I am applying for certification renewal. In submitting this application, I acknowledge that the information I have provided is accurate. I understand that certification renewal is based on continuing education and professional development contact hours presented in this application. I hereby give VRMA, permission to verify these contact hours. I agree to hold VRMA harmless from any and all liability in the event this application is rejected on the basis of the information furnished to the VRMA by me or third persons which would, in the judgment of VRMA, make me ineligible for certification renewal. I agree to accept the VRMA’s decision as to my eligibility for certification renewal.