Demo Application

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Candidate Information
Fields marked with * are required.

Your first and last name must match the name on your government-issued identification.
Number of Years*
First Name (must match your ID)*
Middle Initial/Name
Last Name (must match your ID)*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone Number*
Email
Email*
Credentials*
AVA Member ID (You MUST enter your 8-digit AVA Member ID in order to receive the AVA discount on the exam. If you do not have your 8 digit number please contact AVA at ava@avainfo.org BEFORE submitting this application)
AVA Member ID
Discount Code
Organization/Business*
Job Title*
Organization/Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type of Application*
Enter your certification number*
If you don't remember your Certification Number Click Here
Dates of Previous Exams*
Require Special Accomodations*
- Yes
- No
Keep me informed about VACC business and events*
- Yes
- No
By submitting this form I agree to the terms and conditions of the VACC Privacy Policy*
- Yes
- No
Click Here to view the VACC Privacy Policy

Save and Continue Later

Save and Continue Later