Certified Title Insurance Associate
Please complete all portions of this application and submit, accompanied by the following:
1.Non-refundable Application Processing Fee of $95*, which may be submitted by credit card
online at TLTA.com or by check payable to Texas Land Title Association. *NOTE: This is an
introductory member rate. Non-members add $25.
2.Educational credentials, see Section III.
Electronically transmit to certification@tlta.com or mail to: Certification Council, Texas Land Title
Association, 1717 West Sixth St., Ste. 120, Austin, TX 78703. Questions? Email certification@tlta.com;
or call TLTA education at 512.472.6050.
Please choose your preferred test date and city:
 April 4, 2014 – McAllen
 April 16, 2014 – Dallas
 April 17, 2014 – Houston
 May 8, 2014 – Austin
 October 15, 2014 – Dallas
 October 16, 2014 – Houston
I hereby make application and submit the following information for testing on the above date for:
Certified Title Insurance Associate (CTIA 175 points required for eligibility) plus
 Prior Certification Eligibility =  CESA  CAEA
 Experience Eligibility = Certified work history of 10+ years in industry.
SECTION I: PERSONAL INFORMATION
Name__________________________ _________________ (last)
(first)
_______________________
(middle)
ID#_________________________________________________________________________
(TLTA assigns)
Home address_________________________________________________________________
Evening contact number__________________________________________________________
Email address__________________________________________________________________
Work address_________________________________________________________________
Day contact number____________________________________________________________
Email address__________________________________________________________________
PLEASE CONTINUE TO PAGE 2/3 
SECTION II: SUMMARY OF ELIGIBILITY POINTS
Transfer points from Sections III, IV and V
Units
Achieved
Points/
Unit
Points
Earned
Education–30 Points Minimum
TLTA Land Title School – must attend classes and pass
test (70% or better) for full points; Tue-Wed or Thur
participation may receive 5 pts per day
25
Other TLTA-Sponsored Educational Events
___ CE Hrs
3
ALTA-Sponsored Educational Events
___ CE Hrs
1
TDI-Approved Courses by other providers
___ CE Hrs
2
Texas Licensed Attorney
License
5
Teach/speaker for TLTA-sponsored events
___ Hrs
5
Teach/speaker for real estate boards, bar associations,
builder groups, financial or allied professional organizations,
higher education, in-house training
___ Hrs
2
Employee of title insurance underwriter or agent.
___ Yrs
5
Attorney or employee of law firm (in Texas or out-of-state)
___ Yrs
3
Out-of-state title industry employment experience
___ Yrs
3
Real Estate Licensee
___ Yrs
2
Employee of company providing services or goods to the
title industry.
___ Yrs
2
Active TLTA Committee Member
___ Yrs
5
TLTA Committee Chair
___ Yrs
5
TLTA Board Member/Officer
___ Yrs
5
PAC Board Member
___ Yrs
5
Leadership Academy Participant
___ Yrs
5
College/Advanced Degrees (see point calculation guidelines)
Industry Work Experience–15 Points Minimum
Industry Participation–5 Points Minimum
Individual Member of TLTA at time of application
5
TLTA Awards or Honors (see list)
___ Awards
20
ALTA Awards or Honors (see list)
___ Awards
10
Write an Article for Industry Publication(s)
___ Articles
5
Total Points Earned: ____________
PLEASE CONTINUE TO PAGE 3/3 
Complete the following sections and transfer the Eligibility Points to the preceding page. Add additional pages, if needed.
SECTION III. EDUCATION
Acceptable credentials are a photocopy of your college diploma or transcript; official statement of participation
or TDI Certificate of Attendance from courses taken within the last five years and/or license. For teaching
credit, attach brochure, program agenda or letter from provider.
POINTS
1
2
3
4
SECTION IV: WORK EXPERIENCE
Beginning with the present, for each employer list name, address, dates of employment and position held.
Add additional pages, if needed.
POINTS
1
2
3
4
SECTION V: PROFESSIONAL PARTICIPATION
Include name of the organization, date of participation/award, committee, position, name of award/honor or
published article (attach copy of article to application).
POINTS
1
2
3
4
I certify that all statements in this application are true and correct and authorize the
Professional Certification Council to verify same in its evaluation of this Application. I will not
attempt to obtain a copy of the examination or disclose any questions from the examination.
Date
Signature of Applicant
Please sign once form is filled out and return by mail or email
 I would like to contact others in my area about meeting to study for the test. I authorize TLTA to give
others my contact information.