Deadline for Application: June 20, 2019
Examination Date: September 30, 2019
• Please refer to Eligibility Criteria and Registration Process for Spirometry Certification for complete details on how to apply and examination details. • After submitting the Application Form, you will be directed to the Shop page to make payment for the application. Note: This application will not be reviewed until all necessary documentation has been received and fees paid. Up to 4 weeks are needed to review all documentation.
Section I: Personal Information
Section II: Workplace Information
Section III: Spirometry Testing Experience
A) Have you taken any CACPT approved Spirometry courses within 36 months? See Candidate Guide to Spirometry for a list of approved courses.
If "yes", please provide the following information:
Please Note: You do not need to complete Section B and you do not need to submit any Spirometry Examples if you have completed an approved course.
B) If "no", please provide the following information for Spirometry Testing on site training.
Seven Spirometry Examples with supporting data are required if the applicant has not completed a Spirometry Course within 36 months. See “Spirometry Examples Requirement”
Upon submitting this application you will automatically be directed to the shop page to make the non-refundable fee(s) payment of $30.00.
Address for mailing of required documents if necessary
C/O Laura Seed
40-561 Childs Dr.
For more information contact firstname.lastname@example.org