Application for Membership

Membership in Identity Management Institute® (IMI) is personal and not transferable. The non-refundable membership application fee must be paid prior to membership acceptance. Please refer to the membership page for initial fees and renewal dates. You will receive the payment information upon receipt and processing of this application.

Please refer to the Refund Policy in the Legal Notice page for additional details.

An * indicates a required field. Please mark “NA” if information is not available.

Check type of membership desired*:
Check desired certification*:
If seeking certification, please also submit the appropriate certification application after you submit your membership application. It is the responsibility of each applicant to demonstrate his or her application to warrant acceptance. The sufficiency of demonstrating qualifications is particularly critical if applicant intends to be a candidate for certification.

Application Process

Upon receipt of your application (s), you will receive an online payment voucher for the appropriate membership and/or certification amount. This process is introduced to pre-approve applications prior to payments and avoid collection of credit card numbers on the applications.

If you prefer to pay by check, are part of a paid group, or have additional questions, please contact us.

Annual Renewals

To maintain certification and continue to receive other member benefits, memberships must be renewed each year. Please visit the Membership page for details.

It is member responsibility to renew membership timely and ensure continuity of certification and other member benefits.

Member Information

First Name*:
Middle Name:
Last Name*:
How did you find out about IMI*? Please check one and describe.
If you found us in an Internet search, what keywords were you searching?
If referred by a member or other, please describe:
If you have a discount code, please enter:
Personal Phone*:
Home Address*:
City*:
State or Region*:
Postal Code*:
Country*:
Primary Email Address*:
Secondary Email Address:
Company Name*:
Business Title*:
Business Phone*:
Company Address*:
City*:
State or Region*:
Postal Code*:
Country*:
Preferred mailing address*:
Have you ever been found guilty of fraud or ethics violations*?
If yes, please explain:

Attestation

I certify that all information herein is true and complete to the best of my knowledge and belief. I authorize verification of this information and release all concerned from any liability in connection therewith. I hereby apply for membership in the Identity Management Institute® (IMI), and affirm I have read and understand the qualifications for membership. I agree to abide by the IMI’s rules, regulations, code of ethics and to promote the IMI’s objectives and purpose. I understand that providing false information in the application for membership form, or in any other IMI application are sufficient grounds for denial of membership, denial of certification or expulsion from IMI when false or misleading information is discovered. IMI membership may be cancelled at any time with a written notice.

Full Name*:
Initials*:
Date*:
By typing your name and initials, you agree to the terms of this application.
*required fields