NDC Executive Certification Program

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Application
Program:

NDC Executive Certification Program

* Session:
* Company:
* Title:
Salutation:
* First Name:
Middle Name:
* Last Name:
* Personal Pronouns:
Professional Designations, if any:
* Email:
* Address:
Address 2:
* City:
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* Zip:
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* How did you hear about us?:
* If you discussed or received additional information regarding the certification program from a National Diversity Council staff member, please state their name below:
N/A if not applicable
* Is your organization a member of the National Diversity Council or a member of a state council under the NDC umbrella?:
*What application category are you under?:
Special Accommodations:
* Please provide some background information about the responsibilites of your role at your organization and a brief explanation why you are interested in getting the Certified Diversity Executive (NDCCDE) designation:

character limit 350

Please read the NDC Terms and Conditions
I agree to the Payment, Refund, Transfer and Cancellation policy
noted in the NDC Terms and Conditions
The National Diversity Council is committed to making all events accessible to everyone.
We highly recommend submitting your request (4) four weeks before the event.

You will receive a follow up to your Application soon with a decision on admission and an invoice, if appropriate.
Thank you.

Fields marked with * are required. Click the submit button only once. If the application goes through, you will be taken to a new page. If the transaction is successful (for credit card application), you will see the transaction details, and you should also receive a receipt by email.
 
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