Examination Host Application

Programs/Agencies/Institutions that are interested in hosting a paper/pencil exam administration, please complete the information below and we will contact you shortly regarding your request.

Exam Requested: FP-C®
CCP-C®
TP-C®
TR-C®
CP-C®

Name of Host Program: Name of Contact Person: Contact's Address: Contact's Phone: Contact's Email: Name of guarantor whom is responsible for attendees, if different than above: Name of the location that exam is to be held (e.g. Station 127 - Rampart Conference Room): Examination location address: Time of Examination and Time Zone (e.g. 0900 Eastern): Do you need more than one seating time?: Exam Date Preference: Will the examination site be open to the public?: Number of people venue can accommodate: Do you want the exam posted in the IBSC testing events section of the IBSC website?:

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International Board of Specialty Certification
4835 Riveredge Cove
Snellville, GA 30039

+1.770.978.4400 (office)
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EMS Expo, Las Vegas, NV

AMTC, Nashville, TN

Texas EMS Conference, Ft. Worth, TX

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