CPES / CCPES Application

Please fill out this form in its entirety whether paying online or by check. You will be given payment options after submitting your application.

(Areas marked with an *are required. Please input member info only,
you will be asked for billing info upon checkout)

*Certification:

IMPORTANT! Please select # of People to Register
and fill out one form, completely for each person joining:

All form fields must be filled in entirely for each Person. Click on "Form 2", "Form 3", etc. to bring form forward to register:

Form 1

*Applicant First Name:		Middle Initial:
*Applicant Last Name:

*Member Title / Rank: (if none, type "none")
*Agency Name: (if none, type "none")
*Agency Type: (if none, choose "none")
If "other" enter here:
*Address:
Address 2:
*City:
*State:		*Country:
*Zip:
*Phone Number:
Cell or Other Number:
Fax Number:
*Applicant Email:
*Re-enter Email:
*Date of Training Class taken:
*City where Training Class taken:

Please identify either your Police Chief, Sheriff or designee (CPES)
or Director of Security (CCPES) for IAPE to contact for
verification of term of service:

*Verifier First name:
*Verifier Last name:
*Verifier Title:
*Verifier Phone Number:
Comments:

*Payment Method:

Click "Apply for Certification" to submit your application
and choose pament options
(Please be sure that all information is entered correctly before submitting registration)

Certification Application

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CPES / CCPES Application