EXAMINATION QUESTION SUBMITTAL PROGRAM TRIAL AUTHOR AGREEMENT This agreement, hereinafter called the Agreement, made and entered into this _xx_ day of __xxxxxxxxx, 2012 by and between The Institute of Internal Auditors, Inc., a New York nonprofit corporation hereinafter called The Institute, and Full Name, hereinafter called the Author. The term of the contract is one year. The Author must adhere to the training and item writing guidelines of The Institute. The Author agrees to furnish The Institute with up to one question per requested domain topic per month for possible use on the examination for the Certified Internal Auditor® (CIA®), Certification in Control Self-Assessment® (CCSA®), Certified Government Auditing Professional® (CGAP®), Certified Financial Services Auditor® (CFSA®) certifications, and/or Certification in Risk Management Assurance® (CRMA®). These questions must be delivered to The Institute’s Certification Department by the last day of each month. The Author must receive feedback of the first submission from The Institute before sending the second submission. The Author must submit a minimum of fifteen (15) items during the term of the Agreement. At the end of the term, The Institute will inform the Author if a standard author agreement shall be offered to the Author. The Author certifies that the questions will be original and consistent with the requirements outlined in the Item Writer’s Guide for IIA examinations. The Author agrees to use the Item Template provided by The Institute (attached Addendum). The Author certifies that the questions will be referenced to the pre-approved authoritative source material. As The IIA’s exams are non-disclosed, the Author agrees to maintain the confidentiality of examination material and will only discuss the material with members of The Institute’s Exam Development Committee or Certification Department staff. All accepted questions become the property of The Institute. The Institute shall own all accepted questions and their related copyrights and shall have all rights to copyright renewal. Authors may not use accepted questions for any other purpose, such as review courses or review materials. It is understood that The Institute may modify the questions as deemed necessary and may use them for any purpose considered appropriate. The Author consents as payment the amount of US$25 for each awareness level question and US$75 for each proficiency level question that is accepted. The Author agrees to perform the necessary research, writing, and any rewriting of the questions, with the total amount for all accepted questions payable upon acceptance of questions by the Exam Development Committee. In lieu of payment, the Author may choose to receive three hours of Continuing Professional Education (CPE) credit per accepted question. Either party shall have the power to terminate this agreement anytime prior to the date of payment by giving written notice to the other party. AUTHOR: First Name Last Name, Credentials Signature Date ADDRESS: Street Address, City, State, Country FOR THE INSTITUTE: Signature Date Lisa Hirtzinger, CIA, CCSA Director, Exam Development and Analysis