Certified Public Health Professional Application
About this free form template

Advance Your Public Health Career with CPH Certification

The Certified in Public Health (CPH) credential is the gold standard for public health professionals seeking to validate their expertise and advance their careers. This comprehensive application form streamlines the entire certification process—from verifying your Master of Public Health (MPH) degree to documenting your professional experience and registering for the CPH exam.

Why Use Paperform for Professional Certification Applications?

Public health organizations, certification boards, and professional associations face unique challenges when managing certification applications. Traditional paper-based processes or clunky PDF forms create administrative bottlenecks, delay verification workflows, and frustrate applicants. Paperform transforms certification applications into efficient, branded experiences that make a strong first impression while automating backend workflows.

Built for Healthcare and Public Health Organizations

This CPH application template is specifically designed for:

  • Professional certification bodies managing credentials for epidemiologists, health educators, biostatisticians, and public health administrators
  • Public health departments requiring staff certification tracking and continuing education compliance
  • Universities and training programs helping graduates transition from MPH programs to professional certification
  • Healthcare organizations supporting employee professional development and credentialing

What Makes This Template Powerful

This form goes beyond simple data collection. It includes:

Comprehensive Degree Verification: Capture official MPH or related graduate degree information with fields for institution name, graduation date, degree type, and transcript upload. Conditional logic shows additional fields for international degrees or non-MPH qualifications.

Professional Experience Documentation: Structured fields for documenting public health work experience including employer details, job titles, dates of employment, hours worked, and specific public health competency areas (epidemiology, biostatistics, environmental health, health policy, social and behavioral sciences).

CPH Exam Registration: Integrated exam scheduling with preferred test date selection, testing center location preferences, and accommodation requests for candidates with disabilities.

File Upload & Document Management: Secure upload fields for transcripts, professional references, work verification letters, and continuing education certificates—all organized and linked to the applicant's submission.

Automatic Calculations: Built-in logic to calculate total qualifying work hours, verify if experience meets minimum requirements, and determine eligibility status before submission.

Payment Processing: Integrated Stripe or PayPal payment fields for application fees, exam registration fees, and late submission penalties—all calculated automatically based on applicant status (student, early bird, standard, international).

Automate Your Certification Workflow with Stepper

Once an application is submitted, the real work begins—and that's where Stepper becomes invaluable. Connect this form to Stepper workflows to:

  • Auto-route applications to the appropriate review committee based on degree type or experience level
  • Trigger verification emails to universities, employers, and references automatically
  • Update your certification database in Airtable, SmartSheet, or your custom CRM as applications progress through review stages
  • Send conditional approval/denial emails with next steps, exam scheduling links, or reapplication guidance
  • Create compliance audit trails that track every decision point for accreditation and regulatory reviews
  • Schedule automated follow-ups for incomplete applications, missing documents, or pending fee payments

For certification bodies managing hundreds or thousands of applications annually, Stepper eliminates manual data entry and ensures nothing falls through the cracks.

Branded, Professional Experience That Builds Trust

Public health professionals expect credibility and professionalism from certification bodies. With Paperform's document-style editor, you can create an application that:

  • Matches your organization's brand with custom colors, fonts, and logo placement
  • Includes educational content explaining eligibility requirements, competency areas, and exam format
  • Provides progress indicators so applicants know exactly where they are in the multi-page application
  • Delivers custom confirmation pages with personalized next steps based on their application status
  • Sends branded confirmation emails with application reference numbers and timeline expectations

You can embed this form directly into your existing website or host it on a custom domain (like apply.publichealth.org) for a seamless experience.

Security and Compliance for Sensitive Healthcare Data

Certification applications contain sensitive personal information, educational records, and professional references. Paperform is SOC 2 Type II compliant and offers:

  • Encrypted data transmission and storage
  • GDPR-compliant data handling for international applicants
  • Role-based access controls so only authorized staff can view applications
  • Secure file uploads with malware scanning
  • Data residency options for organizations with regional compliance requirements

While Paperform is not HIPAA-compliant, it provides enterprise-grade security suitable for professional credentialing outside of protected health information (PHI) contexts.

Perfect for Multiple Certification Programs

This template is easily adaptable for other public health and healthcare certifications including:

  • Certified Health Education Specialist (CHES)
  • Registered Environmental Health Specialist (REHS)
  • Certified Professional in Healthcare Quality (CPHQ)
  • Board Certified Behavior Analyst (BCBA)
  • Certified Infection Control (CIC)
  • Occupational health and safety certifications
  • State-specific public health licensure applications

Simply duplicate the template, adjust the competency areas and requirements, and you're ready to accept applications for multiple certification tracks.

Transparent Pricing, Unlimited Scalability

Unlike per-submission pricing models that punish successful certification programs, Paperform offers predictable, generous pricing tiers based on total monthly submissions across all your forms. Start on the free plan for pilot programs, then scale to Essentials or Pro as application volumes grow. Agency+ and Enterprise plans offer multi-brand management—perfect for national certification boards managing regional chapters or multiple credential types.

Trusted by Professional Organizations Worldwide

Over 500,000 teams worldwide trust Paperform for forms that matter—including professional associations, certification bodies, healthcare organizations, and educational institutions. With 30,000+ designer templates, native AI assistance, and a no-code editor anyone on your team can master, Paperform helps you launch professional certification applications in hours, not months.

Ready to modernize your certification process? Start with this CPH application template, customize it to match your requirements, connect it to Stepper for workflow automation, and deliver the professional experience your applicants expect.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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