ICCDP Certified Dementia Practitioner Application

Certified Dementia Practitioner CDP Application

The CDP curriculum and CDP certification is only open to people living in countries that the United States has a trade agreement.

Certified Dementia Practitioner is NOT a profession but a level of education in the area of dementia care to assist you in providing compassionate care to the most vulnerable elderly.

INSTRUCTIONS —

ONLINE APPLICATION and CERTIFICATION PROCESS:

Complete 5 pages of the application form.
Submit payment in the amount of $150.00 USD.
You may save your application and return at anytime to complete it.
Submit payment in the amount of $150.00 USD.
Your application will be reviewed by ICCDP. Upon approval you will be sent information on how to access the online Alzheimer's disease and Dementia Care online Course which is required if pursing CDP certification.
Register to take the course and submit payment in the amount of $150.00 USD. You have 30 days to complete the course work
Take the test.
You will be given multiple opportunities to retake the test should you fail the test.
Once you pass the test your certification will be emailed to you.
For complete information about the certification process please go to the certification information page.

This Form is for International Citizens (Non-US) Only. For customers from the United States please click here.

Following completion of this form you will be sent to a page to submit payment by credit card. We accept Visa, Master Card, American Express, and Discover.

Upon successful completion of your application, course work and test, you will be pleased to know that your name will be proudly displayed on our registry of International Council of Certified Dementia Practitioners. Only your name and credentials will be posted. Your contact information will not be posted.

I have a USERNAME and PASSWORD.

I'm a new applicant from OUTSIDE the United States. I want to create a USERNAME and PASSWORD.

RENEW YOUR CDP CERTIFICATION

PLease log in with your USERNAME and PASSWORD to continue.

Username (must be 8 characters long):

Password:

Forgot your password?

ENTER A USERNAME AND PASSWORD OF YOUR CHOICE. The username and password will provide you access with the members only section and to your account information. In addtion, you will be able to save this application form and return to it to complete it.

Username:

Password:

Confirm Password:

Personal Email Address:

Confirm Personal Email Address:

	CDP Application (this will be refunded within 30 days if your application is not approved) (Online Course and Test Fee of $150 USD will be requested after your application is approved)	$150.00 USD

ELIGIBILITY OPTIONS FOR CDP:

There are 5 Options for CDP certification. Please select one from below:

I have a 4 year College degree with appropriate license or certification.

I have a High School degree or equivalent with appropriate license or certification.

I have a Master Degree or PhD but no appropriate license or certification

I have No License, No Degree, No Certification.

Grandfather Option.

Following submission of this application form you will need to complete the ICCDP online Alzheimer’s disease and Dementia Care curriculum and pass the test before a CDP certification will be granted to you. IF you qualify based on the options listed in this application and you pass the test the certification will be granted to you. If you fail the test, you will have one other opportunity to retake the test. There are no refunds once you pay for the course or the CDP application. If you fail the tests, you will be given another opportunity. If you again fail the test there is no refund and you will need to pay for the course again.

The certification is for two years. At which time, you will need to renew your certification online. You are required to renew your CDP certification every two years. A email notification will be sent to the email addresses you have provided to us. We recommend you provide a personal and business email address. Notification will be emailed to you two months prior to your renewal date. It is your responsibility to notify ICCDP of email and address changes. Once you receive an email reminder to renew your CDP certification, you will log onto the ICCDP web site and renew online before your expiration date listed on your CDP certification. If you renew after the expirations date, there is a $25.00 USD late fee and this fee is subject to change. After 60 days you will be removed from the registry and you will need to start the whole process over again. In order to renew, you will need 10 hours of continuing education of health care related topics through the ICCDP Online learning portal. There is a fee for reach contact hour.

The CDP certification renewal fee is $150.00 USD as of 3/20/15 and is subject to change. We encourage you not to let the CDP certification lapse. If you are experiencing a financial hardship please email us so we can work with you.

General Standards for Option 4 (No licenses, certifications, or degrees):

The ICCDP recognizes most accrediting bodies that provide license or certification and also recognizes that in some countries the laws or regulations for long term care facilities, nursing homes, assisted living, hospice care, hospitals, adult day care, hospitals and home care agencies may not require the health care professional or front line staff have a certification to keep your position.

The ICCDP recognizes most accrediting bodies that provide license or certification and also recognizes that in some countries the laws or regulations for long term care facilities, nursing homes, assisted living, hospice care, hospitals, adult day care, and home care agencies may not require the health care professional or front line staff have a certification to keep your position.

This option is only for the following professions: Agency Owners, Admissions Directors, Marketing Directors, Activity & Recreation Professionals, Clergy, Volunteer Coordinators, Social Workers, In-Service Directors, Long Term Care Consultants, Nursing Assistants, Home Care assistants, Personal Care Assistants and Nursing Assistants.
*For Nursing Assistants (Aides), Personal Care Assistants (Aides) and Home Health Assistants (Aides). You must have completed a required course taught by your country or company you work for.
Must have a minimum of 1 year of (paid) experience in geriatric health care related setting.
This option also includes educators who work in a learning institution such as a university, technical college, etc., and who has no experience working in a health care setting.

Comments/Message:
We recognize that in some countries you may not be required to have a license, certification, college or high school diploma to hold a health care related position. Please explain to be considered for CDP certification.

I meet the criteria for to submit my application for CDP certification based on my education, experience and other qualifications. I meet the criteria for the OPTION that I have selected above.

Type in your full name here:

PERSONAL INFORMATION

First Name (Given Name):

Middle Initial:

Last Name (Surname):

Certifications and License credentials that appear after your name:
Example: RN, enter none if not applicable

Street address:

Address 2:

City:

State/Province:

Zip/Postal Code:

Country:

What country are you a citizen of?

Phone (please include your country code):

Date of Birth ( day/month/year example: 01/03/1982 ):

Have you ever been convicted of a felony/serious crime? Please check one.

If you have been convicted of crimes such as murder, rape, child molestation, slavery, theft, kidnapping you will be denied CDP certification.

Yes
No

If yes, please explain.

ABOUT SSL CERTIFICATES

CDP Certified Dementia Practitioner is licensed by National Council of Certified Dementia Practitioners NCCDP for Use by ICCDP

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