understand that providing inaccurate information to Fincert.org or its authorized representative(s) may be grounds for immediate denial or revocation of certification without refund.""I have read this Application Form carefully, and I understand the meaning of its provisions and agree to abide by them."* Enter your full name as your electronic signature.CFPM Enrollment* Price: Exam Type* Paper Exam Online Exam The CFPM enrollment fee includes a paper exam to be completed on a scheduled date with an in-person proctor on campus. For an additional $20, you may choose to use our online remote proctor system to test from your home/office computer at your convenience. If you choose the paper exam at enrollment, you may switch to the online exam. If you choose the online exam, no refunds will be given if you choose to do a paper exam.Total Payment Method*OnlineBy Phone (Email [email protected] to schedule a call)My employer or cardholder has made or will make paymentCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country