Society of Certified Senior Advisors
Society of Certified Senior Advisors, providing the premier education and credential for professionals serving seniors
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Application for the Certified Senior Advisor (CSA)® Designation or Education


Congratulations! You are about to apply for the prestigious and nationally accredited CSA designation. If you have any questions during the application process, you may contact us at 800-653-1785. You can also download the PDF version of this application and mail or fax it to SCSA.

Application PDF (204k)
(NOTE: You must have the FREE Adobe Acrobat Reader in order to view PDF files)
 

Contact Information

  
Required*
 
Last Name: 
 *  
First Name: 
 *  
Middle Initial: 
Company Name: 
 *  
Business Phone: 
 *      
Email Address: 
 *            
 

Primary Address

    
   
Street: 
 *
City: 
 *  
State: 
 *  
Zip: 
 *
Address Type:* 
 Residential  Business
   

Shipping Address*

    
Same as Primary  New Address
 

Professional Information
   
Occupation: 
 *
License(s): 
Designations/Certifications: 
How did you hear
about SCSA?
 

Please select one of the following enrollment options:
Before you continue you must select whether you will be seeking the designation or if you just want to take the course. This will affect the amount of information required for this process.
   
I want to pursue my CSA designation and/or training.
I want to take the CSA course only. (No exam or designation)
 

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