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CUNA Volunteer Certification Program Enrollment

Complete and submit the enrollment form online by filling in the fields below. If you have questions, please email us or call 800-356-9655, ext. 4249.

If you would like to enroll via fax, fax a completed printed form to 608-231-4333. If you would like to enroll via mail, mail a completed printed form to:

CUNA Volunteer Certification Program
PO Box 431
Madison, WI 53701-0431

PLEASE CHECK ONE

Fees are non-refundable and non-transferable. No need to prepay. We'll invoice your credit union for the $100 enrollment. The enrollment fee does not include the value of the learning activities you choose.

YOUR CONTACT INFORMATION

Full Name:
Street Address:
City:
State:
Zip:
Phone Number:
Email Address:

CREDIT UNION INFORMATION

Credit Union:
CUID:
CU Street Address:
CU PO Box:
CU City:
CU State:
CU Zip:
CU Phone Number:
CU Email Address:
Present Volunteer Position:

ADDITIONAL INFORMATION

a. How would you prefer to be contacted? (choose one)

b. CUNA Volunteer Certification Program Track (choose one):

c. Have you taken any previous CUNA course credits (ex.VAP modules) which you would like transferred into this program? Only programs/courses, which include assessments (exams) and reported on your CUNA transcript, will be considered for this transfer. Credit transfers will be limited by CUNA Volunteer Certification Program requirements.

d. How did you hear about CUNA's Volunteer Certification Program?


 

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