Board Exam Application

First name

Last name

Email

IAHAP Membership Number

Website / Business Name (if applicable)

Which board certification are you applying for?

Brief professional biography

I am an active IAHAP member in good standing.

I agree to comply with the IAHAP ethics agreement and professional standards.

I practice within the legal scope of practice for my jurisdiction.

I understand this is a formal review process and certification is not guaranteed by submitting an application.

Primary school / program name

Additional schools / training providers attended

Total education hours completed

Supervised practical hours completed

Breakdown of training completed (example: TCM theory, meridians, points, anatomy, safety, techniques)

Did your primary program include practical or supervised hands-on training?

Yes

No

Total documented hands-on sessions completed

Number of animals worked with

Primary species worked with

Please summarize your practical experience

Case logs / case studies summary

Do you currently hold professional or business liability insurance, if applicable?

Yes

No

Do you currently work with clients in a professional setting?

Yes

No

If yes, please list your business / practice name

Additional professional qualifications, certifications, or continuing education

Reference 1 (name and contact information)

Reference 2 (name and contact information)

Proof of completed education / certificates

Documentation of supervised practical hours

Government-issued ID for ID verification

Any additional supporting documentation

I certify that the information provided in this application is true and

accurate to the best of my knowledge.

I understand that IAHAP may request additional

documentation, clarification, or revisions during the review process

I understand that

approval is based on IAHAP standards and review outcomes.

Signature

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Date

Month

Day

Year

Board Exam Fee

Exam Fee$250