QUALIFICATIONS FOR MEMBERSHIP
There are two categories of membership: Associate (non-certified) and Certified Fraud Examiner (CFE). This
application is for Associate Membership only. After being approved as an Associate, you may complete a
separate application to become a CFE if desired. Visit ACFE.com/CFEExamApplication for more information.
The application fee is non-transferable and is non-refundable once approved. ACFE dues are not deduct-
ible as a charitable contribution for Federal Income Tax Purposes. No portion of ACFE dues are spent on
lobbying activities.
ASSOCIATE MEMBERSHIP FEES*
❑ Associate Auto Renew Dues (your card will be billed automatically each year) ................................ $175
❑ Associate Manual Pay Dues (charge my card for this application only) ..............................................$195
*Application fee and membership dues rate as of 2/1/2017. All fees and dues are non-refundable. Rates subject to change.
Incomplete applications will not be processed.
PERSONAL
First Name ❑ Dr. ❑ Mr. ❑ Mrs. ❑ Ms. Last Name/Surname
Other Designations (CPA, CIA, etc.) Date of Birth (MM/DD/YYYY)
Home Address
City State/Province
Zip/Postal/Routing Code Country
Personal Phone Personal Email Address
EMPLOYMENT
Employer
Job Title
Address
City State/Province
Zip/Postal/Routing Code Country
Business Phone Business Email Address
Preferred Mailing Address: q Home q Business Preferred Email Address: q Personal q Business
CHARACTER
Have you ever been convicted of any felony, or a misdemeanor involving moral turpitude that you have not
previously reported to the ACFE (“Moral turpitude” means an oense that calls into question the integrity or
judgment of the oender, such as fraud, bribery, corruption, theft, embezzlement, solicitation, etc.)?
❑ Yes ❑ No If yes, please describe (attach written statement if necessary):
CERTIFICATION
I certify that the above is true and correct to the best of my knowledge. Falsification of any information on
this application is grounds for denial or revocation of membership. If this application is accepted, I agree
to abide by the Bylaws and Code of Professional Ethics of the Association of Certified Fraud Examiners.
Membership is a privilege and not a right. Qualifications are established by the Board of Regents, whose
decisions are final.
Signature Date
The ACFE collects and stores your personal data in the U.S. to provide member services and fulfill transac-
tions requested by you. For a full explanation of your rights regarding how we store and use your data see:
ACFE.com/privacy-policy.aspx.
COMMUNICATION PREFERENCES
❑ Send me information on ACFE educational oerings, including CPE, events, training and products.
❑ Subscribe me to the free FraudInfo e-newsletter filled with fraud news, tips and resources.
❑ Subscribe me to the CFE Exam Coach e-newsletter.
You can withdraw permission at any time on your Communications Preference page at ACFE.com.
PAYMENT
Payment must accompany application. Choose one:
❑ Option 1: Enroll in Auto Renew Dues (card billed automatically each year) .......................................... $175
❑ Option 2: Do not enroll in Automatic Dues (charge my card for this application only) .........................$195
❑ Charge me (Card charged in USD.
The ACFE does not recommend emailing credit card information.)
Card Number Expiration (MM/YYYY)
V-Code
Cardholder Name (as shown on card — please print)
Billing Address
City State/Province
Zip/Postal/Routing Code Country
Signature
❑ Check or Money Order enclosed. Make checks payable to: Association of Certified Fraud Examiners
Check or Money Order number: ____________________________________________________________
❑ Please invoice me. I understand my membership will not be processed until payment has been made.
JOB AND INDUSTRY
Job Function (please select one)
q Fraud Examiner
q Fraud Investigator
q Private Investigator
q Special Agent
q Internal Auditor
q External Auditor
q Forensic Accountant
q CPA, CA or equivalent
q Management Accountant
q Controller
q Other Accounting/Finance
q Governance, Risk and Compliance
q Corporate Management
q Loss Prevention
q IT Professional
q Security Professional
q Attorney/Legal Professional
q Educator
q Retired
q Other:
Industry (please select one)
q Education
q Financial Institutions
q Government
q Health Care
q Insurance
q Law Enforcement
q Law/Legal Services
q Management Consultants
q Manufacturing
q Public/Chartered Accounting
q Real Estate
q Services
q Non Profit
q Other:
Interests (select all that apply)
q Money Laundering (or AML)
q Fraud Examination / Investigation
q Loss Prevention
q Legal Elements of Fraud
q Insurance Fraud
q Computer or Technology-based Crime
q Issues Related to Sarbanes-Oxley
q Risk Management
q Health Care Fraud
q Ethics
q Mortgage Fraud
q Fraud Auditing and Forensic Accounting
q Non Profit Fraud
q Corporate Security
q Practice Management/Building your Fraud
Examination Practice
q International Investigations and Global Issues
q Identity Theft
q Financial Institution Fraud
q Interview Skills/Techniques
q Tax Fraud
q Fraud Prevention
q Digital Forensics/Electronic Evidence
q Internal Controls
q Construction Fraud
q Governance, Risk and Compliance
q Contract and Procurement Fraud
q Government/Law Enforcement
q Fraud Hotlines
q Other:
Updated 5/18 • A100
ASSOCIATE MEMBER APPLICATION
JOIN TODAY
ACFE.com/Join or Exam@ACFE.com (800) 245-3321 / +1 (512) 478-9000 +1 (512) 276-8180
Global Headquarters | The Gregor Building | 716 West Ave | Austin, TX 78701-2727 | USA
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