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Please print, complete (in legible black ink printing), & sign this PCI training application, along with
the P.C.I. Code of Ethics, scan both documents, and then email both this application and the signed
Code of Ethics to P.C.I.  by email attachment to: envirodangers@yahoo.com.

Full name:_______________________________________________________________________________________________
Mailing address:__________________________________________________________________________________________

City:_______________________________ State: __________________  Postal Code: __________  Country:______________

Daytime phone: (________ )_____________________  Evening phone:  (________ )_____________________

Email address:______________________________________________________________________________

Designation(s) I desire (upon successful completion of each certification designation training program, which can be done simultaneously with one another):

     ____ Certified Mold Inspector and Certified Mold Remediator combination -- tuition US$998 for both PCI professional designation certifications Certified Mold Inspector and Certified Mold Remediator, plus US$198 first year PCI certification membership dues total for both designations, for a total of US$1,196.

     ____ Certified Environmental Hygienist--tuition $499.00 including first year membership certification dues in PCI.

     ____ All three Certifications in one Money-Saving Combination. Be trained and Certified as Certified Mold Inspector, Certified Mold Remediator, and Certified Environmental Hygienist for only US$1,999.00 including first year PCI Certification membership dues a saving of US$295.

     
All payments are in US$.

If I am accepted by the Professional Certification Institute, I, and the organization that I may represent, will always follow and abide by
the Code of Ethics of P.C.I. I understand and agree that my professional designations will be terminated if I violate the Code of Ethics, or if I do not pay my annual renewal PCI membership dues (currently $99.00 per certification designation).  To accompany this training application, I will make payment to PCI by using one of the PayPal payment links at the top of the home page, or by my personal or business check, or money order payable to the Professional Certification Institute.

If you have completed ANY post-high school college, trade, or technical education programs of any kind, please provide the details
 including school name, school location, year of graduation or completion of course, subjects studied, and any other helpful info. Attach extra sheets of  paper if needed.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

_____________________________________________________________________________________________________
Please describe in detail all or your business/work/career experiences that you believe would be helpful to your successful career as a
certified environmental professional.  [please include details such as skills learned, employer names and addresses, and dates]. Attach
extra sheets
of paper if needed.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

Please provide the names, nature of relationship [how you know each person], company [if relevant], complete mailing address, and current
phone number of three persons who personally know your work abilities and/or general character. Your most ideal references would be
your business/
professional clients or co-workers. Please do NOT submit references who are your relatives or employees. Attach extra sheets if needed.

___________________________________________________________________________________________________

__________________________________________________________________________________________________

___________________________________________________________________________________________________

I certify that the above information is totally true and complete. I authorize my references to provide complete information about myself
 to the Professional Certification Institute.

__________________________________________                                     ____________________

                              My Signature                                                                                    Date

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Also visit these pages---
[ Mould Course Contents ][ Mould Remediation Course ][ Testimonials ][ Application ][ Code of Ethics ][ Mould Science ]
[ News About CMI ][ Company Refund Policy ][Free Access to Advanced, Always-Updated Mould Knowledge]
[Mold Instructors  ][ Online Advertisement ][ Environmental Hygienist ] [ Mold Training Requirements]
[Mould Training Schedule ][Mould Training In Canada ][Mould Training Payment Options]
 

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     1. Read Phil’s five plain-English, mold advice books to master mold inspection, testing, removal, remediation, and prevention for your house, condo, apartment, office,  or workplace.

     2. Buy do-it-yourself, affordable mold test kits, mold lab analysis, video inspection scope, mold cleaner, and mold killer, for the  successful toxic and household mold inspection, mold testing, mold species identification and quantification, mold cleaning, mold removal, and mold remediation to find mold, kill mold, clean mold, and remove mold from your residence or commercial building.

     3. Get FREE mold advice, mold help, and/or answers to your mold questions, by emailing mold expert Phillip Fry at envirodangers@yahoo.com. You can also email pictures of your mold problems in jpeg file format as email attachments.