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Character Reference Form

This document is a character reference form for an individual applying for certification from The Institute of Internal Auditors. It requests that a current or past supervisor, professor, or other certified internal auditor evaluate the candidate's moral and professional character based on The IIA's Code of Ethics. The recommender is asked to provide their name and contact information, as well as sign a statement asserting that the candidate exhibits high character and meets the qualifications of the Code of Ethics.

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Dennis Bacay
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316 views

Character Reference Form

This document is a character reference form for an individual applying for certification from The Institute of Internal Auditors. It requests that a current or past supervisor, professor, or other certified internal auditor evaluate the candidate's moral and professional character based on The IIA's Code of Ethics. The recommender is asked to provide their name and contact information, as well as sign a statement asserting that the candidate exhibits high character and meets the qualifications of the Code of Ethics.

Uploaded by

Dennis Bacay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Character Reference Form

Note to Recommender
The individual named below has applied to one of the certification programs administered by The Institute of Internal Auditors.
In considering the candidates qualifications for any of our certifications, we require a character reference evaluation by an
individual with an IIA certification, the candidates supervisor, or the candidates professor. The basis for this evaluation is the
Code of Ethics established by The IIA. Please read the Code of Ethics and then complete and sign this form. The Code of Ethics
is available at www.globaliia.org/guidance.

Information About Candidate


Candidates ID Number:

Candidates Name (please print):


______________________________________________________________________________________________________

(Last Name)

(First Name)

(Middle Initial)

Candidates Organization:_________________________________________________________________________________

Information About Recommender


I am (check all that apply):
A CIA (Certified Internal Auditor)

A CFSA (Certified Financial Services Auditor)

A CCSA (Certification in Control Self-Assessment)

The candidates supervisor (current or prior)

A CGAP (Certified Government Auditing Professional)

The candidates professor

A CRMA (Certification in Risk Management Assurance)


Name (please print): _____________________________________________________________________________________
Title/Position:___________________________________________________________________________________________
Organization: ___________________________________________________________________________________________
Address:_______________________________________________________________________________________________
Phone: ______________________________________________ Fax: _____________________________________________
E-mail: ________________________________________________________________________________________________

Statement of Character Reference


In my opinion, the candidate named on this form exhibits high moral and professional character and meets the qualifications
set forth by the Code of Ethics established by The Institute of Internal Auditors.
Recommenders Signature: _______________________________________________________________________________
Date:_________________________________________________________________________________________________
Please submit completed form as an attachment to [email protected] or fax to +1-407-937-1108. This document will be
reviewed within approximately five business days of receipt at The IIA. You may confirm that the document has been approved
by going to www.globaliia.org/certification, logging in to your record on the Certification Candidate Management System (CCMS),
and clicking on the appropriate certification program on the Certification Progress screen. If the document cannot be approved,
you will be contacted.

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www.globaliia.org/Certification

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