Attestations for COLED Membership
  • COLED

    COLED

    Consent Form for Verification of Degree and Work Experience
  • Type a question

  • By signing below, I acknowledge that I have read and understand the terms of this consent form and authorize COLED to verify my qualifications for membership.

  • By signing below, I acknowledge that I have read and understand the terms of this consent form and authorize COLED to verify my qualifications for membership.*
  • Date
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  • Questionnaire and Attestations for COLED Membership

    Please answer the following questions. If you answer “Yes”, please provide an explanation in the area below or attach a separate sheet with details.

  • FAILURE TO ANSWER HONESTLY AND COMPLETELY ANY OF THE QUESTIONS BELOW MAY RESULT IN A REJECTION OF YOUR MEMBERSHIP APPLICATION.

  • 1. Have you EVER been convicted of, had a judgment withheld or deferred, or are you currently charged with committing any felony? *
  • 2. Are you currently a party to or have you ever been found liable in any lawsuit, claim, investigation or proceeding alleging corruption, breach of trust or fiduciary duty, forgery, fraud, or any other act of dishonesty?*
  • 3. Has any court, governmental agency, institution, or international organization ever refused, denied, suspended, or revoked your professional license or disciplined you by sanctioning and/or restricting your activities?*
  • 4. Have you ever been the subject of any professional license/registration or market conduct investigation, claim or proceeding?*
  • 5. Are there any outstanding judgments, liens, salary garnishments or claims against you?*
  • I hereby confirm that I have read the COLED Constitution/Bylaws and promise to abide by its terms and provisions including future amendments that may be adopted by the member*

  • I certify that the information contained herein is true and complete to the best of my knowledge and belief. I understand that failure to provide true and complete information in this application may result in the rejection of this request for membership and/or subsequent termination thereof.

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