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4. Copyright © 2016, Association of Certified Anti-Money Laundering Specialists ® 9 TO BE FILLED IN ONLY FOR THOSE CANDIDATES WHO CLAIM CREDITS FOR EACH YEAR OF PROFESSIONAL EXPERIENCE IN THE AML FIELD: (Use space provided and attach additional pages if necessary.) Dates of Employment: From (Mo./Yr.) To (Mo./Yr.) Name of Employer: Industry: Address: Country: Position/Title: Total Months in this Assignment: Name & Title of Immediate Supervisor: Business Telephone of Immediate Supervisor: Summary of Work Assignment (Do not use this space merely to refer to an attachment): Dates of Employment: From (Mo./Yr.) To (Mo./Yr.) Name of Employer: Industry: Address: Country: Position/Title: Total Months in this Assignment: Name & Title of Immediate Supervisor: Business Telephone of Immediate Supervisor: Summary of Work Assignment (Do not use this space merely to refer to an attachment): Dates of Employment: From (Mo./Yr.) To (Mo./Yr.) Name of Employer: Industry: Address: Country: Position/Title: Total Months in this Assignment: Name & Title of Immediate Supervisor: Business Telephone of Immediate Supervisor: Summary of Work Assignment (Do not use this space merely to refer to an attachment): PROFESSIONAL EXPERIENCE

3. Copyright © 2016, Association of Certified Anti-Money Laundering Specialists ® 8 Candidates who wish to take the CAMS Examination must have a minimum of 40 qualifying credits based on education, other professional certification, and professional experience in the anti-money laundering field, in addition to providing 3 references. The following table represents the ACAMS credit award system for examination eligibility: I. EDUCATION *Select highest level of education Associate Degree 10 credits _________ Bachelor’s Degree 20 credits _________ Masters Degree/PhD/JD or Equivalent 30 credits _________ Supporting documentation must accompany information submitted. II. PROFESSIONAL EXPERIENCE Each year of full-time experience in anti-money laundering or related duties in a financial institution. Professional experience is limited to 3 years. **complete the Professional Experience Section on the next page 10 credits/year _________ III. TRAINING Professional Certification (Financial Related) — (CPA, CPP, CRCM, CFE, CPE, CIA, CA/AML, FINRA Series, etc.)*** Any certification program must include a minimum of eight (8) hours of instruction and a certification exam. ****provide copies of certificate(s) and proof of valid membership in good standing 10 credits/certification _________ ACCA Membership (Chartered Certified Accountant) ACCA Membership includes completion of the ACCA Qualification Exams, Professional Ethics Module and Practical Experience Requirements. ****provide copies of Professional Level Certificate and proof of valid membership in good standing 30 credits _________ Attendance at a course/seminar/web seminar/conference/educational and or training session on the topic of money laundering control and/or related subjects – (Includes internal and external training, training by a government agency, completion of the American Bankers Association Compliance or Graduate School or your country’s equivalent.) ****provide copy of certificate(s) of attendance or receipt of payment from entity conducting training) 1 credit per hour _________ Your Total # of Credits _________ (at least 40 are required) * Only one degree may be used toward the 40 qualifying credits for the CAMS examination. ** The Professional Experience Section may be found on the next page. *** Please note, these credits are in recognition of the AML/Financial Fraud portion of the FINRA certification training. As such, you will only earn a maximum of 10 credits regardless of the number of FINRA licenses you possess. **** Supporting documentation (if necessary accompanied by a translation in English) must accompany information submitted to meet minimum credit criteria in order to sit for the CAMS Examination (i.e., copies of degree, certificates of completion). Please submit all required documentation with your completed application and fee. ELIGIBILITY FORM

2. Copyright © 2016, Association of Certified Anti-Money Laundering Specialists ® 7 STEP 4 Certification Language Certification Language Preference (please check one) o English o Spanish o Chinese o Arabic o Japanese STEP 5 Payment Method Already Paid o I have already paid the CAMS fee. Order number: __________________________ Check o Enclosed check payable to ACAMS Wire o Send wire transfer to: Comerica Bank San Jose, CA Routing number: 121137522 Account number: 1894064128 SWIFT Code: MNBDUS33 Invoice o Invoice me Please send a copy of the invoice to ________________________________________________ (Email) Note You can contact us at +1.305.373.0020 or +1.866.459.CAMS (toll free) if you need assistance paying by phone. Important: Your CAMS fee must be paid in full in order to gain access to the study materials and exam. STEP 6 CAMS Certificate Name and Mailing Address Certificate Name Mailing Address 1 (No P. O. Boxes, please) City State/Province Zip/Postal Code Country

6. Copyright © 2016, Association of Certified Anti-Money Laundering Specialists ® 11 Did You Remember ... o To complete the eligibility table? (Candidates wishing to sit for the CAMS Examination must have a minimum of 40 qualifying points) o To include supporting documentation, such as copies of diplomas? o To order official college transcripts, if required? o To complete the professional experience section? (Only for candidates who claim credits for each year of professional experience within the anti- money laundering field) o To include payment with application? o To include 3 professional references? o To include your signature and date on the application? Affidavit I certify that I have read and agree to the terms and conditions set forth in the Candidate Handbook and application. I certify that the information submitted in this application is complete and correct to the best of my knowledge and belief. I understand that, if the information I have submitted is found to be incomplete or inaccurate, my application may be rejected, my examination results may be delayed or voided, not released, or invalidated by ACAMS, or if already certified, the “Certified Anti-Money Laundering Specialist®” designation may be revoked. I certify that I have never been convicted of a felony (or in a military service convicted by a general court martial) and that there is no criminal charge now pending against me. I certify that I have never had a professional membership, license, registration or certification denied, suspended or revoked (other than for lack of minimum qualifications or failure of examination), and that I have never been censured or disciplined by any professional body or organization. I understand that approval of my application is contingent upon the results of a possible investigation of the truthfulness and accuracy of all information I have provided. I authorize ACAMS, Kryterion and its agents to discuss the results of such a review with all persons involved in the certification process. I give consent for all contacted persons to provide information concerning me and/or my application, and I release each such person from liability for providing information to ACAMS, Kryterion and its agents. I understand that any false or misleading statement, misrepresentation, or concealment or material omission of the information I have provided or failed to provide on my application and attachments may be grounds for rejection of my application. Signature Date: Day/Month/Year Mail or fax completed application AND supporting documentation (copies of diplomas etc.) to demonstrate the 40 credits to: ACAMS Attn. Certification Department Brickell City Tower 80 Southwest 8th Street, Suite 2350 Miami, FL 33130 USA Fax: +1.305.373.7788 or +1.305.373.5229 QUESTIONS? Call: +1. 305.373.0020 E-mail: certification@acams.org Visit: www.acams.org CAMS EXAM CHECKLIST

5. Copyright © 2016, Association of Certified Anti-Money Laundering Specialists ® 10 Required for all candidates Professional references must be individuals who have knowledge of your AML expertise and/or current position and the degree of responsibility held in the performance of your job. You should not use anyone as a reference who falls under your supervision. Do not use your own relatives, or members of the ACAMS staff as references. (Please note: all 3 references are REQUIRED.) REFERENCE 1 : Name & Title: Professional Relationship: Company Name Country/State/City/Province Telephone o Home o Business (Select one) How long known E-mail: ACAMS Member: o Yes o No Certified Anti-Money Laundering Specialist® (CAMS): o Yes o No REFERENCE 2: Name & Title: Professional Relationship: Company Name Country/State/City/Province Telephone o Home o Business (Select one) How long known E-mail: ACAMS Member: o Yes o No Certified Anti-Money Laundering Specialist® (CAMS): o Yes o No REFERENCE 3: Name & Title: Professional Relationship: Company Name Country/State/City/Province Telephone o Home o Business (Select one) How long known E-mail: ACAMS Member: o Yes o No Certified Anti-Money Laundering Specialist® (CAMS): o Yes o No PROFESSIONAL REFERENCES

1. Copyright © 2016, Association of Certified Anti-Money Laundering Specialists ® 6 STEP 1 Contact Information Prefix (Mr. Mrs. Ms.) First Name Middle Initial Last Name Title Company Industry Mailing Address 1 (No P. O. Boxes, please) City State/Pr ovince Zip/Postal Code Country Phone Alter nate Phone Fax Email Alter nate Email STEP 2 Membership Information In order to sit for the CAMS examination you must be an active ACAMS member in good standing. Are you currently an ACAMS member? Yes ____ Please provide your member number ______________ No ____ Please choose your membership level below: Membership Category 1 year 2 years 3 years Private rate o $295 o $530 o $750 Public rate o $195 o $325 o $450 STEP 3 Choose your CAMS Certification Package CAMS Package with Virtual Classroom Option Includes the Electronic CAMS Study Guide, Online Preparation Course, CAMS Virtual Classroom and CAMS Examination Private rate o $1,880 Public rate o $1,540 Standard CAMS Package (without Virtual Classroom) Includes the Electronic CAMS Study Guide, Online Preparation Course and CAMS Examination Private rate o $1,495 Public rate o $1,145 CAMS CERTIFICATION APPLICATION Complete only steps 1 and 6 You don't have to fill in STeps 2 to 5 as the fees are paid by the House of Training.

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