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Application for Credentialing Examinations External Candidate 1. PERSONAL AND CONTACT INFORMATION (PLEASE PRINT OR TYPE LEGIBLY.) First Name Last Name Middle Name / Initial Date of Birth (date / month
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How to fill out personal and contact information:

01
Start by entering your full name in the designated field. Make sure to include your first name, middle initial (if applicable), and last name.
02
Provide your date of birth, including the month, day, and year. This information is often required for identification purposes.
03
Enter your gender, selecting either male or female.
04
Include your current residential address. This should include your street address, city, state, and zip code.
05
Provide a valid phone number where you can be reached. This is important if the organization or individual needs to contact you.
06
Enter your email address. This serves as another means of communication and is often used for sending important updates or notifications.
07
If applicable, include your social media handles or profiles. This is optional and depends on the purpose of the form or request.
08
Indicate your citizenship status, whether you are a citizen, permanent resident, or non-resident.
09
Provide your marital status. Options may include single, married, divorced, widowed, or other.
10
If necessary, provide emergency contact information. This should include the name, relationship, and contact details of someone who can be reached in case of an emergency.
11
Finally, review all the information you have entered to ensure accuracy and completeness before submitting the form or sharing the details.

Who needs personal and contact information?

01
Employers often require personal and contact information for job applications and hiring processes.
02
Government agencies, such as the Internal Revenue Service (IRS), may require this information for tax purposes or to determine eligibility for certain benefits or programs.
03
Educational institutions, including colleges and universities, may request personal and contact information for admissions, enrollment, or financial aid purposes.
04
Financial institutions, such as banks or credit card companies, typically ask for this information when opening accounts or processing transactions.
05
Healthcare providers and insurance companies require personal and contact information for medical records, billing, and insurance coverage purposes.
06
Landlords or property management companies may ask for this information when renting or leasing property.
07
Social networking platforms or online services may require personal and contact information for creating user accounts and ensuring secure access to their platforms.
08
Various organizations or individuals may request personal and contact information for purposes such as surveys, memberships, or event registrations.
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Personal and contact information includes details such as name, address, phone number, email address, and any other information that helps identify an individual.
Individuals are required to file personal and contact information.
Personal and contact information can be filled out either on a physical form or online, providing all the required details accurately.
The purpose of personal and contact information is to help establish a person's identity and provide a means of communication.
Information such as full name, address, phone number, email address, and any other relevant contact details must be reported.
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