In December 2016, the CAMICB Board of Commissioners adopted a new policy that requires CMCAs to proactively report felony convictions or a similar event. The below language will be added to both the initial and recertification applications:

Have you been convicted of a felony or misdemeanor since your last recertification?

? Yes ? No If “yes,” submit statement of explanation and relevant information including court     document(s).

Have you ever had a license, certification, registration or permit to practice any regulated profession revoked, suspended, relinquished or withdrawn?

? Yes ? No If “yes,” submit statement of explanation and relevant information including court document(s).

Further, if any circumstance changes my answer to any of the questions above, including but not limited to a felony conviction, entry of a plea of nolo contendre in a felony case, or revocation of a state or professional credential or license I will notify CAMICB by providing a written statement and detailed explanation within 30 days of the event in question. I will address the statement and detailed explanation to: CAMICB, 6402 Arlington Blvd., Suite 510, Falls Church, VA 22042 or info@camicb.org