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CSD

Applicant Information Form

Contact Person
Prefix

First Name (Given)

Last Name (Family)

Suffix

Applicant Street Address


City
Phone Number

State/Province
Alt Phone Number

Zip/Postal Code

Country

Email address

Alternate email address (Please enter any other email addresses you may have given to your trainer so that we can verify your c ourses).

CSM Training (if applicable)


Date of CSM Course

Trainer

Scrum Alliance Login/User Name

Additional Coursework
The CSD designation requires three days of technical training, one day of introductory Scrum training, and an elective course.
Enter course information below. (You do not have to enter your CSM course again, if you took one.)

Course Name

SA REP Organization / Trainer

Primary Topic

Length of Course

Course Name

SA REP Organization / Trainer

Primary Topic

Length of Course

Course Name

SA REP Organization / Trainer

Primary Topic

Length of Course

Fees
If your application is approved, you will be notified and given information on how to pay your fee, at which point your
certification is good for two years.
Submit
Send this application to CSDapp@scrumalliance.org.

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