CPEA Application "*" indicates required fields Step 1 of 6 - Applicant Data 16% Applicant Data Review the CPEA/CPSA Application Preparation document and complete the CPEA Eligibility Checklist before starting to make sure you have the information and materials needed to complete Stage 1 and Stage 2 of the application process. This checklist is for self-evaluation purposes only; do not submit it. There are four (4) stages to the application process: Stage 1: The Application, which consists of profile information, education (see Path 1, 2, or 3 of the Eligibility Checklist), and attestation to the BGC Code of Ethics. The applicant will request official transcripts or an evaluation report and send out at least two (2) Character Reference Forms (CRF). You may also include the Test Accommodations online form and/or Exam Exemptions online form. If the exemption is accepted and approved, a link will be emailed for payment. The Exam Exemption Fee payment is non-refundable. Stage 2: The Application Fee Payment (non-refundable). Stage 3: The Fillable PDF Forms: Statement of Audit Experience, Statement of Formal Training, and Statement of Work Experience which will be emailed to you after we receive the application and application fee. You must complete and upload the forms within two (2) years from the date of application submission and payment. A self-evaluation form, CPEA Eligibility Checklist, is included among the files for your use in tracking your own progress. (Not updated or reviewed by staff.) Stage 4: The Exam. All parts of the application must be completed and approved by BGC prior to taking the exam. You will not receive your grades on individual parts until all have been completed. The average of the exam parts must be at least 70% for a passing score. Please Note: The credential is not awarded until all parts of the application process have been completed, reviewed, approved, and you have passed the exam. Directions This is the online form to apply for the Certified Professional Environmental Auditor (CPEA) credential. Be Aware: This application must be completed in one session. We recommend that you: Review the CPEA Candidate Handbook pages on this site for requirements and processes. Complete a CPEA Eligibility Checklist to see if requirements are met. Complete the application, answering all questions as completely as possible. When you have finished the application, please click Submit. Continue to the CPEA Applicants Payment page to complete payment for the application. The application fee is non-refundable. BGC will email the link to a SharePoint folder which will contain the remaining documentation necessary to complete your application. The folder is not a management system but a temporary location for you to upload completed forms and supporting documents after: Application and Payments are received. Application Form Answer all questions as completely as possible. When you have finished the application, please click Submit. Thank you. Name* First Middle Last Please indicate any previously-used last / surnames.Previous Name *Please advise BGC if your legal name has changed since graduating from a college or university. Documentation of name changes (legal decision, marriage certificate, for example) must be sent to BGC via email at applications@GoBGC.org or postal mail: BGC, ATTN: CPEA/CPSA, 6005 W. St. Joseph Hwy Ste 300, Lansing, MI 48917 USA. For which sub-specialty are you applying?Select: which Sub-specialty*Environmental ComplianceHealth and SafetyManagement SystemsAddressesPlease provide both your work and home addresses. Check your preference for mailing purposes and internet roster listing. Choose AddressUse Work AddressUse Home AddressCompany Name Division Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Business CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Business PhoneBusiness Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneHome Email Have you applied to BGC previously? Applied before? No Yes If yes, for which credential?Credential Applied For Date Previously Applied MM slash DD slash YYYY Education An official transcript or secure e-transcript sent directly from each US college or university attended is required. Official transcripts may also be sent by you in an envelope sealed with the Registrar’s seal. See the CPEA Candidate Handbook pages on this site for requirements about equivalency reports needed for international degrees awarded outside of the U.S./Canada. Degree 1* Major 1* School 1* Date Awarded 1* MM slash DD slash YYYY Do you have a second degree to list?* Yes No Degree 2 Major 2 School 2 Date Awarded 2 MM slash DD slash YYYY Do you have a third degree to list? Yes No Degree 3 Major 3 School 3 Date Awarded 3 MM slash DD slash YYYY Job History 1 See the CPEA Candidate Handbook pages on this site for details on the reporting of creditable experience. Information must be provided on this form. Additional work experience can be documented in a supplemental manner as directed. The Description of Duties should include work environments and operations and address criteria confirming professional-level activity, such as Depth of Action, Level of Interaction, Independence of Action, and Responsibility for Work Outcomes, listed below.Current Employer* Current Position* Date From* MM slash DD slash YYYY Present Date MM slash DD slash YYYY Immediate Supervisor(s)** who are providing references. ** A reference from your immediate supervisor(s) to BGC must be sent covering the entire time period for which you request experience credit. Use the CPEA Professional Reference Questionnaire for these references. When you are/were a principal in a business and have/had no supervisor, BGC will accept references from major clients. See the CPEA Candidate Handbook pages on this site for acceptable alternative references. Current Supervisor Title* Name* First Last Date From* MM slash DD slash YYYY Date To* MM slash DD slash YYYY Description of Current Duties*Do you have another position to add?* Yes No Job History 2 See the CPPS Candidate Handbook for details on the reporting of creditable experience. Information must be provided on this form. Additional work experience can be documented on a supplemental sheet. The Description of Duties should include work environments and operations, and address criteria confirming professional-level activity, such as Depth of Action, Level of Interaction. Independence of Action, and Responsibility for Work Outcomes, listed below.Previous Employer 1 Previous Position Title 1 Previous Date From 1 MM slash DD slash YYYY Previous Date To 1 MM slash DD slash YYYY Immediate Supervisor(s)** who are providing references. ** A reference from your immediate supervisor(s) to BGC must be sent covering the entire time period for which you request experience credit. Use the CPPS Professional Reference Questionnaire for these references. When you are/were a principal in a business and have/had no supervisor, BGC will accept references from major clients. See the CPPS Candidate Handbook for acceptable alternative references. Previous Supervisor Title 1 Name Previous First Name 1 Previous Last Name 1 Previous Date From 1 MM slash DD slash YYYY Previous Date To 1 MM slash DD slash YYYY Previous Description of Duties 1Do you have another position to add ?* Yes No Job History 3 See the CPPS Candidate Handbook for details on the reporting of creditable experience. Information must be provided on this form. Additional work experience can be documented on a supplemental sheet. The Description of Duties should include work environments and operations, and address criteria confirming professional-level activity, such as Depth of Action, Level of Interaction. Independence of Action, and Responsibility for Work Outcomes, listed below.Previous Employer 2 Previous Position Title 2 Previous Date From 2 MM slash DD slash YYYY Previous Date To 2 MM slash DD slash YYYY Immediate Supervisor(s)** who are providing references. ** A reference from your immediate supervisor(s) to BGC must be sent covering the entire time period for which you request experience credit. Use the CPPS Professional Reference Questionnaire for these references. When you are/were a principal in a business and have/had no supervisor, BGC will accept references from major clients. See the CPPS Candidate Handbook for acceptable alternative references. Previous Supervisor Title 2 Name Previous First Name 2 Previous Last Name 2 Previous Date From 2 MM slash DD slash YYYY Previous Date To 2 MM slash DD slash YYYY Previous Description of Duties 2Previous Depth of Action 2Previous Level of Interaction 2Previous Independence of Action 2Previous Responsibility for Work Outcomes 2 Agreement I understand that it is my responsibility to send the link to the CPEA Professional Questionnaire Form (PRQ) link to my references; BGC does not make initial contact.PRQ To References*NoYesPer the CPEA Candidate Handbook pages on this site, I understand the following: Official transcripts must be submitted for each degree. An “official” transcript is one sent directly to BGC by your college or university through mail or as secure e-transcripts. Alternatively, you may submit official transcripts if they are in a sealed envelope with the registrar’s stamp across the seal. If your transcripts have a name different from the name under which you are applying, please submit documentation of the name change to applications@GoBGC.org. (e.g. marriage certificate, divorce decree, etc.) When a degree includes credits that were transferred from another college or university, official transcripts for those course credits must be sent upon request. Email address for transcripts: applications@GoBGC.org. Physical address for transcripts: BGC, 6005 W. St. Joseph Hwy Ste 300, Lansing, MI 48917 USA. Transcripts to BGC*NoYesI certify that the documents I have submitted are, to the best of my knowledge, accurate and truthful. I understand that any falsification in this application for the Certified Professional Environmental Auditor credential will be grounds for rejection, or for later revocation of any certificate issued. I understand that I am subject to the terms and conditions set out for applicants in the CPEA Candidate Handbook pages in this website in effect at the time of application. I also recognize my obligation not to reveal the contents of the CPEA examination. I agree to adhere, to the best of my ability, to the BGC ode of Ethics and be governed by the Ethics Case Procedures as published on the EHS Credentialing.org website. If I am certified, I understand that I must pay annually such amount as BGC shall decide as a part of the CPEA certification maintenance requirement.Typed Signature* Submission Date* MM slash DD slash YYYY BGC does not discriminate among applicants as to age, sex, race, religion, national origin, disability or marital status.I am submitting a Test Accommodation Request Form for a disability covered by the Americans with Disabilities Act as amended or other applicable laws.Accommodations*NoYes CPEA Candidate Handbook About the CPEA Overview of Steps Reapplicants Eligibility Requirements Exam Exemption Request Eligibility Checklist Documents Needed Character Reference Form Dates, Deadlines, and Fees Exam Overview Exam Preparation Environmental Compliance Health and Safety Management Systems Responsible Care® Sample Questions Exam Scheduling Exam Day Documents and Forms Apply Now Applicants Payments
