PERSONAL DATA
First Name		Last Name
Address		City
State		Zip
Country		Phone
Fax		E-Mail
PROFESSIONAL DATA
Occupation	Independent	Focus
	Employed	Position
Training
ACADEMIC DATA
Degrees
PUBLICATIONS
Books Articles
REFERENCES
Clients Employers
PROFESSIONAL ORGANISATIONS
Memberships
PAYMENT METHOD
I will pay the accreditation fees of $ 1,500 after receiving an invoice.
CONFIRMATION
I am aware of the need to pass the half-day audit before AATD can issue a certificate and membership seal. Should I not meet the required quality standards I have the option of repeating the audit at a later time. I hereby confirm that the provided information is true and correct to the best of my knowledge.