APPLICATION PACKET - Center for Credentialing and Education

APPLICATION PACKET
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3 TERRACE WAY
GREENSBORO, NC 27403-3660 USA
TEL: 336-482-2856 * FAX: 336-482-2852
www.cce-global.org * [email protected]
The Distance Credentialed Counselor (DCC) mark is a trademark of the Center for Credentialing & Education, Inc. (CCE).
CCE and NBCC® are registered trade and service marks of the National Board for Certified Counselors, Inc.
The Center for Credentialing & Education, Inc. (CCE) values diversity.
There are no barriers to certification on the basis of gender, race, creed, age, sexual orientation or national origin.
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TABLE OF CONTENTS
About the DCC Credential.................................................. 3
What Is a Distance Credentialed Counselor?
About the Application Process
Obtaining the DCC Credential........................................... 4
Education and Credentialing Requirements
Training Requirements
Application Fee
Annual Renewal and Recredentialing................................ 5
Annual Maintenance Fee
CCE Ethics Policies and Procedures
Recertificaton
DCC Application Form ...................................................... 6
Payment Voucher................................................................. 8
Be sure to make copies of all your forms and documents
before mailing your application. CCE will not return any
forms or documents to you or to a third party.
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WHAT IS A DISTANCE CREDENTIALED COUNSELOR (DCC)?
Distance Credentialed Counselors have proven expertise in the following areas:
• Knowledge of ethical issues involved in distance counseling;
• Ability to build a strong working relationship with clients via distance methods;
• Commitment to distance counseling best practices and to delivering helpful
communications to clients;
• Awareness of legal issues relevant to distance counseling; and
• Knowledge of technology needed for effective distance counseling.
ABOUT THE APPLICATION PROCESS
The application review process takes six weeks from the date an application is received. When
an application review is complete, CCE sends written notification by mail of the status of the
application. If additional documentation is required, the file is placed back into the queue for a
second review when the documentation arrives. Please include all required documentation with
your initial application.
If you have specific questions regarding the DCC credential, you can contact CCE at
CCE–DCC
3 Terrace Way
Greensboro, NC 27403-3660
Tel: 336-482-2856
Fax:336-482-2852
E-mail: [email protected]
Information is also available on CCE’s Web site: www.cce-global.org
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ABOUT THE DCC CREDENTIAL
The DCC credential identifies individuals working in a wide range of settings who have met the
requirements established by the Center for Credentialing & Education, Inc. (CCE) and have
satisfactorily completed a CCE-approved distance counseling training program.
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EDUCATION AND CREDENTIALING REQUIREMENTS
Applicants for the DCC credential must meet the following requirements:
• A master’s degree in counseling or a related mental health field from a regionally accredited
college or university;
•
Adherence to the NBCC Code of Ethics and NBCC Policy Regarding the Provision of Distance
Professional Services.
Non-U.S. Degree Equivalency Note: Candidates who earned degrees outside the United States must
have the degree(s) evaluated by an international transcript evaluation service and must submit the results
to CCE with the application. CCE accepts evaluations completed by World Education Services, Inc.;
Educational Credential Evaluators, Inc.; and American Association of Collegiate Registrars and
Admissions Officers’ Office of International Education Services.
Non-U.S. License or Credential Note: Candidates who hold a full and current credential in counseling
or a related field in a country other than the United States must submit a copy of the credential document
with their application. The applicant must also arrange to have a notarized English translation of the
document sent directly to CCE from a translation service. CCE accepts translations completed by
CHICLE Language Institute (www.chi-cle.com).
TRAINING REQUIREMENTS
DCC applicants must provide documentation of successful completion of an approved Distance
Credentialed Counselor training program. Applicants must apply within five years of completing the
DCC training.
The DCC training program content includes the following:
• The rationale for distance counseling services;
• Building a strong working relationship using distance counseling methods;
• Planning and stages within distance counseling relationships;
• How to incorporate distance counseling methods within the current work setting;
• Distance counseling case management;
• Ethical and legal issues; and
• Approaches to difficult situations, technology methods, and assessing outcomes and
client satisfaction.
OBTAINING THE DCC CREDENTIAL
• Full and current licensure to practice counseling or a related field (approved by CCE) in the
state or country in which the candidate resides or works and/or full and current certification as a
National Certified Counselor (NCC) in good standing; and
For information regarding the training, go to www.cce-global.org/DCC/Training.
APPLICATION FEE
The DCC application review fee is $100 U.S. dollars.
All fees are nonrefundable and nontransferable.
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ANNUAL MAINTENANCE FEE
CCE ETHICS POLICIES AND PROCEDURES
DCC applicants and credential holders are responsible for ensuring that their practice is consistent with
the ethical standards approved by the CCE Board of Directors. Just as state licensure boards have adopted
certain proven codes of ethics rather than develop new ones, the CCE Board of Directors, with approval
from the National Board for Certified Counselors (NBCC), has adopted the NBCC Code of Ethics and
the NBCC Policy Regarding the Provision of Distance Professional Services as the minimum conduct
standards for DCC applicants and credential holders.
An applicant must complete all portions of the DCC application, including the Ethics Attestation and the
Applicant Agreement and Release Authorization. Application disclosures and other ethics matters are
reviewed in accordance with CCE procedures. Disclosure does not automatically render an individual
ineligible for credentialing. CCE reserves the right to deny eligibility based on an ethics disclosure.
Application fees are not refundable when an application is rejected.
The CCE Credential Eligibility Policy-Ethics, the NBCC Code of Ethics, the NBCC Policy Regarding the
Provision of Distance Counseling Services and the CCE Ethics Case Procedures are available at
www.cce-global.org/prof/ethics.
RECREDENTIALING
Every five years, in order to complete the recredentialing process, DCC credential holders must:
• Adhere to the NBCC Code of Ethics and the NBCC Policy Regarding the Provision of Distance
Professional Services at all times.
• Complete 20 hours of continuing education, 15 of which should be specific to counseling or
mental health. At least five hours must focus on distance counseling.
• Sign and return a statement attesting to completion of the required continuing education
and continued adherence to the NBCC Code of Ethics and the NBCC Policy Regarding the
Provision of Distance Professional Services and annual payment prior to the credential expiration
date. CCE sends recredentialing notices with instructions via postal mail on June 15 of the year in
which the credential expires. DCC credential holders who do not receive a recredentialing notice
by July 1 should contact CCE immediately. If CCE does not receive the signed recredentialing
attestation and payment by the expiration date, the credential will expire. Reinstatment of an
expired credential requires a reinstatement application, $50 reinstatement fee, documentation of 20
hours of continuing education, and full payment of any past-due balance.
• Provide documentation of continuing education hours if selected for audit. Notification and
instructions are included in the recredentialing notice.
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ANNUAL RENEWAL AND RECREDENTIALING
The annual maintenance fee for DCC credential holders is $35. DCC credential holders who do not
receive an annual fee notification should contact CCE as soon as possible. If CCE does not receive
payment by the due date, the credential becomes inactive. Reinstatement of an inactive credential requires
a reinstatement application, $50 reinstatement fee and full payment of any past-due balance.
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1. First Name:
2. Last Name:
MAILING INSTRUCTIONS
3. Home Address:
Mail completed application
packet and payment to
CCE
P.O. Box 77759
Greensboro, NC 27417-7759
USA
City, State/Province:
ZIP/Postal Code, Country:
City, State/Province:
FOR OFFICE USE ONLY
ZIP/Postal Code, Country:
REF.#:_____________
Preferred Mailing Address: � Home � Business
AMOUNT: __________
5. Home Telephone:
BATCH #: __________
6. Business Telephone/Ext.:
DATE: ____________
7. E-mail:
8. Gender:
� Male
� Female
9. Date of Birth:
(mm/dd/yyyy)
10. How did you hear about the DCC credential?
Please check here if you do not want your contact information shared with continuing education providers.
11. Education/Degree (attach a copy of transcript*):
Highest Degree
Earned
Date Degree
Received
Major
Attendance Dates
mm/yyyy to mm/yyyy
Institution Name and City/State
DCC APPLICATION FORM
4. Business Address:
12. Licenses/Certifications (attach a copy of license/certificate*): Use additional pages if necessary.
State
License/Certificate Type
License/Certificate Number
Issue Date
Expiration Date
13. DCC Training Program:
DCC Training Dates
mm/dd/yyyy
Training Location and City/State (or Online)
*Note: National Certified Counselors (NCCs) do not need to send copies of transcripts, licenses or certifications.
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14. Ethics Attestation (You must respond to each statement below):
1. Have you ever been or are you currently the subject of any public or private
complaint, investigation or professional disciplinary action, including licensure
board and membership matters?
YES
NO
2. Have you ever been or are you currently charged with any criminal offense?
YES
NO
3. Have you ever been or are you currently named in a civil or other legal action?
YES
NO
If you answered “Yes” to any of the above questions, you must include a complete, detailed
explanation related to the response. You must also provide copies of relevant documentation, such as
copies of the complaint, pleadings and compliance with final orders.
15. Applicant Agreement & Release Authorization:
All information I provided in this application, including supporting documentation, is accurate and
complete to the best of my knowledge. If I have knowledge of any changes concerning my responses in
this application, including my responses in section 14 above, I agree to report this to CCE in writing
within 60 days.
I agree that CCE has the right to contact any person or organization regarding this application, and I
authorize the release of any information requested by CCE to verify the accuracy. I understand that all
application materials become the property of CCE and will not be returned.
I understand that credentialing through CCE depends upon my fulfillment of all required criteria and
compliance with CCE policies, which include the NBCC Code of Ethics, NBCC Policy Regarding the
Provision of Distance Professional Services and the CCE credential mark and trademark use policy. I
understand that credentialing does not create membership in CCE. I understand that CCE credentialing is
personal to me and may not be transferred to another individual or group.
I understand that professional biographical and credential data is considered public information and will
be made available in response to public inquiries. I agree that data related to my participation in CCE
credentialing may be used for research and statistical purposes.
I recognize that any credential granted by CCE does not represent licensure or other authorization
to practice business activities for a fee. I release CCE from all liability and claims arising from any
professional activity.
Signature:
DCC APPLICATION FORM
Place these materials in a sealed envelope marked “ETHICS” and return with your application. Failure
to provide required information will delay the processing of your application.
Date:
Documentation Checklist
I have enclosed all of the following materials with this application. (Please do not mail items separately.)
Completed DCC application form
Copy of transcripts (not required for NCCs)
Copy of professional credentials (not required for NCCs)
Copy of DCC training certificate
Payment voucher
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THIS PAGE MUST BE INCLUDED WITH YOUR APPLICATION.
Applicant’s Name:
Payment must be in U.S. dollars.
All fees are nonrefundable and nontransferable.
CCE will notify you in writing of your status and if further information is necessary.
CCE holds applications open for three years. During that time, applicants have the
opportunity to rectify any deficiencies.
PAYMENT VOUCHER
•
•
•
•
Method of Payment for the DCC Application Fee
Enclosed is a check or money order–payable to CCE–in the amount of $100 (U.S. dollars).
Please charge the credit card listed below in the amount of $100 (U.S. dollars).
Card Type:
VISA
MasterCard
American Express
Name on Card:
Expiration
Date:
Card Number
Verification Code Numbers (from back of card):
Cardholder Signature: _______________________________________________________
Daytime Telephone: ____________________________________
Date: ________________________
Evening Telephone: __________________________________
Submit your application by one of the following methods:
•
Mail to: CCE, P.O. Box 77759, Greensboro, NC 27417-7759
•
Fax to: 336-482-2852
Be sure to make copies of all your forms before mailing your application.
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