Renewal Membership – Registered or Non Resident – Step One

Membership Category (Choose one of the following): *

Name *

Organization / Business *

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Mobile

Phone

Fax

IDC Insurance Program Policy number *

Policy Coverage Period *

Certificate number *

Liability Insurance Coverage - Insurer *

Liability Insurance Coverage - Policy # *

Liability Insurance Coverage Period *

If Exempt for Insurance - Please Explain

Confirmation - Active Professional Work

Consent to Communicate With You *

YES
NO

Note that without your consent, we will no longer send you email notices of meetings, seminars, social functions and other association related events and issues.

Are you including your IDCEC Unofficial CEU Transcript.

No
Yes, see attachment

CEU Credits: To maintain a member in good standing, members are responsible to acquire the specified quantity of CEU's based on their Membership Classification and keep track of their CEU's at www.idcec.org. At the end of the three (3) year cycle (2021-2024), IDNS will assess your IDCEC transcript to confirm you have met the requirements to renew your membership. Please submit a printed copy of your IDCEC transcript that indicates your IDCEC CEU summary to date as of December 01, 2022 with your 2023 renewal. For Registered members, the following are requirements for the 3 year reporting cycle: 15 IDCEC (incl. 8 classified as HSW) and 15 non-IDCEC

Upload If Applicable - IDCEC Unofficial CEU Transcript

Click or drag files to this area to upload. You can upload up to 5 files.