Apply for the Legal Project Associate™ (LPA) Global Certification " APPLY FOR THE LEGAL PROJECT ASSOCIATE™ (LPA) CERTIFICATION This form is used by graduates of an International Institute of Legal Project Management™ (IILPM) approved training course conducted by an Accredited Training Provider who seek to be awarded the Legal Project Associate™ (LPA) global certification. The LPA certification is a perpetual certification that does not expire, and is primarily designed for those supporting or working in legal matter teams. On being issued the LPA certification, the certified Legal Project Associate™ will be able to use the LPA logo and the LPA post-nominals after their name. An application must be accompanied with a copy of a photo identification document that shows their legal name (e.g., driver’s license, passport etc). The certification will be issued in electronic format. The application cost is US$147 (or US$185 with a hard copy certification package). This application must be submitted within eight (8) months of completing the training. The Institute reserves the right to approval all applications. APPLICANT'S DETAILS Full Legal Name: Date of Birth: Employer's Main Function: a law firm;a court or judicial entity;a law enforcement agency;an education role to legal entities;an alternate legal service provider entity;an inhouse legal team;a legal technology vendor; and / ora consulting role to legal entitiesor Other (please specify): Employer’s Name: Current Position: Employer’s Website: Applicant's Email: Applicants's Phone: ADDRESS DETAILS Number and Street Name: Town or Suburb: Post Code: Country: PREREQUISITE TRAINING DETAILS This requires the detail of your training with a IILPM Accredited Training Provider: Training Course Name: ATP Training Organisation: Course Duration: Course Dates: PHOTOGRAPHIC IDENTIFICATION This requires a validation of your identification. Please upload a copy of your photographic identification, such as a passport or driver’s license, to valid your legal name. Photo: CERTIFICATION FORMAT COSTS The certification documents are issued electronically at a cost of US$147. I can also receive a hard copy of my certification at an additional cost of US$38 that will be sent to the address specified on this application form. I am seeking: Electronic copy US$147Hardcopy copy US$38 PERSONAL STATEMENT The applicant is required to confirm the following statement: I have completed the training stated on this application form, and I believe I have reached the competency level of a Legal Project Associate. I agree to abide by the Institute’s Code of Ethics as detailed on http://www.iilpm.com/codeofethics/. I confirm I give my agreement to allow the IILPM to collect and store my personal information for the purpose of issuing and validating my certification, including the photographic identification that shows my legal name, on the understanding that this information is not shared with any third party other than the IILPM Accredited Training Provider I received the education from who validates my educational prerequisites. You will now be taken to the payment page.