ASSOCIATE MEMBER APPLICATION

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QUALIFICATIONS FOR MEMBERSHIP COMMUNICATION PREFERENCES

There are two categories of membership: Associate (non-certified) and Certified Fraud Examiner (CFE). q Send me information on ACFE educational offerings, including CPE, events, training and products.
This application is for Associate Membership only. After being approved as an Associate, you may complete q Subscribe me to the free FraudInfo e-newsletter filled with fraud news, tips and resources.
a separate application to become a CFE if desired. Visit ACFE.com/CFEExamApplication for more q Subscribe me to the CFE Exam Coach e-newsletter.
information. The application fee is non-transferable and is non-refundable once approved. ACFE dues are
not deductible as a charitable contribution for Federal Income Tax Purposes. No portion of ACFE dues are You can withdraw permission at any time on your Communications Preferences page at ACFE.com
spent on lobbying activities.
PAYMENT
ASSOCIATE MEMBERSHIP FEES* Payment must accompany application.
q Auto-Renew Dues Standard Associate.................................................................................................. $100 q Option 1: Enroll in Auto Renew Dues (card billed automatically each year)
q Auto-Renew Dues Electronic Associate.................................................................................................. $60 q Option 2: Do not enroll in Automatic Dues (charge my card for this application only)
q Manual Pay Dues Standard Associate......................................................................................................... $110
q Manual Pay Dues Electronic Associate........................................................................................................$70 q Charge my (Check one. Card charged in U.S.$):
• Auto-Renew Dues Membership will renew automatically each year. We’ll send you a notice before we
charge your credit card, so you always have the option to make changes.
Card Number Expiration (MM/YYYY) V-Code
• Manual Dues Sign up for a year at a time, we’ll reach out to you when it’s time to renew. Pay with
credit card, check or money order.
Cardholder Name (as shown on card, please print)
• Standard membership gives you access to information and tools that can help you become more
effective in fighting fraud. Make the most of your membership by taking advantage of the resources
available to you. Billing Address
• Electronic membership provides the same wide range of benefits as a standard membership except
delivered via email and ACFE websites. The value you receive is the same and the benefits are designed City State/Province
to help you save time and money while achieving your career goals.
*Application fee and membership dues rate as of 7/1/2022. All fees and dues are non-refundable. Rates subject to change.
Zip/Postal/Routing Code Country
Incomplete applications will not be processed.
Signature
PERSONAL q Check or Money Order enclosed. Make checks payable to: Association of Certified Fraud Examiners
Check or Money Order number: _____________________________________________________________
First Name q Dr. q Mr. q Mrs. q Ms. Last Name/Surname
q Please invoice me, I understand that my membership will not be processed till payment has been made.
Other Designations Date of Birth (MM/DD/YYYY)

Home Address JOB AND INDUSTRY

Job Function (please select one) Interests (select all that apply)
City State/Province ❑ Fraud Examiner ❑ Money Laundering (or AML)
❑ Fraud Investigator ❑ Fraud Examination/Investigation
Zip/Postal/Routing Code Country ❑ Private Investigator ❑ Loss Prevention
❑ Special Agent ❑ Legal Elements of Fraud
Personal Phone Personal Email Address ❑ Internal Auditor ❑ Insurance Fraud
❑ External Auditor ❑ Computer or Technology-based Crime
❑ Forensic Accountant ❑ Issues Related to Sarbanes-Oxley
EMPLOYMENT ❑ CPA, CA or equivalent ❑ Risk Management
❑ Management Accountant ❑ Health Care Fraud
Employer ❑ Controller ❑ Ethics
❑ Other Accounting/Finance ❑ Mortgage Fraud
Job Title ❑ Governance, Risk and Compliance ❑ Fraud Auditing and Forensic Accounting
❑ Corporate Management ❑ Non-Profit Fraud
Address ❑ Loss Prevention ❑ Corporate Security
❑ IT Professional ❑ Practice Management/Building your Fraud
City State/Province ❑ Security Professional Examination Practice
❑ Attorney/Legal Professional ❑ International Investigations and Global Issues
Zip/Postal/Routing Code Country ❑ Educator ❑ Identity Theft
❑ Retired ❑ Financial Institution Fraud
Business Phone Business Email Address ❑ Other: ❑ Interview Skills/Techniques
❑ Tax Fraud
Preferred Mailing Address: q Home q Business Preferred Email Address: q Personal q Business Industry (please select one) ❑ Fraud Prevention
❑ Education ❑ Digital Forensics/Electronic Evidence
CHARACTER ❑ Financial Institutions ❑ Internal Controls
❑ Government ❑ Construction Fraud
Have you ever been convicted of any felony, or a misdemeanor involving moral turpitude that you have not ❑ Governance, Risk and Compliance
previously reported to the ACFE (“Moral turpitude” means an offense that calls into question the integrity or ❑ Health Care
❑ Insurance ❑ Contract and Procurement Fraud
judgement of the offender, such as fraud, bribery, corruption, theft, embezzlement, solicitation, etc.)? ❑ Government/Law Enforcement
❑ Law Enforcement
q Yes q No If yes, please describe (attach written statement if necessary). ❑ Fraud Hotlines
❑ Law/Legal Services
❑ Management Consultants ❑ Other:
❑ Manufacturing
❑ Public/Chartered Accounting
CERTIFICATION ❑ Real Estate
I certify that the above is true and correct to the best of my knowledge. Falsification of any information on ❑ Services
this application is grounds for denial or revocation of membership. If this application is accepted, I agree ❑ Non-Profit
to abide by the Bylaws and Code of Professional Ethics of the Association of Certified Fraud Examiners. ❑ Other:
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
transactions requested by you. For a full explanation of your rights regarding how we store and use your
Updated 7/22 • A300
data see: ACFE.com/privacy-policy.aspx.