Form

Intent to Apply Form

ASA ID (if a member):

First Name:*

Middle Name:

Last Name:*

Company:

Address 1:*

Address 2:

City:*

State:

Zip:

Country:*

Email:*
The ASA will send you updates and additional information about the accreditation process, and get feedback from you.

Phone:*

Fax:

Website:

I currently hold accreditation in:

The Statistical Society of Canada(P.Stat)

The Statistical Society of Australia(A.Stat)

The Royal Statistical Society(C.Stat)

Affirmations:

I have read the criteria for accreditation.*

I understand that completing this "intent to apply" form does not obligate me to apply for accreditation.*

I understand that the ASA will contact me at the email address I have provided to let me know
when I may submit my application.*

I understand that I must be an ASA member before I will be able to submit an application.*

*required