Candidate Application Requirements

CANDIDATE APPLICATION

Please print clearly. This address will be used for ALL Certification & Membership Documentation.

Name: __________________________________________________________________

Email: ______________________________ Web: _______________________________

Company Name: __________________________________________________________

Address: ________________________________________________________________

City: _____________________________ State: _______ Zip ____________ + 4______

Tel:     Day: (____)____________________          Fax: (____)_____________________

The following notarized documents are attached to my Candidate Application:

1. Candidate must meet a, b, c or d:
    a) Current ESTHETICIAN LICENSE (notarized copy) with
             Employer Affidavit of Employment* (one (1) year full-time skin care experience)
             Candidate Affidavit of Post-Graduate Education Completion (equivalent 50 hours)

            OR    Current ESTHETICIAN LICENSE (notarized copy) with
                           Employer Affidavit of Employment* (two (2) years full-time skin care experience)

            OR     Current MASTER ESTHETICIAN LICENSE (notarized copy)

            OR     Current ESTHETICIAN LICENSE (notarized copy) with
                           School Affidavit of Under-Graduate Esthetician Education Completion
                            (equivalent 1200 hours)

    b) Current COSMETOLOGY LICENSE (notarized copy) with
            Employer Affidavit of Employment* (two (2) years full-time skin care experience)
            Candidate Affidavit of Post-Graduate Education Completion (equivalent 100 hours)

            OR    Current COSMETOLOGY LICENSE (notarized copy) with
                           Employer Affidavit of Employment* (three (3) years full-time skin care experience)
   
    c) LICENSED PROFESSIONAL (notarized copy) with
              Employer Affidavit of Employment* (two (2) years full-time skin care experience)
                  Note: Where skin care is within scope of practice.

    d) OTHER PROFESSIONAL with
               Employer Recommendation

*If self employed, use CANDIDATE AFFIDAVIT OF EMPLOYMENT FOR SELF EMPLOYED.
All Affidavits/Forms can be found under "Certification Forms & Applications"

2. Current CPR/AED Certification. (notarized copy)

3. Current First Aid Certification or equivalent First Responder. (notarized copy)

4. Current NCEA Individual Membership Certificate. (notarized copy)
   *(Exempt: District of Columbia Licenses)

5. Proof of Insurance Certificate.* (notarized copy)
    *Provide CANDIDATE AFFIDAVIT OF PROFESSIONAL INSURANCE, if you are currently not practicing skin care and do not have current professional liability insurance.

6. Two (2) passport photos. Size 2" x 2" showing head & shoulders. No dark glasses. Print your full name on back of both photos.

7. AFFIDAVIT OF KNOWLEDGE REVIEW COMPLETION. (notarized)
    *Knowledge Reviews are located in the NCEA Certification Training Manual

8. Check made payable to NCEA Certified in the amount of $175.00.

CANDIDATE AUTHORIZATION STATEMENT:

I, _____________________________, have attached to my Candidate Application the required documentation for Records Verification. I authorize a review and verification of the enclosed documentation. I understand that I will receive my Authorization to Test (ATT) letter to the email address on this application, only if my records are complete and satisfactory.  I understand there is a fee to verify and manage the required documentation.  This fee is non-refundable if I supply incomplete documentation or do not meet the Candidate Application requirements.

Candidate Signature:_____________________________________Date:_______________________

BE ACCURATE, BE NEAT. We cannot be responsible for errors due to illegible handwriting.

DO NOT SEND ORIGINALS. NCEA or its agents will not be responsible for returning any documentation required for Records Verification.

Please take a moment to double check your application:
    Have you met all of the Candidate Application requirements?
    Are all Affidavits properly completed and notarized?
    Have you attached notarized copies of all required documents?           

MAIL YOUR COMPLETED APPLICATION TO:
    NCEA Certified
    Att: Records Verification
    484 Spring Avenue
    Ridgewood, NJ 07450-4624                           

NOTE: Your ATT should be emailed within 5-7 days and you have 90 days to take your NCEA Certification Exam. Good Luck and Congratulations!