CHRP Exam Registration Form - Human Resources Management

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CHRP EXAMINATION REGISTRATION FORM
The Certified Human Resources Professional (CHRP) designation is a national standard administered by
the provincial human resources associations who are CCHRA members. This registration form is for
provincial association members who wish to register for the National Knowledge Exam™ (NKE). You
must be a member of your provincial association to register for this exam. Enrollment is through your
provincial office.
The NKE is offered in June and November of every year. Eligibility to write the National Knowledge
Exam™ is determined by each provincial association.
Registration deadlines are available at: http://www.chrp.ca/?page=Exam_Dates
Member ID #
Membership Category
(to be completed by provincial HR association office)
MEMBERSHIP INFORMATION
Prefix
First Name
Title
Initial
Last Name
Organization
Preferred Mailing Address:
This address is for:
Work
Province/State
City
Home
Postal Code
Fax
Telephone
Email
EXAMINATION TO BE WRITTEN (offered in June and November every year)
Note: You must bring photo ID and your CCHRA confirmation letter with you for admittance to the examination
The CCHRA & HRMA reserve the right to make changes to the exam process and format at any time up to 7 days
prior to the examination date.
Please select the exam you wish to write:
June 4, 2016
National Knowledge Exam™
I will write in:
English
French
November 5, 2016
Special Needs
As of January 1, 2011, a minimum of a bachelor's degree from an accredited college or university
is required in order to qualify for the CHRP designation.
CHRP Examination Registration Form
Page 2
FEES (Pre-payment required)
$400.00 + 20.00 GST = $420.00
National Knowledge Exam™
Please note: Once the registration deadline has passed, examination fees are non-refundable. If you have not already
paid the application fee of $60 + GST, it will be automatically charged to you when you register. If you are sitting the
exam outside of Canada, you are not subject to the GST. Please subtract the GST from your fees.
METHOD OF PAYMENT:
Visa
MasterCard
AMEX
GST/HST #119446714
I hereby give HRMA authorization to charge my credit card the amount indicated above for my exam registration
and the application fee, if not previously paid. In the event that my credit card is declined for any reason, I
understand that I will be charged an additional processing fee of $30.00
Card #
Name on Card
Expiry Date
Signature
OR
Cheque/Money Order #
A $30.00 administration fee will be charged on NSF cheques.
DECLARATION
I hereby register for the National Knowledge Exam™. I have read and agree to abide by the National
Code of Ethics:
http://www.chrp.ca/?page=Code_of_Ethics
I understand that:
1.
If I wish to defer writing an exam, I must submit a deferral application form to CHRP@hrma.ca
2.
If my application for deferral is approved, I will be registered for the next exam sitting. A maximum
of two deferrals per exam are possible.
3.
Up to 30 days before the exam date, I may defer without a deferral fee.
4.
Between 30 and 7 days prior to the exam date, I may defer to the next sitting but will be charged a
deferral fee of $100 + GST, except in cases of illness or bereavement (official verification required).
5.
Within 7 calendar days of the exam date, deferrals are not allowed unless there is verified proof of
extenuating circumstances such as serious illness or loss of immediate family member. I must
contact my provincial human resources association as soon as possible should such a situation arise.
6.
My provincial human resources association will review the application and determine whether I
qualify based on illness, bereavement or other special circumstances.
7.
Cancellations within 7 calendar days of the exam date for any other reason are considered to be noshows and the full exam fee will be forfeited.
8.
Registrants who defer to a future sitting and then cancel their registration any time prior to this
sitting will forfeit their initial exam fee plus any deferral fee paid.
9.
Membership fees are non-refundable.
Signature
Date
Privacy Notice: The CCHRA and HRMA collect and use the information you have provided for exam administration
and registration purposes only, including the verification of your qualifications and exam deferral circumstances as
required. If you have any questions regarding our use of your personal information, please contact the CCHRA at
1-866-560-1288 or HRMA at CHRP@hrma.ca. HRMA's privacy policy is available at:
http://www.hrma.ca/about-hrma/governance/policies/personal-privacy-protection
Please forward your completed application and exam fees to:
HRMA, 1101-1111 West Hastings Street, Vancouver, BC V6E 2J3
Fax: (604) 684-3225
Email: CHRP@hrma.ca
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