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BOPC : forms

Board of Professional Counselors

                     Board Application Forms

  • Criminal History Records Check Information form will be mailed to you.
  • Pre-registration form. (This form will be mailed to you)
ALCOHOL AND DRUG TRAINEE APPLICATIONS
Alcohol Drug Trainee Application     AD#1
Pre-Application Credentials Evaluation for Trainee     AD#2
Alcohol Drug Trainee Supervisor Information     AD#3

 

ALCOHOL AND DRUG APPLICATIONS
Alcohol and Drug CSC-AD Application     AD#4
Alcohol and Drug CACAD Application     AD#5
LCADC Application     AD#6
Alcohol Drug LGADC Application     AD#7
Transfer from LGADC to LCADC     AD#8
Pre Application Credentials Evaluation for CSC-AD     AD#9
Pre Application Credentials Evaluation for CAC-AD     AD#10
Pre-Application Credentials Evaluation for LCADC and LGADC     AD#11
Licensed Clinical Alcohol and Drug Approved Supervisor     AD#13
Certified Alcohol and Drug Approved Supervisor     AD#14
ALCOHOL AND DRUG (OUT OF STATE APPLICATIONS)
OUT OF STATE CSC-AD     AD#15
OUT OF STATE CAC-AD     AD#16
OUT OF STATE LCADC     AD#17

 

PROFESSIONAL COUNSELOR APPLICATIONS
Pre-Application Credentials Evaluation for LCPC     PC#1
LCPC Application     PC#2
LGPC Application     PC#3
Transfer from LGPC to LCPC     PC#4
Supervised Clinical Documentation Form     PC#5
Educational requirement information for LCPC and LGPPC     PC#6
LGPC Supervision Requirements Regulation     PC#7
LCPC (OUT OF STATE APPLICATIONS)
Instructions LCPC     PC#8
Out Of State Board Application Form     PC#9
Out Of State Verification Form     PC#10
Education Requirements     PC#11
Course Form     PC#12
VERIFICATION FORM MASTERS DEGREE LESS THAN 60 CREDITS OR 90 QUARTER CREDITS     PC#13
VERIFICATION FORM MASTERS DEGREE WITH 60 CREDITS     PC#14
VERIFICATION FORM FOR DOCTORAL DEGREE     PC#15

 

MARRIAGE AND FAMILY THERAPY
Pre-Application Credentials Evaluation for LCMFT
LCMFT Application
LGMFT Application
Transfer from LGMFT to LCMFT
LCMFT (OUT OF STATE APPLICATIONS)
Instructions LCMFT
Out Of State Board Application Form for LCMFT
Out Of State Verification Form
Course Form
VERIFICATION FORM MASTERS DEGREE LESS THAN 60 CREDITS OR 90 QUARTER CREDITS
VERIFICATION FORM MASTERS DEGREE WITH 60 CREDITS
VERIFICATION FORM FOR DOCTORAL DEGREE

 

ART THERAPY APPLICATIONS
Licensure Application
Licensed Graduate Professional Art Therapists (LGPAT)

MISCELLANEOUS FORMS
Name Change
Duplicate License Request
Application for Inactive Licensure / Certification Status
Address Change
Verification Request Form