Loss Prevention Foundation - Exam Registration

All fields are required unless marked as "Optional".


PERSONAL INFORMATION

Salutation First Name
Middle Initial Last Name
Job Title Social Security Number

My primary mailing address is my:
(NOTE: You must enter a complete address for whichever you choose as your primary mailing address.)

WORK - CONTACT INFORMATION

Company    
Work Address 1
Work Address 2
Work City Work State/Province
Work Zip/Postal Code    

HOME - CONTACT INFORMATION

Home Address 1
Home Address 2
Home City Home State/Province
Home Zip/Postal Code    

COLLEGE/UNIVERSITY - CONTACT INFORMATION

College/University Name
Address 1
Address 2
City State/Province
Zip/Postal Code    


Phone (in case you need to be contacted for exam location/time change information):
Email :
Country:    

In order to qualify for Loss Prevention Qualified/Certified written exam, individuals must answer "no" to the following questions:

Have you ever been convicted of a felony, or if in military service convicted by a general court martial?

Have you ever been convicted of a misdemeanor involving moral turpitude ("moral turpitude" means an offense that calls into question the integrity or judgment of the offender, such as fraud, bribery, corruption, theft, embezzlement, solicitation, etc.)?

Are there any criminal charges (felony or misdemeanor involving moral turpitude) now pending against you?

I certify, to the best of my knowledge that the answers to the questions above are true. I realize that falsification of information on this membership application will result in the forfeiture of membership, as well as the registration fee I have paid.
In order to take the written exam, I recognize that I need to have at least a High School or GED education level. Checking this box certifies this.

Please choose one of the following options to continue:



I HAVE A REGISTRATION TAG - Please enter your Registration Tag below:



- OR -


I WANT TO PAY ONLINE (Please select your membership option if you have not already):

Loss Prevention Qualified (LPQ) Exam - $250.00

Please select:
NOTE: You do not need a PayPal account to enroll online - simply choose the "Credit Card/Bank Account" option on the next page, as shown below:


 

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