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How do I fill this out?
To fill out this form, start by gathering all required personal information. Next, ensure you have any necessary documentation related to previous criminal matters. Finally, complete the form and submit it according to the instructions.

How to fill out the CCI Pre-Application Criminal Matters Instructions?
1
Gather personal and criminal documentation.
2
Fill out the application form accurately.
3
Include all required supporting documents.
4
Pay the $50 administrative fee.
5
Submit the application via email or mail.
Who needs the CCI Pre-Application Criminal Matters Instructions?
1
Individuals with past misdemeanor or felony records seeking certification.
2
Those applying for registration with CCI.
3
Applicants needing to clarify their criminal status before applying.
4
Professionals in healthcare or education sectors.
5
Individuals seeking guidance on addressing past criminal issues.
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What are the instructions for submitting this form?
To submit this form, send the completed application via email to applicant_support@cci-online.org or mail it to CCI, Attention: Applicant Services, 3739 National Drive, Suite 202, Raleigh, NC 27612. Ensure that the $50.00 administrative fee is included. It's advisable to keep a copy of your submission for your records.
What are the important dates for this form in 2024 and 2025?
For the 2024 and 2025 application periods, ensure to check the CCI website for specific deadlines regarding pre-application submissions. Timely submission is important to maintain your eligibility. Keep an eye out for any updates or changes in application procedures.

What is the purpose of this form?
The purpose of this form is to collect necessary information regarding previous criminal charges or convictions from applicants. It enables CCI to assess eligibility for certification or registration based on criminal history. Completing this form thoroughly is crucial for ensuring compliance with CCI's requirements.

Tell me about this form and its components and fields line-by-line.

- 1. First Name: Enter your first name as it appears on legal documents.
- 2. Middle Initial: Provide your middle initial.
- 3. Last Name: Enter your last name.
- 4. Street Address: Include your complete street address.
- 5. City: Enter the city where you reside.
- 6. State: Provide your state of residence.
- 7. Zip Code: Enter your postal code.
- 8. Country: Select your country.
- 9. Home Telephone: Provide your home phone number.
- 10. Work Telephone: Include your work phone number.
- 11. Email: Enter your email address.
- 12. Birth Date: Provide your date of birth.
- 13. Gender: Select your gender.
What happens if I fail to submit this form?
Failure to submit this form may result in a delay or denial of your certification or registration application. Incomplete documentation could compromise your eligibility. Ensure all required fields are filled accurately before submission.
- Incomplete Information: If required information is missing, your application may be postponed.
- Fraudulent Submissions: Submitting false information can lead to revocation of any credentials.
- Non-compliance: Failure to comply with the requirements may hinder your certification process.
How do I know when to use this form?

- 1. Criminal History Disclosure: Applicants will disclose any previous criminal charges or convictions.
- 2. Certification Requirements: The form is essential for meeting CCI's certification prerequisites.
- 3. Eligibility Assessment: Use the form to start the eligibility evaluation process with CCI.
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