INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM

1. It is very important that your application form be completed carefully and accurately. The information you provide on this form and any accompanying documents required will be used by the ACCL to determine your eligibility to sit for the examination. If accepted, your acknowledgement/confirmation letter and your examination results will be sent to the mailing address indicated on the form.
2. Type or print clearly in ink all information requested, except signatures.
3. Candidates with Social Security numbers are not required to disclose them on the application form other than on a voluntary basis. The numbers are useful as a secondary check in matching registration information to scores to ensure that they are reported correctly.
4. Please remember that you will be required to present copies of certificates of attendance for the CME/CE activities that you submit for points and the titles of the activities must be clearly identified. If the title of the session is not clearly related to lipids, we also encourage you to submit a copy of the program or educational outline to assist with credentialing review. The Credentialing Committee will make the final determination on point assignments.
5. Please mail the completed application form, fees, and documentation to the appropriate address below. Faxed applications will not be accepted.

Download the credentialing guide here (Acrobat Reader Required)

Download the application here (Acrobat Reader Required)

Upcoming Examination Dates:

Saturday, August 23, 2008
8:00am - 12:00 noon
Westin Hilton Head
Two Grasslawn Avenue
Hilton Head Island, SC
Call 1-800-937-8461 by July 21, 2008 to secure a room rate of $209/night. Ask for the NLA/ACCL discounted rate.
Application Deadline: Postmarked by July 23, 2008

Saturday, September 27, 2008
8:00am - 12:00 noon
Westin Michigan Avenue
909 North Michigan Avenue
Chicago, IL
Call 1-888-627-8385 by August 27, 2008 to secure a room rate of $229/night. Ask for the NLA/ACCL discounted rate.
Application Deadline: Postmarked by August 27, 2008

2009 Examination Dates

Friday, May 1 or Saturday, May 2, 2009
Fontainbleu Hotel
4441 Collins Avenue
Miami Beach, FL
Call 1-800-548-8886 by April 6, 2009 to secure a room rate of $249/night. Ask for the NLA discounted rate.
Application Deadline: Postmarked by April 1, 2009

Saturday, September 26, 2009
8:00am - Noon
Westin Hotel Cincinnati
21 East Fifth Street
Cincinnati, OH
Call 1-800-937-8461 by August 23, 2009 to secure a room rate of $169/night. Ask for the MWLA discounted rate.
Application Deadline: Postmarked by August 26, 2009