Self Service Portal

Prefix*
First/Given - legal name on ID*
Middle Name - legal name on ID
Last/Family - legal name on ID*
Suffix - legal name on ID
Former Legal Last Name

Preferred Email Address*

Alternate Email Address

Address Type*
Street Address Line 1*
Street Address Line 2
City*
State/Province
Province (if not listed above)
Zip/Postal Code
Country*
Phone Type*
Phone Number*
Alternate Phone Type
Alternate Phone
Alternate Phone 2 Type
Alternate Phone 2
Enter lowercase username. Email is suggested.
User Name*
Password*
Repeat Password*

Personal Information

Birthdate (MM/DD/YYYY):*

Industry [NAICS]

Who are you employed by?*

Job Title

Are you a veteran or active military?*

Highest level of education

Where did you hear about BCSP?

Which credential(s) are you pursuing (or researching)? (press and hold Ctrl to select multiple)

⁺ This information will be used for outreach purposes. BCSP follows a strict non-discrimination policy that reads: "BCSP evaluates all candidates seeking BCSP certifications without regard to race, color, national origin, sex, age, religion, pregnancy, disability, military or veteran status, genetic predisposition, gender identity, sexual orientation, or other characteristics protected by the law (“Protected Characteristics”).

Please specify your ethnicity(s) ⁺
- Caucasian (non-Hispanic)
- African, Afro-Caribbean, or African American
- Hispanic or Latino
- Hawaiian/Pacific Islander
- East/Southeast Asian (Chinese, Korean, Vietnamese, etc.)
- South or Central Asian (Indian, Pakistani, Afghan, Uzbeck, etc.)
- Middle Eastern or Arab
- Native American/American Indian
- Other:

By completing this form, you will be creating a profile with BCSP that includes a set of Communication Preferences. To manage your profile and preferences, select “Manage Profile & Preferences” from this system’s main menu.