Instructions:  READ BEFORE COMPLETING APPLICATION (Mandatory)

This form MUST be used for all Submissions After  February 1, 2020

CANDIDATES WHO BOTH RESIDE AND WORK IN PAKISTAN CANNOT USE THIS FORM. CONTACT INFO@THEIIC.ORG FOR INSTRUCTIONS.

Not for Use for Certification for Full-time Educators Under the Grandfathering Provisions

Instructions for Completing Application for Membership & Certification Under the Grandfathering Provision

To ensure our ability to read and understand your application we REQUIRE all applicants to use this Jotform interactive version of the application available on our wesbite to be completed online. Handwritten applications will not be accepted. Once completed you must submit the application via the SUBMIT button at the end of the form. Payment can be made by credit card with the application or manually via check (payable on a U.S. bank only). NOTE-wire transfers at not accepted. For canidates paying by credit card in countries where PayPal does not operate, email membership@theiic.org for instructions on the use of our alternative credit card vendor.

Ensure that you print out a copy of the application form for your personal use or for your employer if required. This MUST be done before you SUBMIT the application. A PRINT button is located at the end of each form. Note that we cannot provide a copy of the completed application itself. Handwritten copies of the application WILL NOT be accepted.

All fields in the application should be completed, as applicable. This is especially important for your home/local residence and employer mailing addresses. Mailing addresses should be sufficient for the receipt of mail. NOTE that you cannot use your work address for your local residence or your work email as your personal email. Likewise, you MUST include both your personal and work email addresses. Make sure you note which mailing address and email address is preferred. We will email important information from TheIIC, including TheIIC e-Newsletter, Job Openings, Training Events, etc., to your preferred email address. If using firewalls for spam controls, please add to your email WhiteList all emails from all senders from the domain @theiic.org, otherwise. NOTE that all renewal invoices, as well as other important mailings, will be mailed to your preferred mailing address. The email address you use for the preferred email address is the unique identifier TheIIC uses to track your application and administer your membership after acceptance. If you elect to apply for another type of certification you must use a different email address for that application. If available, you should include your Post Office Box, in addition to your physical address location. Note that you CANNOT attach a resume/CV in lieu of completing the Experience Section (Section 4), although you can do so, as well as provide supplemental information, using the UPLOAD button located in Section 8. You must provide a detailed description of your internal controls duties in section 4, including the percentage of internal controls work for each position. Failure to do so can delay or result in rejection of your application. Only positions for which internal controls involve at least 50% of your duties will be accepted for experience under the Grandfathering provision. For the CICA designation, the experience MUST be in the audit or review of internal controls and internal controls systems.

Note that NO application will be presented to the Nominations Committee until full payment is received. The Nominations Committee meets on the 15th and last business day of each month. The Chairman will e-mail all candidates with the committee's decision within 60 days of the meeting. Do not contact TheIIC within this 60 day period for your application status. Certificates will be mailed within 60 days of the committee's decision. Mailing of certificates is to your workplace only, as a method of verification of employment. Delivery after mailing is dependent on mail service in your country and may be delayed for international candidates and members. Courier service for international members is available for an additional fee and will offer to track and guarantee delivery. E-mail info@theiic.org for the cost. NOTE that in countries where mail service is limited or unreliable, courier service is highly suggested.

Member ID/Certificate Number will be printed on certificates. Membership cards will be included with your certificate and will be good for one year. Expiration date for renewal will be noted on the card. For candidates approved for certification a "CERTIFIED" lapel pin will be mailed with the certificate.

If you wish to apply for both the CICA or CCS designations, separate applications must be submitted for each certification. Also, separate primary/preferred emails must be used. Using the same email address will cause the previous record/certification to be overwritten and lost. If you are applying for more than one type of professional certification, your experience must be exclusive of the other. For example, if you are applying for the CICA, you must detail your experience in auditing or reviewing internal controls. If you are applying for the CCS, you must detail your experience in the design, implementation, monitoring, etc. of internal controls. There cannot be any overlap in the experience. You should be aware that if you are awarded more than one certification, you must pay renewals dues for each annually.

Important: Once you have completed the application, note that you MAY NOT be able to SAVE a copy of the application. This will depend on your system. You should try to save the document using the SAVE AS function, naming the file "Application-{your name}. To retain a copy of the application or form, you MUST use the PRINT button at the end of the form before submitting the application to TheIIC as discussed above.

Note that once you close the form, your inputted data will be lost unless you have set your cookies to retain the data. If you enable cookies, your data input may be saved.

You should retain a copy of the completed application for your records. If you are mailing the application, make sure you sign the application (electronic signatures accepted) and include your payment.

NOTE: When submiting the application electronically via the SUBMIT button, it will be sent to TheIIC. If transmission is successful, you will receive an automated reply of receipt. ALL APPICATIONS MUST BE SUBMITTED ELECTRONICALLY ONLINE VIA THE SUBMIT BUTTON.

NAMES -- TheIIC, being an international organization, sometimes experiences confusion with the member's names due to differences in customs and culture. Applicants should note that by First Name TheIIC is asking for your given name. Your given name is typically that used to address you in a conversation. Last Name is typically your Family Name and also referred to as your legal name. Middle names are not used by all individuals. You may or may not use a middle name, or you can substitute an initial for your middle name. To avoid confusion, the name used for registering with TheIIC and the legal name used on your correspondence, as well as your driver's license or passport should be the same. Females may use a combination of their maiden name and married name as long as the use of it is consistent to ensure delivery of mail. Nonadherence to the above can cause difficulties in indexing, filing and locating a member's file.

You are reminded that membership in good standing is required to present yourself as a holder of the CICA or CCS professional designation. Failure to renew your membership and certification annually (during the month of the anniversary of your award) will result in termination of your membership and classification of your professional designation as inactive. Professional certification for any individual who has been inactive for three years will be permanently rescinded and cannot be reinstated under the Grandfathering provision. Any former member whose certification has been permanently rescinded will be required to complete CPE training and pass the certification examination. Former members who apply for reinstatement within three years will be required to complete any deficient CPE hours as described in TheIIC CPE Policy (see TheIIC website for details) and pay a reinstatement fee.

NOTE: ALL INFORMATION SHOULD BE TYPED OR PRINTED CLEARLY.

ALL INFORMATION REQUESTED, INCLUDING HOME/RESIDENCE AND BUSINESS INFORMATION MUST BE PROVIDED.

REVIEW THE INSTRUCTIONS PAGE BEFORE COMPLETING THIS APPLICATION.

For your convenience, Autofill will keep all your input data for 24 hours if you must leave the form before completing. You must use the same browser in order to pick up the form where you left off!

1. PERSONAL AND BUSINESS INFORMATION

NOTE:  Both home & business mailing addresses and email addresses must be included to ensure our ability to contact you in the event of a change of residence or employment. Failure to do so will result in the return of your application to you.

**Very Important: The email address you provide is the unique identifier that is used for your account. If you are intending to obtain a second certification with TheIIC you must utilize a different email address for the second certification. If you do not provide a different email address your application for the second certification will be halted until a new email address is provided as the unique identifier.

PERSONAL INFORMATION

Note: Certificates will be inscribed with name as inputted below (for long names, the middle name may be omitted due to character limit restriction on the certificate)

CURRENT EMPLOYER/BUSINESS MAILING INFORMATION

UNDERGRADUATE DEGREE (Bachelors or Associates or equivalent)

GRADUATE DEGREE (Masters or Equivalent)

DOCTORATE DEGREE/POST GRADUATE

3. PROFESSIONAL CERTIFICATIONS

4. EXPERIENCE

This section MUST BE COMPLETED and include a detailed description of all internal controls experience. A detailed resume or curriculum vitae may be attached to support or provide additional information BUT NOT in lieu of completion of Section 4. Failure to complete section 4 will cause rejection of the application.

Present Employment or Most Recent Job:

I certify that I performed the tasks below in the areas of Internal Controls as part of my major duties for the position listed above. Click the appropriate boxes below to certify your professional activities.

Past employment (include only Internal Controls positions)

I certify that I performed the tasks below in the areas of Internal Controls as part of my major duties for the position listed above. Click the appropriate boxes below to certify your professional activities.

Continue with Past Employment/Experience

Continued Past Employment and Experience(if any)

5. ELIGIBILITY FOR CERTIFICATION UNDER THE GRANDFATHERING PROVISION 

NOTE: APPLICANTS CAN ONLY APPLY FOR ONE PROFESSIONAL CERTIFICATION PER APPLICATION

I hereby apply for certification as a CICA or CCS under the Grandfathering provision of The Institute for Internal Controls. I understand that the certification will be based on the information provided above and that I may be asked to provide additional information to support the above education, professional certification, and internal controls experience.

6. APPLICANT'S DECLARATION

Check the boxes below to affirm each statement. Your application will not be processed without an affirmative declaration from you on the following statements.

7. APPLICANT'S ELECTRONIC SIGNATURE

8.CHECKLIST

Check off each item as you complete and ensure that full payment is being made along with the application. Your application will not be processed without full payment.

Note: Supporting documentation such as diplomas, transcripts, certifications, etc. are not required to be submitted with your application. However, if you wish to send documentation of any sort to help the Nominations Committe make their decision. Be advised that any documentation required by the Nominations Committee will be requested on an as-needed basis. You must submit a completed application with required fees and membership dues to be considered for inclusion into the IIC.

10. SUBMIT AND MAKE PAYMENT

(a) If paying by credit card, select the Credit Card checkbox in the Method of Payment area below. Note: Be advised that Affinipay is providing services as TheIIC's CC bank/vendor. If Affinipay does not operate in your country, contact membership@theiic.org immediately for a link to use an alternative CC vendor. No action on your application will be considered before receipt of payment in full.

(b) If paying by Check or Money Order, select the Manual Pay by Check or Money Order checkbox in the Method of Payment area below and click the submit button to send your completed application to the IIC. Send your Check or Money Order in the full amount of $250.00 to:

Note: No application will be considered before the receipt of full payment! 

Note: Supporting documentation such as diplomas, transcripts, certifications, etc. are not required to be submitted with your application. Any documentation required by the Nominations Committee will be requested on an as-needed basis.

NOTE: You MUST click the PRINT button on the “Submit and Pay” tab to provide a hardcopy of this form. You must do this before clicking the SUBMIT button since you may not be able to print out a copy of the form for your records once you click the SUBMIT button.