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PARTICIPATION ACTIVITY RECORD: You will also need to complete the "Participation Activity Form (below)".
Include any necessary documentation to verify points claimed. The CM Application will not be processed without the "Participation
PREREQUISITES FOR CERTIFIED MEMORIALIST®
Requirements to earn the “Certified Memorialist”® designation under the MBNA Certification Program are divided between successful completion of the examination, which is based upon material in the Certification Manual, and the accumulation of points awarded for participation in the specific activities listed below. To achieve initial certification, a minimum of 50 points must be accumulated; individuals have a maximum of 5 years immediately preceding application for certification during which to accumulate the required points.
Upload any supporting documentation using the field below:
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(3 or 4 digit code on back of card)
I fully understand that it is an application for enrollment purposes only. In order to be processed, a fully executed Participation Activity Form must be submitted at the same time. I will submit to written examinations, be available for oral interviews if
requested, and supply further information as determined by the MBNA Certification Committee. I further understand and by submitting this form I subscribe to the MBNA Code of Good Practice with the knowledge that any false statement or misrepresentation that I
may make in the course of these proceedings may result in the revocation of this application and the issuance of a complaint of
violation on said Code.