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Certification Exam Application

The application process consists of these submitting items, the exam application below, the notarization form, proof of education (copy of transcript or diploma), and the appropriate fee.

Please answer all questions completely. The information contained herein will be considered confidential and is, together with all references, the property of the Board of Certification of Medical Illustrators. It is to the applicant's advantage to answer each question completely, accurately, and honestly. All persons shall receive fair, equal and impartial treatment by the Board of Certification of Medical Illustrators. All applicants shall be treated without regard to membership status, race, creed, color, national origin, sex, age, handicap, marital status or other criteria prohibited by law.

Important Notice: This application may be used to apply to take the certification exam at the AMI annual meeting. If you wish to take the exam at an alternate location, you must obtain permission and make arrangements directly with Board Chair John Nyquist before you submit an application using this form or the PDF downloadable form. See the Certification Examination Information Bulletin for details.

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First Name: required field
Middle Name:
Last Name: required field
Email: required field

Business Information
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:

Home Information
Address: required field
City: required field
State/Province: required field
Zip/Postal Code: required field
Country:
Phone: required field
 
Send Results To:
Location of Exam:
AMI Status:
Number Year Member:
Education Level:
Name of School: required field
City: required field
State: required field
Graduated:
Year Graduated:
Degree: required field
Major: required field
   
Employer Job Title Years
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Total Years Employed as Medical Illustrator:
   
 


IMPORTANT NOTICE:


An applicant for certification is considered eligible if either of the two following situations is true:
1. You have a degree from a college/university program in medical illustration that includes a course in gross anatomy with hands on dissection, proven by transcript.
or
2. You have a minimum of five years full-time experience as a medical illustrator substantiated by letters of reference from employers, and proof of a college-level course in gross anatomy with hands on dissection or its equivalent.

Make sure the NOTARIZATION FORM and appropriate FEE are included with this application.
Exam Fee (AMI Member) $150.00
Exam Fee (non-AMI Member) $275.00
CMI renewal by exam (AMI Member) $250.00
CMI renewal by exam (non-AMI Member) $350.00


Offsite exam is subject to an additional $25.00 shipping charge

Checks payable to the Board of Certification of Medical Illustrators.

Send payment to:
Board of Certification of Medical Illustrators
c/o AMI - Sara Zach
PO Box 2272
Lexington, KY 40588-2272