National Association of Certified Christ-based Counselors
(NACCBC)

The Nation's Only Authorized, Christ-based Counseling Credential Program

Scholarship Program Ends June 15th 2008

Effective June 16th-August 30 the 3@90.00 is available to help with the fee for the AMLP only (restrictions apply)

Certification Application

Real people ministering in real ministries with Christ-based Counseling: 

                                            

                                     Dr. Connie Lee,           Dr. T.J. Denson            Dr. Stephen Murphy         Karen Ridgeway                  Dr. Bill Stephenson      Rick Collum        Dr. Dennise Bates
                                     NACCBC                 and Sis D., Pastor           4L Ministries                 Ruminate Blessings Ministry, Deeper Christian Life   C.A.L.M Center   Bates Pregnancy Center,
                                    Team Member,           Macedonia Ministries                                          NACCBC Team Member                                                                A3CEES Ministry Support
                                    A3CEES Ministry                                                                             ECBAcademy Project Leader                                                            Leader  
                                    Support Leader

If you are considering NACCBC credentials you must be willing to complete the following:

1. Complete and submit this application.

2. We'll send you the  NACCBC examination/exercise.  Give 2 weeks after you complete the NACCBC examination to receive your credentials.

3. AFTER SUBMITTING YOUR INFORMATION, IF FOR SOME REASON YOU DO NOT HEAR FROM US IN 24 HOURS, EMAIL US AT SUPPORT@CHRISTBASEDCOUNSELING.ORG

NOTE: ALWAYS PRINT PAGES OF THIS APPLICATION OR OTHER NACCBC REQUIREMENTS FOR YOUR RECORD BEFORE SUBMITTING.

AFTER YOU SUBMIT THIS DOCUMENT, 1B IS WHERE YOU SELECT YOUR FORM OF PAYMENT AND RECEIVE YOUR SCHOLARSHIPPED TUITION.

Section 1. Counselor Designator

Name:

Date: (Month) (Day) (Year)

Address: 
City:   
State:   
Country:   
ZIP:    
Telephone: 
Email:  

Section 2. Counselor Education (if any)

Please provide the name of schools and colleges. Begin with the most recent.

COLLEGE(A):
Location(A):
Units Completed (A): 
Quarter Units/Semester Units
                  
Degree (A): 
Year Completed (A)
 
COLLEGE (B)   
Location (B):
Units Completed (B):
Quarter Units/Semester Units
                   
Degree (B):  
Year Completed (B): 
 
College (C): 
Location (C) 
Units Completed (C):
Quarter Units/Semester Units
                 
Degree (C):
Year Completed (C): 
 
Section 3. High School Education 
 
High School:                                       
 
Location:
Year Graduated: 
GED: 
Check box if you did not graduate: 
 
 Section 4. Written Testimony   Please give a testimony of your Faith and your interest in NACCBC.
         Be sure to include when and how you became a Christian:
 
 

Please give the name, address, phone number and position or relationship of two persons who recommend
you to NACCBC (These should be persons who are not relatives):
 
Section 5. References      
Name (A): 
Address(A): 
Phone (A):
Position or Relationship(A):
Name(B):                 
Address(B): 
Phone (B):
Position or Relationship (B):
Name (C):                 
Address(C):
Phone(C):                 
Position or Relationship (C):
NEWS:  (Effective 6/16/2008 thru Summer three payments for the AMLP see below):
CERTIFICATION LEVELS, FEES,
YOU COMPLETE THIS STEP).
Please mark which level of basic counseling certification you desire.
If you are not sure click-on the level to review the requirement for each section:
 
NACCBC Level I. Novitiate Level II. Ministerial  Level III. Prof  (ONLY USE THESE IF YOU DO NOT DESIRE THE LICENSURE PROGRAM.  THESE ARE CERTIFICATE PROGRAMS)
Level                                                                                                          
 
II                          $135    
III                         $140

Level III only: Check to indicate you know to send transcripts 
Certified Christian Marriage Counselor certification (Check Level II or III above): 
Level I,II, OR III IS REQUIRED BEFORE A COUNSELOR CAN TAKE ONE OR MORE OF THESE CERTIFICATE PROGRAMS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Certification
Christ-based Marriage Counselor (CCBMC)              $100.00
Christ-based Counselor, Addiction (CCBCA)            $100.00 
Christ-based Counselor, Depression (CCBCD)           $100.00
Persons desiring the CCBMC (Certified Christ-based Marriage Counselor), or CCBCA (Certified Christ-based
Counselor, Addiction) must complete the CCBC certification program including the first trimester of the
Faith-life Program (Milk-to-Maturity, Faith-life Skills...click here to see first trimester).
NOTE:
Persons completing any NACCBC certification must complete at least one Continuing Education
Course per year in a Christian counseling related course with NACCBC.  These courses are
available through distance learning or on-line. The cost is $30.00 per course. [Commencing
with the year following certification.]
CBC, ADVANCED MASTERY LICENSURE PROGRAM (AMLP)
CBC’s, Advanced Mastery Licensure Program (CBC, AMLP) is for clergy, directors, and others who need to possess interdisciplinary skills (Marriage, Addiction, Depression, Weight, etc.).  This program includes completion of the following:

Basic Certification Program
Marriage Certification
Addiction Certification
Depression, Joy Therapy Course
Enters covenant to adhere extensively to CBC counseling plan
Evidence or affirmed statement of 4 years of counseling
:

All other CEU requirements are maintained.  These persons are assigned to NACCBC's advanced registry.   Applicants can enter the basic program, and complete the other requirements at a later date.  Persons who have already completed the course requirements must submit a statement vowing use of the CBC counseling plan and submit evidence of four years of counseling experience.  This could be a letter or statement from pastors, supervisors, or other documentation (brochures, policy, other documents) with your name and dates of your services. An affirmed statement of experience is also acceptable.

Completing each program over time could cost more than $430.  However, applicants who apply for the whole program may pay a discounted fee of  $280.00.

Fees: (SCHOLARSHIP THRU 6/15/08.  AMLP fee is $142.50.).  Beginning 6/16 thru 8/30,

the $280 discounted fee can be divided into 3 payments of $90.00 over three months.

 

MINISTRY SUPPORT FINANCIAL PROGRAM:         Effective 6/16 The Advanced Mastery Licensure Program can be divided into three equal payments of 90.00. The
Counselors may complete all requirements.  However, certification is NOT
issued until the certification fee is paid in full. There is no processing cost during the special period.
Fees are submitted in Step 8 of the basic certification process.  If you do not pay the full certification fee amount
be sure to indicate the months you desire to pay the balance. Since the material
is on-line, candidates can begin the certification process immediately.
 
Address: National Association of Certified Christian Counselors (NACCBC)
         P.O. Box 271386
         Flower Mound, TX 75027-1386
         (972) 987-1674
Check all of the information and be sure that it is correct:



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