CCRP Exam Re-Test Application

From original application approval date, you will have one year to schedule your exam and up to 3 additional re-tests.

Please do not apply if you are within 10 - 14 business days of your one-year time frame expiring. If you are unsure of when your time frame closes, please reach out to certification@socra.org.

Each re-test is $390, and you must wait 14 days after your unsuccessful attempt on exam to re-test.

Name (Please enter your name as listed on your government ID)

First NameMiddle NameLast NameSuffix

Name Prefix:

Degrees:

Certifications:

Title:

Company/Affiliation:

Address type:

Address (where your certificate will be mailed):

Street Address

Street Address Line 2

CityState

Zip CodeCountry

E-mail

Note: This email address will be used for member emails and access to the Chapter Circle community. Personal email address is recommended.)

Phone type:

Phone Number

Format: (000) 000-0000.

If a current Member, enter Member ID:

Do you require ADA Accommodations to take the exam?

If Yes, please describe (supporting documentation must be included in application portfolio)

Fee:

Re-test Fee

$390.00

Enter coupon

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

By submitting this application and portfolio, I attest that the information provided is accurate and understand that falsification or misrepresentation of my application information will invalidate my certification status, and I agree to the policies and procedures in the Candidate Handbook.

Attest and Agree:

CCRP Exam Re-Test Application

Fee:*

Fee: