Application for Inactive and Emeritus status

All fields must be completed or the application cannot be submitted.

Fees

$87.50 Two Year Inactive NCG
$125.00 Two Year Inactive NMG
$350.00 One Time Emeritus Fee

Currently NCG Yes
Inactive NCG Yes
Currently NMG Yes
Inactive NMG Yes
If applying for Emeritus status, years certified as an NCG or NMG

Full Name
(as you wish it to appear on your certificate)
First
Middle
Last

Last Four Digits of Credit Card You Are Using to Pay
(Only MasterCard, Discover and Visa Accepted!)

Mailing Address:

City:

State:

Zip:

Telephone (where you wish to be contacted):

Fax Number:

Email Address:

Reason for Request:
(retirement, change of job)

CANDIDATE AFFIRMATION QUESTIONS (Must be checked!)
I agree to notify the CGC of any changes in my contact information
I agree to notify the CGC when or if I again become a practicing guardian.
I acknowledge that as an Inactive or Emeritus NCG, NMG, I remain subject to the CGC Rules and Regulations.
I acknowledge that as an Inactive NCG or NMG I may not use any CGC certification designation or logos on any materials.