International Association of Voice Stress Analysts, Inc.
MEMBERSHIP APPLICATION


Please complete the following application and press the "Submit Application" button located at the bottom of this page. Your application for membership will be promptly processed. IAVSA Dues are only $80 for 2 years. A specific requirement to join the Association is graduation from a Certified or Basic Examiners Course sponsored by the IAVSA, NITV®, VIPRE Systems, or FVSA©. In addition to this application, please mail a copy of your IAVSA, NITV®, VIPRE Systems, or FVSA© certification certificate to the appropriate address also listed at the bottom of this application. The certificate may also be sent via electronic mail or faxed.

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IAVSA/CVSA®/VIPRE Systems/FVSA© Basic Certification:

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VSA Recertification: (most recent)
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CERTIFICATION

I certify that all information contained in this application is complete and true to the best of my knowledge.  I understand that any material omission, misrepresentation or falsification of this information is grounds for dismissal or refusal of membership to the IAVSA Association.  I hereby authorize investigation of all statements contained herein and give permission to contact any or all of my previous employers, references, and/or schools attended for information.

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Please mail your certification certificate to:
International Association of Voice Stress Analysts, Inc.
Patrick Wainscott, Executive Director
P.O. Box 357
Lima, OH 45802
E-Mail:
Phone: 419.229.2872