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CPE Compliance Renewal Form

Background Check and Fingerprinting Renewal (12-month)

All required fields are marked with a red box, indicating you must provide a response in order to successfully submit the form.

NOTE: After you click submit, please print a copy of the ???thanks page??? as proof that you submitted the form. You may be asked to provide this during your class visit.

Permanent/Physical Address
Mailing Address   Please indicate Yes if mailing address is the same as Permanent Address Please indicate No if Mailing address is different than Permanent Address. You will have to provide your mailing address below


US Citizen   Please indicate if you are a US Citizen


Aliases/Prior Names (Includes all names by which an applicant is currently known or has been identified as)
Identification Information   Please select the appropriate issuing authority for the document you uploaded.
 

If you have specific compliance questions please visit http://www.cnm.edu/depts/office-of-verification-and-compliance