1-800-653-1785

Application for the Certified Senior Advisor (CSA)® Designation or Education

We have updated our application process for becoming a Certified Senior Advisor (CSA)® to meet national accreditation standards. There are various sections to complete, based upon selections you make during the application process. If you have any questions during the application process, you may contact us at 800-653-1785. You can also download the PDF version of this application and mail or fax it to SCSA.

Application PDF (204k)

NOTE: You must have the FREE Adobe Acrobat Reader in order to view PDF files

Contact Information:
Last Name: First Name: M.I.
Company Name: Referred By:
Business Phone: Home Phone:
Email
Mailing Address
Street:
City: State: Zip:
Professional Information
Occupation: Title:
License(s):
Designations/Certifications:
How did you hear about SCSA?

Please select one of the following options:

Before you continue you must select whether you will be seeking the designation or if you just want to take the course. This will affect the amount of information required for this process.
© 2006 - 2010 Society of Certified Senior Advisors®