CUSICO® Test Application

You're ready to take your Certified U.S. Import Compliance Officer® (CUSICO®) Certification Test? Please fill out this form and we will get in touch with you shortly.

Name*
FirstLast
Email*
Job Title*
Department*
Company Name*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone*
Fax*
Test Site Location
Contact Person's Name*
FirstLast
Contact Person's Email*
Contact Person's Phone Number*
School/Company Name*
Department Name*
Location Where Test Will Be Taken*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Preferred Test Date*
Preferred Test Time 1*
: HH
MM
Preferred Test Time 2*
: HH
MM
Alternate Test Date 1*
Test Time*
: HH
MM
Alternate Test Date 2*
Test Time*
: HH
MM
Alternate Test Site Location
Contact Person's Name
FirstLast
Contact Person's Email
Contact Person's Phone Number
School/Company Name
Department Name
Alternate Test Site Location
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Alternate Test Date 1
Test Time
: HH
MM
Alternate Test Date 2
Test Time
: HH
MM
Message/Comments/Considerations that should be weighed in selecting your test site.

IIEI.Dunlap-Stone.edu

CUSICO® Test Application

Test Site Location

Alternate Test Site Location

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