Registered Financial Planners Institute

                                     Designation & Membership Application

                        (Please submit this completed application with supporting documents and payment to)

 

 RFPI International Headquarters

 2001 Cooper Foster Park Rd

 Amherst, OH 44001

 

                         Please complete all areas.  (Type information or complete in block letters - English)

 

Name: _______________________________________________________Social Security #: _____________________

            Last                            First                              M.I.

 

Resident Address: __________________________________________________________________________________

 

City: ___________________________________State/Country: _______________________Zip:__________________

 

Home Phone: ___________________________________Business Phone: ____________________________________

 

Cellular phone: _________________________________Fax number: ________________________________________

 

Email: ________________________________________  Website: ___________________________________________

 

Present Employer: __________________________________________________________________________________

 

Business Address: ____________________________________Type of Business________________________________

 

City: _______________________________State/Country: ___________________________Zip:____________________

 

Date Started: ________________________________Current Position: _______________________________________

 

Other Business experience and number of years: _________________________________________________________

 

___________________________________________________________________________________________________

 

___________________________________________________________________________________________________

 

                                       Types of License (s) or Registrations/ Certifications held:

 

Attorney: ____________________________ Date licensed: ______________________ State/Country_______________

 

Insurance License # ___________________ Date licensed: ______________________ State/Country________________

 

Real Estate License # __________________ Date licensed: _____________________  State/Country________________

 

Securities License #____________________ Date licensed: ______________________State/Country_________________

 

 

Brokerage Firm:  ______________________Date started:  _______________________  State/Country_________________

                                                                                                                           

Finance: _____________________________Date started:  ________________________ State/Country_________________

 

CPA/Tax accounting:__________________ Date started: _______________________   State/Country_________________

 

Banking: ____________________________ Date started: _______________________    State/Country_________________

 

Other: _______________________________Date started: ________________________ State/Country_________________

 

Please name training completed in any of the previous fields mentioned. Provide dates & number of credit hours received

(Please include company training)  _____________________________________________________________________________________________________

 

___________________________________________________________________________________________

 

 

Please list your highest education completed:  HS________ Some College _________College Degree______________

 

Graduate Degree ______________________ Specialty School/Other _________________________________________

 

___________________________________________________________________________________________________

 

List below (or on attached piece of paper) the names and addresses of three (3) references who can attest to your character and financial planning ability in your respective field;

 

NAME                                                        ADDRESS                                        PHONE NUMBER

 

_______________________________________________________________________________________________

 

_______________________________________________________________________________________________

 

_______________________________________________________________________________________________

 

Has your membership/license to any organization ever been suspended or revoked?       YES                   NO

If yes, give brief explanation _______________________________________________________________________

 

________________________________________________________________________________________________

 

Has there ever been any disciplinary action taken against you?                                      YES                  NO

If yes, give brief explanation_______________________________________________________________________

 

Please give any other information which you feel may be helpful, i.e. educational background, methods used/ list of

represented clients (If available, attach a list of credentials you submit to your clients):

______________________________________________________________________________________________

 

______________________________________________________________________________________________

 

________________________________________________________________________________________

                                        

 

DESIGNATIONS OFFERED:

                                                      Please check the designation you are applying for:

 

    (Non Designated)

Affiliate Membership              ______             Affiliate membership to RFPI is open to anyone with an active interest in  

                                                                   Financial planning and who agrees to observe the RFPI Code of Ethics.                       

                                                                   Upon Acceptance of Affiliate membership, the applicant agrees to  

                                                                   complete a course of Study within two (2) years.

          Attend the RFPI 120 hour approved classroom course; or

¨        Complete the RFPI approved correspondence course or

¨        Complete a similar approved course offered by various organizations and schools of higher education.

           As an Affiliate Member you will receive a membership card and subscription to   

          the RFPI online newsletter. In no instance is the affiliate permitted to use the RFP  

          designation until meeting all educational and experience requirements.

         Cost $75.00 annual dues and a one time processing fee of $25.00

                                                                   Total submitted with *application $100.00 (USD) check or credit card.

                                                              

 

    (Registered Financial Planner)

RFP Membership & Designation ______         Applicant must have at least two (2) years experience in their respective

        (Min 2 year experience)                       field. Or hold license in respective field he / she must have already              

                                                                 completed 120  minimum  hours of approved education and passed  

                                                                 exams related to said subject or:

¨             Attended the RFPI approved classroom course; or

¨             Completed RFPI approved correspondence course; or

¨             Completed similar approved courses offered by various    

                                                                organizations  and schools of higher education. Upon evidence of  

                                                                 completion and approved application for membership, you will            

                                                                 receive the following;

1.        Your personalized RFP designation and wall certificate.

2.        Your membership card and RFP lapel pin.

3.        RFP logo stickers to use on client financial planning documents.

4.        Subscription to the RFPI’s online Newsletter.

5.        Name added to the National Registry of RFP’s & Internet Listing

6.        Various other materials including, Asset Management Plans;

      Cost $150.00 annual dues plus a one time material & processing fee of $50.00

                                                                   Total Submitted with *application $200.00 (USD) check or credit card.

 

(Senior Registered Financial Planner)

SRFP Membership & Designation ______       Applicant must have at least five (5) years in their respective field, plus an

           (Min 5 year experience)                    Associate degree or equivalent with emphasis on personal taxation. With         

                                                                 minimum of 60 hours of education/testing in Estate & Retirement planning and     

                                                                 minimum of 30 hours education in Investment Products. 

                                                                 Upon approval of application you will receive the following;

                                                             1.  Your personalized SRFP designation and wall certificate.

                                                             2.  Your membership card and SRFP lapel pin.

                                                             3.  SRFP logo stickers.

                                                             4.  Subscription to RFPI’s online Newsletter.

                                                             5.  Name added to the National Registry of RFP’s & Internet.

                                                             6.  Plus various other materials including Asset Management Plans

                                                                  Cost $150.00 annual dues plus a one time material & processing fee of $70.00                                                                                       

                                                           Total Submitted with *application $220.00 (USD) check or credit card.

                                 

 PAYMENT OPTIONS

 

 

Agreement: Please read carefully.

 

1. I understand that I may not use the RFP or SRFP designation or its logo or advertise myself as a RFP,    

       SRFP until I have received official notification of my approval.

 

2. I hereby authorize investigation of all information I provided in my application.

 

3. I understand that permission to use the RFP, SRFP and its logo are granted for a period of 1 year unless specified. At the end

    of such period if the designation is not renewed then any use or right to use has expired and continued use would

    be considered a violation. Penalties, by way of re-instatement fees may be imposed if a member renews after renewal period.

 

4. I agree to maintain proficiency in my work by completing a minimum of 20 credit hours of continuing education in

     my field of financial planning and to supply proof to RFPI during the 3 year reporting period.

 

5. I understand that the RFPI Board has the absolute and unrestricted right to revoke any rights I have to use the

RFP, SRFP designation. I understand that failure to comply with any of the RFPI Code of Ethics could result in forfeiture of the

    designation.

 

If your application is approved for membership and you are granted use of RFP or the SRFP designation, your confirmation can be sent by email if requested.

Please confirm email address here: ________________________________________

 

*Please be sure to include all required documents.  Resume- if current, copies of any licenses, registrations, certifications & evidence of education completed, personal photo & payment. Incomplete applications will not be processed.

All applications must be signed by applicant.

 

 RFP/ SRFP membership packets are sent within 7 -10 days of board approval, (receipt for credit card payment will be included inside membership packet.)

                                                

 

 

 

 

 

Please Read the Following Statement as well as the Agreement on previous page before signing:

 

I hereby submit this application to the Registered Financial Planners Institute and verify that all information to the best of my knowledge is accurate and complete. If approved, I shall abide by the rules, regulations and Code of Ethics of the Registered Financial Planners Institute. I also agree to attend a minimum of 20 hours of continuing education every three (3) years in my respective field and supply proof of credits earned to the Institute during the required reporting period. I also understand that my name, specialty and contact information will be shown on the Internet unless specifically requested. If not approved, I understand that I will be refunded my application fee.

 

__________________________________________                    ___________________________________________

    Signature of Applicant                                                                              Date

 

 

  Please provide the name of the RFP member who referred you: _______________________________________

 

 Or)  how you learned of RFPI: ____________________________________________________________________

 

Please sign below if you do not want your information shown on Registered Financial Planners website in the member directory.

 

 I prefer NOT to be listed on the Internet at this time:  __________________________________________________

 

Changes can be made at any time to your member listing by calling 440-282-7176 or sending email to the RFP Institute.