I understand Honest Academic principles. I agree to maintain the highest standards of personal integrity and academic honesty in all endeavors. I understand that any violation of these principles is likely to result in sanctions from AICACC and others. These sanctions may include but are not limited to retaking the exam(s) or withdrawal from the exam(s), disciplinary probation, suspension, expulsion from AICACC and more.
I certify that I Voluntarily enroll and willingly support the concept of Continuing Education Programs for current professionals. I am in the country where I intend to use the certificate (s) that I am applying for. I am enclosing a non-refundable fee in accordance with the cost of the exam. I understand that no action will be taken on my
application without payment of fee and submitting all the required credentials.
I authorize full investigations of my application. My signature below is the authorization to anyone to release any information you may request on me. I agree that my competency in clinical skills and professional qualifications will be evaluated and AICACC may make inquiry or release information about me concerning this matter. I agree to indemnify, release and hold harmless AICACC its Agents from any liabilities or torts by reason of their acts or omissions in connection with this application. I agree to abide by the decision of AICACC or its agents. We agree to submit to arbitration under the American Arbitration Association for any controversy, claims, torts and tort nuisance and other related violations. We are to submit the above controversies to the above arbitrators in Detroit, Michigan, USA, and a judgment of the competent court may enter such an award of the arbitrators.
I agree to function within the limits of my competency and I guarantee and warrant that the AICACC (and its agents) assume no responsibility for any of my activities or actions.
It is understood by me that any falsification of records, misrepresentation of material facts, dishonesty, forgery, and unethical practices will automatically render any and all certifications or more awarded to me NULL and Void.
Under penalty of perjury, I guarantee and warrant that all information provided on all pages of this application are true and correct. I am legally bound by the foregoing as attested to here with my signature below.
I understand, acknowledge and agree that AICACC admits professionals to its organizations of any race, color, national origin, sex, age, handicap, or religious preference in its education programs, activities, and employment as required by the Civil Rights Act of 1964 and Amendments including Title IX of the Educational Amendments of 1972.