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Board of Professional Counselors
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License Applications
Professional Counselor Licensure Application, #08-4403, Revised 11/02/11. Application for licensure by examination or credentials.
This form may be completed online with Adobe Acrobat 6.0 or higher, then printed, signed and mailed.
Application for Board Approved Professional Counselor Supervisor, #08-4430, Revised 08/29/11. Must be approved and certified by the board as an Approved Counselor Supervisor prior to supervising Professional counselors obtaining postmaster experience.
Continuing Education Provider's Approval Form,
#08-4345, Revised 09/28/10.
 
Renewal Applications

Biennial Professional Counselor License Renewal, #08-4281, Revised 08/29/11

 
Miscellaneous Forms
Change of Name Form, #08-1431
Change of Address Form, #08-4291
Request for License Verification Form, #08-4222
Request Duplicate License Form, #08-0014
Credit Card Payment Form, #08-4438

 


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Applications may be viewed and printed with Adobe Acrobat Reader 6.0 or higher. If you do not have Adobe Acrobat Reader 6.0 or higher, please click on the Adobe logo and download the free software now. If you are unable to view or download an application, please contact us by telephone or e-mail. Providing your complete mailing address will enable us to mail you the application.

Other application forms may be mailed to you or picked up at a division office. Completed applications must be signed and submitted to the division with the appropriate fees.

 
 

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