Meditation Specialist Certification/Renewal Agreement with NMSCB

APPLICATION ACCURACY.

All information contained in my application for the Center for Mediation Science, Inc. and the National Meditation Specialist Certification Board.

AUTHORITY TO CONDUCT CERTIFICATION.

I hereby authorize NMSCB and its officers, directors, committee members, employees, and agents (NMSCB Representatives) to review my application to take the NMSCB certification examinations. I authorize NMSCB to determine my eligibility for NMSCB certification.

COMPLIANCE WITH RULES, STANDARDS, POLICIES AND PROCEDURES.

I understand and agree that if I am granted NMSCB certification, it will be my responsibility to remain in compliance with all NMSCB’s rules, standards, policies and procedures, including but not limited to NMSCB’s Disciplinary Policy which includes eligibility rules and certification standards found in the NMSCB Code of Professional Standards.

By signing this Authorization, I acknowledge that I have read, understood and agree to the rules, standards and policies submitted in the NMSCB Code of Professional Standards.

REVOCATION.

I agree to revocation or other limitation of my certification if any items made on this application and hereafter supplied to NMSCB is false or inaccurate or if I violate any of the rules or regulations of NMSCB.

COOPERATION WITH CERTIFICATION REVIEW.

I agree to cooperate promptly and fully in any review of my certification by NMSCB, including submitting such documents and information deemed necessary to confirm the information in this application.

RELEASE OF INFORMATION.

I authorize the NMSCB Representatives to communicate any and all information relating to any NMSCB application, certification status and certification review to state and federal authorities, employers, and others. Certification review shall include but not be limited to the fact and the outcome of disciplinary proceedings.

I agree that if accepted for board certification, NMSCB may release my name and the fact that I have been granted NMSCB certification to newspapers and other publications. I agree that NMSCB may release my name and address in a listing of meditation specialists to individuals and/or organizations interested in meditation as directed by NMSCB’s Board of Directors.

I understand that certification depends upon meeting all eligibility criteria as well as successful completion of both the Online Examination and the Practical Assessment of core competencies. I understand that information supplied is subject to audit and that failure to respond to a request for further information may be sufficient cause for the NMSCB to bar me from the Practical Exam and/or the Online Examination, to invalidate the result of my examination, to withhold certification, to revoke certification, or to take other appropriate action. I further understand that the information acquired in the certification process may be used for statistical purposes and for the evaluation of the certification program.

To the best of my knowledge, the information supplied in this Application to Qualify for Board Certification is true, complete, and correct and is made in good faith. Furthermore, by signing, I acknowledge that I have read and understand the information included in the “Meditation Specialists’ Board Certification Candidate’s Agreement with NMSCB” and agree to abide by these terms.