AAEM Certification Packet Submission Form Initial & Upgrading Certifications

AAEM Certification Packet Submission Form

Initial & Upgrading Certifications

Please utilize this form to submit your initial and upgrading of certification packets. Ensure you send a copy to yourself at the end of the form. You will receive email updates from the SmartSheet system as to where your certification review is in the process.

If you are simply renewing a certification, you will utilize a different form, linked here.

The AAEM Certification Committee utilize the Certification Program Rules and Regulations when reviewing applications. Incomplete or improper submission of this application will result in a denial of certification. Questions, comments, and appeals can be sent in writing/email to certification@aaem.us.

Payments for certification review may be sent to:

Jefferson County EMA

C/O Chris Tate, Certification Chair

709 19th St. N.

Birmingham, AL 35203

Applicant First Name*

Applicant Last Name*

Applicant Title*

Please choose from one of the following or add your own as desired.

Select or enter value

Organization*

Work Phone Number*

Cell or Other Number*

Email*

Applicant Street Address*

City*

State*

Select

County*

Zip Code*

EM Affiliation*

Select or enter value

EM Student?*

Select

Current Certification Level*

Select

Certification Level Sought*

Select

AAEM Member?*

Members will have login credentials to the ACCA website which houses our online payment system. If you don't have access, please contact the ACCA at 334-263-7594 for assistance.

Yes

Non-Member Fees

Non-member certification review fees are higher than member fees. If you would like to become a member and take advantage of all the benefits our organization provides, included reduced-costs for certification, please click here to learn more.

Once your membership goes through, then you will be provided login credentials to the ACCA website, who houses our online payment system. When you log in with your new member credentials, you will be provided the member pricing for certification. If you don't have access, please contact the ACCA at 334-263-7594 for assistance.

Otherwise, you may pay for the non-member recertification at the prices/links listed in the next section.

Certification Fees*

If you would like to pay online through the ACCA website click the appropriate link below. Members will have login credentials to the ACCA website which houses our online payment system. If you don't have access, please contact the ACCA at 334-263-7594 for assistance. Otherwise, mail in your payment to

Basic & Intermediate Level Certifications - Members $50 (Non-Members $100)

Advanced Level Certifications - Members $75 (Non-Members $150)

Master Level Certification -Members $150 (Non-Members $225)

Recertifications utilize a different form. Click here to be redirected.

Please select below the fee amount that applies to your application:

Select

Fees Paid?

Check, PO or Confirmation #

Supporting Documentation Upload Section

Helpful videos on how to combine files and upload your supporting documentation:

Certification Packet and Supporting Documentation*

Certification packets must include the Certification Workbook and all supporting documents, in the format detailed below, to be considered complete. Failure to submit the following information as requested will result in a request to resubmit.

Upload your supporting documentation in the following SEPARATE file sections/titles.

Example: All the certificates you have for your Optional Training should be combined into one large single PDF file; that file should be saved as "Optional Training" (i.e. save them with the appropriate titles highlighted below) then uploaded here:

1) Certification Workbook - filled out completely per the instructions on the certification level sought.

Upload this as an excel file just like it was when downloaded!

(Workbook can be found on the AAEM certification page)

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2) Required Core IS Education FEMA transcript required. Do not send individual certificates.

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3) Additional Core Training - FEMA transcript required for IS courses. All other EM-related certificates must be put in the order they appear on your workbook.

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4) Optional Training - course certificates or transcripts contributing to the EM profession. Place certificates in the order they appear on your workbook.

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5) Higher Education transcript copy

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6) Disaster Credit - documentation for approved disaster work

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7) Masters Level Only Supporting Documentation for service requirements in the order found within the workbook

---- next file ---

8) Other supporting documentation not previously listed

Drag and drop files here or

Before you submit, do you have your files properly separated, labeled, and uploaded above?

Send me a copy of my responses

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