Certification Registration

Home Certification Registration

First and Last Name *

Email *

Confirm Email Address *

Phone *

Do you want the study guide shipped to your work or home address? Shipping Information (No P.O. Boxes Please) *

Company

Job Title

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How many years of experience do you have? *

What is the highest degree that you have obtained? *

How did you hear about our certification program? *

Please indicate how you were referred. If it was word of mouth, please list their name. For example, LinkedIn or John Doe

Certification Exam Type *

Certification Prep Course *

Dietary Restrictions for In-Person Training *

Certification Payment *

Certified Diversity Professional (CDP) – $2,500.00
Certified Diversity Executive (CDE) – $3,000.00
Certified Diversity Professional (Self-paced) – $2,000.00
Certified Diversity Executive (Self-paced) – $2,500.00
Certified Diversity Professional (CDP) (Self-paced) BEC Consultant Pricing – $1,500.00

Stripe Credit Card *

Card

Name on Card