Broward County, Florida
Customer Service Professional Certification Program

APPLICATION

Note:

When completed and submitted, this form registers you for the program, and creates your personal file. It will also generate a CSP ID that will be used for all correspondence related to your participation in the program. This form may be submitted electronically or by mail as shown below.

Personal Information

First Name:

Middle Initial:

Last Name:

Street Address:

City:

State:

Zip Code:

Telephone (Day):

Telephone (Evening):

E-mail:

*Note Your e-mail will also be your user identification.

Password:

Password (Confirm):

Employment Information

Employee Type:

Agency Name:

Agency Address:

City:

State:

Zip Code:

Work Phone:

Work E-mail:

Job Title:

* Indicates Required Field

If you have any questions direct them to: CSPProgram@broward.org
Please include a phone number where you can be reached.

To print and mail in:

Applicants Name:________________________________________________________

Signature:______________________________________________________________

Date:_______________________

Mail the completed application and any attachments to:

CSP Program
Employee Development / Human Resources Div.
Borward County Commission
115 S. Andrews Avenue, Room 508
Fort Lauderdale, FL 33301

Thank you for participating in Broward County's Customer Service Professional Certification Program.