Please complete the following application and press the "Submit" button at the bottom of the form. Your application for membership will be promptly processed. 

Are you a new or Returning Member? *
Number of Examiners to Renew *

I {name-1} {name-2} 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.

IAVSA / CVSA / VIPRE Systems / FVSA Basic certified?

IAVSA / CVSA / VIPRE Systems / FVSA Basic Certification

VSA Certification (Most Recent)

Polygraph Qualified? *
No file chosen

I {name-1} {name-2} 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.

Membership Payment *
Membership Payment *

Please Make Checks Payable to:

IAVSA, LLC
P.O. Box 357
Lima, OH 45802

Please Make Checks Payable to:

IAVSA, LLC 
P.O. Box 357
Lima, OH 45802

IAVSA will submit an invoice to: "{name-5}"
Please select "Submit Registration" to complete your registration.

IAVSA will submit an invoice to: "{name-5}"
Please select "Submit Registration" to complete your registration.