APPLICATION

CONSUMER PRODUCT SAFETY PROFESSIONAL CERTIFICATION PROGRAM

 

INSTRUCTIONS:  

 

1. Applicant must indicate in application (see fields provided below) under which option they are applying with respect to professional experience requirements:               

 

>10 years of experience in one or more of the following areas of employment: a product safety related position with a manufacturer, retailer, distributer, importer/exporter, or a consultant providing legal, laboratory testing, engineering, or related consultant services, or with a public agency that has regulatory responsibility that includes the area of consumer product safety, or 


>7 years of experience in one or more of the following areas of employment: a product safety related position with a manufacturer, retailer, distributer, importer/exporter, or a consultant providing legal, laboratory testing, engineering, or related consultant services, or with a public agency that has regulatory responsibility that includes the area of consumer product safety, plus an undergraduate degree from an accredited college or university in a field related to their experience or profession

 

2. Following review of the initial application, Emerson Leadership Institute (ELI) will email instructions on how to provide employment history, education (where appropriate), and references.

 

3.  Direct questions to Beth-Anne Yakubu at (314) 977-3852 or bethanne.yakubu@slu.edu

 

APPLICANT DECLARATIONS AND UNDERSTANDING:

 

In submitting this application for course registration, the applicant agrees to the following:

 

1.   Applicant confirms that all information contained in this application is accurate to the best of their knowledge.

 

2.   Applicant acknowledges having read the following certification material at the Society of Product Safety Professionals web siteConsumer Product Safety Professional Certification Program Guide. Applicant acknowledges that they understand the criteria for acceptance into the program. Applicant acknowledges that they have read and understand that the course content and examination are based on five areas of knowledge as explained in the guide: 1. Culture and companies, 2. Risk assessment and product assurance, 3. Regulatory compliance, 4. Product Incidents and investigations, and 5. Product recall.

 

3.   Receipt of this application does not constitute acceptance into the Certification Program. Candidates must be approved by the Program Admission Committee which will formally notify all applicants of their status once determined. Their decision is considered final. Appeals may be made to the Emerson Leadership Institute if candidate believes their application warrants further attention. 

 

4.   Acceptance into the program is limited to admission for the next Certification course only. Applicant understands that enrollment in the certification course will be limited and that, if accepted, they are expected to complete their registration in a timely manner.  Upon acceptance into the course, candidate or their employer will be responsible for payment of the course tuition fee unless alternative arrangements have been approved by Emerson Leadership Institute.

 

5.   The application fee of $150 is non-refundable and covers costs associated with the application process, including the services of a third-party independent verification service to confirm employment and education background.

 

6.   Applicant understands that the Certification Course is being administered by the Emerson Leadership Institute at Saint Louis University's Richard Chaifetz School of Business in cooperation with ADK Information Services LLC. For information on privacy policies please see: Emerson Leadership Institute privacy policy and ADK Information Services LLC privacy policy.



March 11 - 12, 2020
Emerson Leadership Institute
Richard A Chaifetz School of Business
Saint Louis University
3674 Lindell Blvd.
St. Louis, MO 63108
Click for a larger map
INFO:   Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.



How would you like to pay?




When would you like to pay?




Registrant Fee: $0.00


Billing information


Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*ADKINFORMATIONSERVIC 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


Please click the button below to finalize your registration.



Registration inquiries:
Donald Kornblet
dkornblet@adkprg.com
(314) 497-1797
4579 Laclede Ave
St. Louis, MO
63108 USA
= required field
Privacy Policy
Oops! You do not have javascript enabled. This registration process depends on javascript to function correctly.

Please enable javascript in your browser and then reload this page.
Registrant   remove this registrant

These terms and conditions apply between "the Business" and those persons registering for and participating in the Businesses' events ("Customer").

1. REGISTRATION; ACCEPTANCE OF CUSTOMER:
a. Registration is on a first-come, first served basis. Early registration helps to ensure availability. Walk-in registrations will be accepted on a space-available basis. Business reserves the right to substitute speakers, presenters, facilities, venue and/or any program to be offered at the Event at any time. By registering for this Event, Customer represents, warrants and ensures that he/she is physically and mentally able to participate in the program for which he/she is registering and/or any others in which Customer may participate. Customer understands that this registration is non-transferrable and non-assignable and that any other person(s) wishing to attend the event must register in their own name(s). If you have any questions concerning the Event, please contact the Business directly.

b. By registering for this Event, Customer agrees to fully and completely comply with all terms and conditions hereof and the Business' rules and regulations. Business reserves the right to refuse attendance to any individual at any of its Events. All packages, bags, and other containers brought to the Event are subject to search, and may be required to be stored during the Event. Failure to comply with the Business' rules and regulations is grounds for immediate dismissal from the Event. Persons dismissed from the Event shall not be entitled to a refund or cancel any unpaid balance due. Customer's failure or inability to use all of the facilities, classes or services offered at the Event for any reason, except as otherwise provided herein does not relieve or suspend the Customer's obligation to make all payments required hereunder on a timely basis, nor entitle the Customer to a refund or credit. Customer understands and agrees that payment for the Event is not a guarantee or promise of satisfaction.

2. BILLING AND PAYMENT: Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

3. SIGNATORIES. Any person(s) signing this agreement, whether as a Member, co-signer or otherwise shall be jointly, severally and individually liable to Business and MSI for the full contract price as if such person signed as the Member. All persons signing this agreement assume responsibility for all costs of collection, including but not limited to collection agency fees, court costs, attorney's fees, and late charges that may be incurred in the event of a default. Any person (s) signing this agreement authorizes the use of a disclosed e-mail address for billing purposes and acknowledges that e-mail text may include financial information pertaining to the membership. Any person signing this agreement authorizes the use of a disclosed cell phone or telephone number for autodialed or pre-recorded voice calls and text messages for billing related issues including, but not limited to, expiring billing information, or overdue account balances.

4. CUSTOMER'S RIGHT TO CANCEL: If you wish to cancel your registration, you may cancel by delivering or mailing by certified mail, return receipt requested, written notice to MSI and Business. If your notice of cancellation is received more than 10 days prior to the Event, no administrative fee will be charged. Any cancellation received 10 days or fewer before the Event shall result in a per person administrative fee equal to the lesser of $25 or 30% of the Event cost. MSI is not responsible for any refunds. Customer further agrees that once the registration is submitted, this Agreement is a legally binding and enforceable obligation of Customer.

5. RELEASE; INDEMNIFICATION: Customer understands and agrees that his/her participation in and attendance at the Event is knowing and voluntary. Customer understands and agrees that strict observation of the Event rules and regulations is required and that use of the Event facilities and the Customer's presence at the Event are at the sole risk of the Customer. Customer indemnifies and holds harmless Business and MSI, and their officers, directors, employees and agents from and against any claims, demands, actions, liabilities, damages, costs or expenses, including court costs and reasonable attorneys' fees arising out of or relating to: (i) Customer's participation in the Event; (ii) claims against Business and/or MSI by any third parties arising from or related to Business' or MSI's actions and/or omissions, (iii) claims relating to any violation or alleged violation by Business and/or MSI and/or any third party of the applicable laws relating to the conduct of the Event; and/or (iv) claims arising from or relating to Business' and/or MSI's performance of its obligations hereunder. Customer specifically understands and agrees that he/she is assuming the risk of any and all injuries that he/she may suffer or incur as a result of his/her registration and/or participation in the Event. Customer's indemnification obligations shall survive the expiration or termination of this agreement.

6. COPYRIGHT; USE OF IMAGES: This Event is copyrighted by Business. Video, audio and/or any other means of recording of this Event by Customer are strictly prohibited. Violators will be dismissed from the Event and Business reserves all legal rights to pursue civil remedies. To inquire about obtaining a professional recording of the Event, please contact Business. Customer, for him/herself and his/her/its officers, directors, employees, agents, representatives, successors, assigns, heirs, executors and administrators hereby irrevocably consents to the unrestricted use by Business, its advertisers, clients, customers, successors and assigns, of Customer's name, likeness, statements, photograph or motion picture, for advertising, sale, marketing, promotion or any other purposes of trade and Customer waives the right to inspect or approve such completed images used in connection therewith. Customer grants to Business the exclusive right to exploit and license or assign for exploitation all such matter or any approved derivatives thereof in any manner in any medium or field of use, in the form delivered.

7. UNAVAILABILITY; FORCE MAJEURE: Business will use commercially reasonable efforts to hold the Event. However, under no circumstances will Business be held responsible for unavailability caused by circumstances beyond Business' reasonable control, including acts of God, acts of government, flood, fire, earthquakes, civil unrest, acts of terror, strikes or other labor problems nor can any reservation be cancelled, altered or amended once the Event has commenced on the basis of circumstances beyond Business' reasonable control.

8. COMPLIANCE WITH LAWS: This Agreement shall be governed by the laws of the State in which Business is located. All rights and obligations of the Business and Customer under this Agreement are subject to all applicable federal, state and local laws and regulations. These terms and conditions shall be deemed revised to conform to applicable statutes, rules and regulations. Business and/or MSI may modify the terms and conditions stated herein at any time in their sole and absolute discretion. Customer shall be bound by the modified Agreement and agree that no other modifications shall be enforceable. This Agreement constitutes the entire Agreement between the parties and supersedes all prior agreements between the parties, whether written or oral. The invalidity or unenforceability of any provision hereof shall not affect the validity or enforceability of any other provision. The waiver of any breach shall not constitute a waiver of any subsequent breach.
Check this box to indicate that you have read and agree to all of the above terms & conditions