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Payment Form and Exam Application

Both the Exam Application Form and the Payment Form must be submitted prior to your Application being reviewed.  Please use the Checklist that is part of the download to ensure that all items are included in your submittal.

Payment Form, Application Form, and Checklist per Upcoming Training and Exam:

Click on one of the following links to download the payment form, application form, and checklist for whichever upcoming CISEC training event you would like to enroll in.  Each download will have all three items together.  The included form can be used for signing up for the class and for the exam.  

 If you are having troubles opening up one of the following links and are using FireFox, please try a different web browser.  If you are still having troubles, please let us know.  Thanks.

United States Applications are in Blue

Canadian Applications are in Pink

Click here to download Payment Form for RETAKE of Exam Only

Click here to download Payment/Application/Checklist for Proctoring

Click here to download Payment/Application/Checklist for the February, March, and April Canada Events

Click here to download Payment/Application/Checklist for the IECA 2012 Conference

Click here to download Payment/Application/Checklist for the Mililani, Hawaii Event

Click here to download Payment/Application/Checklist for the San Diego, California Event (March and June Events included)

Click here to download Payment/Application/Checklist for the Brighton, Colorado Event

Click here to download Payment/Application/Checklist for the Bakersfield, California Event

Click here to download Payment/Application/Checklist for the Anchorage, Alaska Event

Click here to download Payment/Application/Checklist for the Palm Desert, California Event

Click here to download Payment/Application/Checklist for the Fairbanks, Alaska Event

Click here to download Payment/Application/Checklist for the Elk Grove, California Event

Click here to download Payment/Application/Checklist for the Gardena, California Event

Click here to download Payment/Application/Checklist for the Fairfield, California Event

Click here to download Payment/Application/Checklist for the Ohio Stormwater Conference Event in Toledo, Ohio

Additional Packets will be uploaded at a future date, please check back periodically. 

If you cannot find an Application Form, Payment Form, and/or Checklist that applies to your situation, please call or email us.

Thank you.

*Please Read The Minimum Qualifications Prior To Submitting Application*

Please note that an applicant will be required to reapply for the certification examination if one of the following occurs:

·        The applicant applies for the certification examination and does not take it within one year of being approved.

·       The applicant applies receives a failing grade on the certification examination and does not retake the exam within one year of taking the initial examination.


CISEC, Inc. PO Box 188 Parker, CO 80134

Phone: (720) 235-2783 Fax: (303) 841-6383