Get Registration Eligibility Application Form Cdr

The Registration Eligibility Application Form Cdr is a crucial document required for individuals seeking registration as dietitians or dietetic technicians. This guide will provide you with clear and supportive instructions on how to fill out the form online effectively.

Follow the steps to complete the application form successfully.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering your Applicant for Dietitian Registration Examination or Applicant for Dietetic Technician Registration Examination details as indicated.
3. Fill in your Academy Member Number. Ensure this number is taken from a copy of your membership card, profile page, or receipt.
4. Input your full name as it appears on your government-issued photo identification: Last Name, First Name, Middle Initial, and Maiden Name.
5. Provide your address details including City, State, and Zip Code.
6. Fill in the last four digits of your Social Security Number, along with your Home Phone Number, Email Address (do not use an 'edu' email), Daytime Work Phone Number, and Cell Phone Number.
7. Make sure to use blue ink only throughout the entire form as specified.
8. After completing all sections, review your information for accuracy. Upon agreement to abide by the Academy/CDR Code of Ethics, provide your signature and print or type the Program Director’s name, as well as obtaining their original signature.
9. Finally, confirm the date and include the 4-Digit Program Code. Save your changes, and choose to download, print, or share the completed form as required.

Complete your Registration Eligibility Application Form Cdr online today to ensure your timely processing.