Application for Certification Exam
Please complete this form to start the exam process. Some items you will need before you get started that will need to uploaded during the application process are.

-The proctor location of where you will take the exam
- Copy of valid drivers license or photo identification
- Copy of High School or College Diploma or transcript
- Date you completed the MLDI online exam (if applies)
- If applying based solely on education and experience - copy of supporting certificates/diplomas

After completing the form you will be directed to a payment page to submit the $50 application fee. No application will be processed until application fee is paid.

Email address *
Name (first - middle - last) *
Last 4 of Social Security Number (for proctor verification) *
Address *
City - State - Zip *
Country *
Best Email (government emails are not best ) *
Phone number *
Name and title as you want it on certificate *
Application based upon either:
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