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* 1. Demographic Information

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* 2. Certificate Information

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* 3. Will you need any special accommodations to take the assessment?

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* 4. By checking the box below, I understand I am still bound by my positive affirmation of TAGME's Attestation Statement for Certification guidelines of my  initial or maintenance of certification application.

Thank you for completing this registration.  We will reach out in a few weeks with instructions to schedule your retake assessment date, location and time.
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