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Recertification Extension Application

 

Please fill out all of the information below to complete your Recertification Extension Application. 

NALS Members - sign in to your account and the contact information fields will auto-populate with your member information.

 







The extension for re-certifying is 90 days. If a different amount of time is needed, you MUST detail the amount of time needed and why in the "Reason for Extension" field. A staff member will reach out and let you know if your extension has been approved.

 

This is only an extension of your deadline to re-certify; all forms related to re-certifying must still be filled out in their entirety and all applicable fees must be paid in full. Receiving a recertification extension only changes your recertification deadline for the current recertification cycle; it does not change future recertification deadlines.

 

By providing my digital signature below, I acknowledge that I have read and understand the above statements. I declare that the information provided on the above form is true and correct to the best of my knowledge and belief. I also confirm that in the event of any information I provided is not true and incomplete NALS, Inc. will be well within its right to take necessary action including, but not limited to, revocation of any and all NALS, Inc. certification(s), certificate(s), and award(s) and may result in the forfeiture of the feeds I paid for said certification(s), certificate(s), award(s), recertification(s), and membership fee(s). 

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