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Professional Counselor - Application Forms

Application for Professional Counselor 
Form # Title/Description
2252  Convictions and Pending Charges Form  If Applicable
2456  Professional Counselor Post-Graduate Supervisor Approval Form Required for Training License only.
1963  Information for Professional Counselor Application 
This includes Professional Counselor by Examination, Reciprocity, Temporary and Training License.
NCE Registration  NCE Registration Form
This link is required to obtain the registration forms to sit for the NCE examination.
1960  Professional Counselor Certificate of Professional Education Form Not required for reciprocal license.
2239  Professional Counselor Curriculum Requirements Form 
Required if degree is not in Professional Counseling or otherwise approved degree.
1962  Professional Counselor Licensing Application 
This includes Professional Counselor by Examination, Reciprocity, Temporary and Training License.
2464  Documentation of Clinical Experience Gained Under Training License-Supervisor's Affidavit of Applicants Competencies  Not required for Training License or Rreciprocal License.
2572  Verification of Credential Form Required if credentialed in another state(s) or territory(ies), active or inactive status.
 
Application for Psychometric Testing
Form # Title/Description
2579  Affidavit of Supervisor in Support of Application to Engage in Psychometric Testing 
2578  Application to Engage in Psychometric Testing 
 
Application for Substance Abuse Specialty 
Form # Title/Description
2712  Affidavit Regarding Supervised Experience for Substance Abuse Specialty Authorization 
2711  Application for Substance Abuse Specialty Authorization 
2714  Substance Abuse Specialty Authorization Education and Training form
2713  Substance Abuse Specialty Authorization Education and Training Pharmacology form 

Application to Convert Certification to Licensure 
Form # Title/Description
2748 Application to Convert Current or Pending Professional Counselor Training Certificate to Training License
2921 Application To Renew Current Marriage and Family Therapist Or Professional Counselor Training License 

Other Information/Forms

Professional Counselor- License Information