MMACA Recertification Online Application

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Student Contact Information

Name*
Address*

NESTA Approved CEU Course Information

Please enter approved CEU course information. https://www.nestacertified.com/ceu-approved-provider-list/ to view all approved NESTA providers.
Please select one from the following:
MM slash DD slash YYYY

Additional CEU Course Providers

Please upload official proof of CEU completion (copy of certificate, letter of completion, etc). Allowable file extensions: pdf, jpg, png. We will accept no more than 5 files and a total maximum file size of 5MB.
Drop files here or
Accepted file types: pdf, jpg, png, Max. file size: 5 MB, Max. files: 5.

    Fees

    Late Fees
    If you are submitting your application after your certificate has expired, the following late fees will apply.
    Amount is due in full prior to reviewing your application. Upon clicking on the application submission form, you will be redirected to our secure payment page. Please note your total fee, you will be required to enter it into the secure payment form.
    I hereby attest that the above application information and all materials included in submission are complete and accurate to the best of my knowledge.

    Please use this form, if you have completed 2.0 or more CEU’s (20 hours) from our pre-approved providers such as NESTA, Spencer Institute, MMCA or ITCA, including approved providers listed here: Approved Providers

    If you need to petition CEU’s from a provider not listed in our Approved Providers list, please use our CEU Petition form, prior to submitting your renewal.

    Upon submission, you will be redirected to our secure payment page to complete the process. All major credit cards and PayPal payments are accepted. Payment in full must be received prior to reviewing your application. If payment is not made within the hour, your submission will be deleted.

    If you are a member of IDEA, please contact us for your membership discount code.