Icon in the shape of a positively progressing stock graph. Icon in the shape of a closed book. Icon in the shape of a paper with pencil hovering over it. Icon in the shape of stacked list of images with text beside them Icon in the shape of a circle with the Twitter bird in the middle. Icon in the shape of a checkmark Icon in the shape of a magnifying glass Icon in the shape of a label tag Icon in the shape of an item list Icon in the shape of an arrow in clockwise direction Icon in the shape of a left pointing arrow Icon in the shape of a right pointing arrow Icon in the shape of a man's head and a woman's head Icon in the shape of a pie chart with the top right quarter offset from the rest Icon in the shape of four arrows pointing inward Icon in the shape of the facebook logo with circle around it

INCOMPLETE FORMS WILL NOT BE PROCESSED

Basic CCC Eligibility Assessment

"*" indicates required fields

1. Applicant Information

Name*
Address*

2. Education

Must hold graduate degree in counselling or related field
Graduate Degree(s)*
University
Year
Degree
Major
 

Graduate Degree(s)

3. Graduate-level coursework toward certification

Located on transcript(s), minimum 8 full courses

Counselling Theory (Compulsory)

Supervised Counselling Practicum/Internship (Compulsory)

Counselling and Communication Skills (Compulsory for graduates after Sept 2012)

Professional Ethics (Compulsory for graduates after Sept 2012)

3. Elective Courses

Please refer to the corresponding section in the Certification Guide

4. Supporting Documentation

A copy of your transcript and course descriptions must be submitted with your application; please see the corresponding section on the Certification Guide. In addition, please identify which additional documentation you wish to provide for evaluation by the Registrar.
CCC Practicum Form(s)
One form per practicum placement.
CCC Work Experience Form(s)
One form per employer/workplace. Letter(s) from employers may also be a suitable alternative if they describe the nature of work and number of hours of employment.
TWO CCC Reference Forms (optional)
Completed, signed, and submitted by clinical references. Note: If you are a Pathway 2 applicant, one reference must be from a clinical supervisor.
Resume / CV
Other (please describe)

5. Attestation

Please read carefully for important information regarding your application
I certify that the information provided in this application is accurate and complete to the best of my knowledge and belief. I understand that the outcome of my application depends upon my demonstration of how my application satisfies the required criteria, including presenting relevant coursework in Section 3 for consideration by the Registrar. I will practice in accordance with CCPA's Code of Ethics. I have included a valid criminal records check with vulnerable sector screening conducted within the last 12 months or will submit one to CCPA shortly. I understand that any certification granted to me by the Canadian Counselling and Psychotherapy Association does not in and of itself specify licensure to practice counselling for a fee, monetary or otherwise. If I am granted certification by CCPA and practice counselling as a private practitioner, I do so at my own risk. I hereby release CCPA from any and all liability and/or claim that may arise from any decisions to practice privately as a Canadian Certified Counsellor. For research and statistical purposes only, data resulting from my participation in this process may be used in an unidentifiable manner. I understand that all material becomes the property of CCPA upon receipt and that originals will not be returned to me, with the exception of the Criminal Records Check (if requested by the applicant).
MM slash DD slash YYYY

6. Payment

Payment can be made online by logging into the Member Portal at https://members.ccpa-accp.ca. The total cost for this application is $40.