Fillable BC Capp Application (Center for Credentialing & Education)

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BC Capp Application (Center for Credentialing & Education)

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1
Board Certied Coach
Updated July 2020
The Board Certied Coach (BCC) mark is a trademark of the Center for Credentialing & Education, Inc (CCE).
The Center for Credentialing & Education, Inc. (CCE) values diversity.
There are no barriers to certication on the basis of gender, race, creed, age, sexual orientation or national origin.
CCE
and NBCC
®
are registered trade and service marks of the National Board for Certied Counselors, Inc.
3 TERRACE WAY
GREENSBORO, NC 27403-3660 USA
TEL: 336-482-2856 * FAX: 336-482-2852
cce-global.org * credentialinfo@cce-global.org
Specialty designations are available in the following areas:
• Executive/Corporate/Business/Leadership Coaching
• Health/Wellness Coaching
• Career Coaching
• Personal/Life Coaching
This application form is interactive.
Download the form to your computer to ll it out.
APPLICATION PACKET
UNITED STATES
2
Board Certied Coach
Updated July 2020
About the BCC Certication ................................................................. 3
What Is a Board Certied Coach?
Competency Areas
General Eligibility Requirements
Applicants With Non-U.S. Degrees
CCE Ethics Policies and Procedures
Specialty Designations (Optional)
...................................................... 4
Application Options Matrix................................................................... 5
Applying for the BCC............................................................................. 6
Maintaining the BCC.............................................................................. 7
BCC Application Form............................................................................ 8-10
Verication of Experience Form .......................................................... 11
Professional Endorsement Form ........................................................ 12
Designation Experience Forms
Executive/Corporate/Business/Leadership Coaching .............................. 13
Career Coaching ....................................................................................... 15
Health/Wellness Coaching ....................................................................... 17
Personal/Life Coaching ............................................................................. 19
Designation Endorsement Form
Executive/Corporate/Business/Leadership Coaching ............................. 14
Career Coaching ..................................................................................... 16
Health/Wellness Coaching ...................................................................... 18
Personal/Life Coaching............................................................................ 20
Special Accommodations Request..................................................... 21
Payment Voucher ..................................................................................... 22
TABLE OF CONTENTS
3
Board Certied Coach
Updated July 2020
WHAT IS A BOARD CERTIFIED COACH?
A Board Certied Coach (BCC) has a minimum of a bachelor's degree, coaching-related training/education and
experience in relationship skills, coaching interactions, approaches and techniques, and ethical and professional practices.
COMPETENCY AREAS
1. Fundamental Coaching Skills
2. Screening/Orientation in Coaching
3. Assessment in Coaching
4. Coaching Approaches for Individuals
5. Coaching Approaches for Businesses and Organizations
6. Ethical and Professional Practice in Coaching
GENERAL ELIGIBILITY REQUIREMENTS
All qualied applicants must demonstrate that they have met specic requirements and must pass the BCC Examination.
See page 6 for details. The application fee is nonrefundable and nontransferable. If you have any questions about the
requirements, please contact CCE prior to submitting an application.
APPLICANTS WITH NON-U.S. DEGREES
Your application materials must be submitted in English. If they are not available in English, please have an English
translation provided at your expense. CCE accepts translations from University Language Services
(
universitylanguage.com). The translation must be forwarded directly to CCE by University Language Services.
CCE ETHICS POLICIES AND PROCEDURES
BCC applicants and credential holders are responsible for ensuring that their behavior adheres to the standards identied
in the BCC Code of Ethics.
Whether you are an applicant or credential holder, you are required to disclose any of the following types of matters:
• Criminal charge (Note: You do not need to disclose trac charges unless they involve drugs or alcohol or injury to
person or property.)
• Legal action related to business or occupational activities in which you are named as a defendant
• Grievance by any government entity or professional organization
• Employment termination due to conduct
• Probation or removal from any graduate program for reasons unrelated to grades
Written disclosures must be received within 60 days of you becoming aware of the required disclosure, unless you are an
applicant and are disclosing a previously concluded matter. In such cases, the disclosure and required documentation must
be submitted with your application
An applicant must complete all portions of the BCC application, including the ethics attestation and the Applicant
Agreement & Release Authorization. Disclosures and other ethics matters are reviewed in accordance with CCE
procedures. Disclosures do not automatically render an individual ineligible for credentialing. CCE reserves the right to
deny eligibility based on an ethics review. Application fees are not refundable when an application is rejected.
ABOUT THE CERTIFICATION
4
Board Certied Coach
Updated July 2020
ABOUT SPECIALTY DESIGNATIONS
Specialty designations allow BCC certicants to designate an area of coaching in which they specialize. Applicants may
apply for specialty designations in the following categories:
Executive/Corporate/Business/Leadership Coaching is a set of evidenced-based methods and strategies used
by business professionals to assist executives, leaders, and managers in achieving business goals and developing
themselves, their organizations, and their employees.
Health/Wellness Coaching is a set of evidence-based methods and strategies used by health, tness, and mental
health professionals to assist clients in setting and reaching sustainable, self-determined health and wellness goals.
Career Coaching is a set of evidence-based methods and strategies used by career professionals to assist clients
in the behavioral change process that will facilitate positive results in career exploration and decision-making.
Personal/Life Coaching is a set of evidence-based methods and strategies used by a variety of professionals to
assist the client in creating and designing future-based goals for personal development or change, and solutions
for any or all aspects of life.
In order to apply for an optional specialty designation, an applicant must submit the following information in addition to
all other required documents:
• Designation Experience Form verifying 30 additional hours of coaching experience in the specialty area
• Designation Endorsement Form verifying that the applicant is competent in the specialty area
• A $30 specialty designation review fee for each specialty designation
SPECIALTY DESIGNATIONS (Optional)
Your disclosure must be submitted in writing with your application. Please seal your written statement and supporting
documentation in an envelope marked “CCE Ethics Department.”
Your written submission must include relevant documentation, including copies of the charges, outcomes, and paperwork
indicating that required actions have been completed. Documentation regarding this varies depending on the type of
matter. Please refer to cce-global.org/Prof/Ethics for samples, answers to frequently asked questions, and policies.
5
Board Certied Coach
Updated July 2020
Master’s Degree
in Counseling
Doctoral Degree
in Social or
Behavioral
Sciences
Master’s Degree
in Social or
Behavioral
Sciences
Bachelor’s
Degree
in Any Field
National/Regional
Coaching
Certication
2,500 Hours
of Coaching
Experience
National Certied
Counselor (NCC)
OR
Full Professional
Counseling
License
EDUCATION
Master’s degree
or higher
Master’s degree
or higher in
counseling
Doctoral degree*
Master’s degree*
Bachelor’s degree
Bachelor’s degree
or higher in any
eld/concentration
Bachelor’s degree
or higher in any
eld/concentration
TRAINING
30 hours 30 hours 30 hours 60 hours 120 hours Qualifying certications
require a minimum of
60 hours **
30 hours
ENDORSEMENT
One Endorsement
Form
One Endorsement
Form
One Endorsement
Form
One Endorsement
Form
One Endorsement
Form
One Endorsement
Form
One Endorsement
Form
FEE
$279
$229 for NCCs
$279
$279
$279 $279 $279 $279
Please submit an official sealed transcript with your application.
Degrees must be from a postsecondary educational institution or program accredited by an accrediting agency or state approval agency recognized by the U.S.
Secretary of Education.
*Automatically acceptable fields in social and behavioral sciences are business, management, social work, marriage and family therapy, psychology, medicine,
health and wellness, education, and law. Other related fields will be considered on a case-by-case basis. In order to request such consideration, please submit written
information regarding the degree to cce@cce-global.org or mail the submission to CCE headquarters.
EXPERIENCE
30 hours-
coach experience
30 hours-
coach experience
30 hours-
coach experience
30 hours-
coach experience
30 hours-
coach experience
30 hours-
coach experience
2,500 hours of coach
experience over a
period of ve years
or more
Please have your endorser verify this information on the Verification of Experience Form.
Experience hours must be postdegree coaching experience working with individuals, groups, or organizations.
Please submit a copy of your certificate of completion along with your application.
CCE will only accept training completed through CCE-approved training providers. Visit cce-global.org/BCC for a list of CCE-approved BCC training providers.
**A certication as dened by CCE is a voluntary process by which a nongovernmental agency or association grants recognition to an individual who has met predetermined
qualications specied by the agency or association. Such qualications must include graduation from an accredited or approved training program, acceptable performance on
a qualifying examination, and completion of some specied amount or type of work experience. The certication granted must be time-limited and require documentation of
continuing education in order to renew. Qualifying coaching certications require a minimum of 60 hours of training. Applicants are strongly encouraged to submit a copy of
their coaching certication to CCE for review prior to submitting the BCC application.
6
Board Certied Coach
Updated July 2020
If you have questions regarding the BCC application and certication, contact CCE at:
Telephone: 336-482-2856
Fax: 336-482-2852
Email: credentialinfo@cce-global.org
Information about all of CCE's credentials is available at cce-global.org.
SUBMITTING THE APPLICATION
You have three options for submitting your application:
Mail:
CCE; P.O. Box 63223; Charlotte, NC 28263-3223
Fax: 336-482-2852
Email: credentialinfo@cce-global.org
•
Please be sure to include the application fee. (This fee is nonrefundable and nontransferable.)
•
All application materials must be submitted in English.
• All application materials should be submitted to CCE in one packet.
• If you are mailing your application, be sure to make copies of all your application materials before submitting the
originals.
THE BCC EXAMINATION
To register for the examination, you need to satisfy the relevant education, experience, and training requirements. After
approving your application, CCE will send you the examination registration materials. The examination is administered
via computer-based testing at locations throughout the United States and around the world.
You will need to pass the examination in order to obtain the BCC certication. Information about the examination is
available at cce-global.org/Credentialing/BCC/Exam.
Accommodations will be made for candidates to test outside of the United States. If you need to test outside of the United
States, please complete the Candidates for International Testing section of the Special Accommodations Request form
(page 21) and submit it with your application.
Please note that CCE’s Assessment Department will contact applicants directly regarding special accommodations once
they are approved to take the examination.
APPLYING FOR THE BCC
THE APPLICATION PROCESS
APPLICATION PROCESSING TIMELINE
Once your application is received, it will go through the following steps:
Processing Step Business Days
Payment processing and account setup 3–5
Data entry and application review* 12–13
Total Processing Time:
15–18
*All applications are reviewed in the order received. If your application requires review by the Ethics Department, or if
additional information is needed to complete the review, this step may take longer.
7
Board Certied Coach
Updated July 2020
CURRENT BCC CERTIFICATION AND MAINTENANCE FEES
Fees are nonrefundable and nontransferable.
BCC application and examination fee: $279 (U.S. dollars)
BCC application and examination fee for National Certied Counselors: $229 (U.S. dollars)
Specialty designation review fee: $30 (U.S. dollars) per specialty designation
Annual maintenance fee: $40 (U.S. dollars)
You will receive an annual maintenance fee notice approximately six weeks before the credential anniversary date. If you
have any concerns about your invoice, please contact CCE. Please be sure to pay the annual maintenance fee by the due
date in order to maintain active status.
BCC RECERTIFICATION REQUIREMENTS
To maintain the BCC certication, you must adhere to CCE policies and procedures and complete the recertication
process every ve years. CCE will mail you a recertication form approximately six weeks before the certication
expiration date. To maintain the certication, you need to satisfy the following requirements:
1. Complete the 70 continuing education hours within the BCC competency areas, including a minimum of four
clock hours in ethics. If you hold a specialty designation, at least 10 of the required 70 hours must be specic to
each specialty designation held.
2. Accept and sign the Ethics Attestation and Application Agreement & Release Authorization.
3. Pay the annual maintenance fee.
BCC REINSTATEMENT REQUIREMENTS
If your BCC certication becomes inactive or expired, you will need to submit a reinstatement application along with
the following in order to retain your certication:
• BCC reinstatement fee (currently $50)
• Payment of any past-due fees
• Documentation of 70 hours of continuing education (if expired)
MAINTAINING THE BCC
8
Board Certied Coach
Updated July 2020
□ Master’s degree in counseling
□ National Certied Counselor (NCC) certication or a full
professional counselor license (e.g., LPC, LPCC, LMHC)
□ Doctoral degree in social or behavioral sciences
□ Master’s degree in social or behavioral sciences
Under which set of application requirements are you applying? See the application options matrix on page 5 for more information.
Check only one option.
□ Bachelor’s degree or higher in any eld
□ Current and active national or regional certication in
coaching and a bachelor’s degree or higher in any eld
□ At least ve years of coach experience including a
minimum of 2,500 coaching hours and a bachelor’s
degree in any eld
APPLICATION FORM
PAGE 1
9. How did you hear about the BCC certication? __________________________________________________________________
� Check here if you do NOT want your contact information shared with continuing education providers.
5. Preferred Pronouns:
6. Date of Birth (mm/dd/yyyy):
7. Ethnic Origin (optional—for statistical purposes only):
� African American � Native American �Asian � Caucasian
� Hispanic/Latino � Native Hawaiian �Multiracial � Other
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
8. I am interested in volunteering for � marketing eorts � examination development � standards development.
1. First Name, MI:
Last Name:
Previous Name(s):
2. Street Address:
City, State/Province
:
ZIP/Postal Code, Country:
3. Home Telephone: Business Telephone:
Fax:
4 . Email:
FOR OFFICE USE
ONLY
REF.#1:____________
BATCH #1: _________
DATE: _____________
AMOUNT:___________
9
Board Certied Coach
Updated July 2020
Degree Earned
Institution Name and City/State
Date Degree Conferred
(mm/yyyy)
Field of Study
(e.g., master's in counseling)
10. Education/Degree (ocial sealed transcript must be enclosed):
Note: If registrar will not provide you with a sealed transcript, please have your ocial sealed transcript sent directly to
CCE; Attn: BCC Reviewer; P.O. Box 63223; Charlotte, NC 28263-3223. Include a brief note on the application checklist
indicating that the transcript is being sent separately.
11. Licenses/Certications/Registrations/Credentials/Memberships (include copy of license/certicate):
Issuing State or
Organization
License/Certicate/
Membership Type
License/Certicate/
Membership Number
Issue Date
(mm/dd/yyyy)
Expiration Date
(mm/yyyy)
12. Special Accommodations:
Check here if you are requesting special examination accommodations. Include the Special
Accommodations Request form and supporting documentation with your application.
13. Ethics Attestation:
(Please respond to each statement below)
1. Have you ever been or are you currently charged with a criminal oense?
2. Have you ever been or are you currently a defendant in any type of legal action
related to your business or occupational activities?
3. Have you ever been or are you currently the subject of any complaint matter or
disciplinary review by any government entity or professional organization?
4. Have you ever been terminated or discharged from employment for conduct reasons?
5. Have you ever been placed on probation or removed from any graduate program
in which you were enrolled for reasons unrelated to grades?
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 nal
orders.
Place these materials in a sealed envelope marked “Attention: Ethics Department” and return with your application. Failure to
provide required information will delay the processing of your application.
continued on next page
APPLICATION FORM
PAGE 2
Applicant’s Name:
Date:
YES NO
YES NO
YES NO
YES NO
YES NO
10
Board Certied Coach
Updated July 2020
_________________________________________________ ___________________________
Applicant’s Signature Date (mm/dd/yyyy)
All CCE applicants are required to submit written disclosures of any:
• Criminal oense. (Note: You do not need to disclose trac charges unless they involve drugs, alcohol, or
injury to person or property.)
• Legal action related to business or occupational activities in which he or she is named as a defendant.
• Complaint matter or disciplinary review by any government entity or professional organization.
• Employment terminations due to conduct.
• Probation or removal from any graduate program for reasons unrelated to grades.
I have read the reminder of the required disclosures (above) and have submitted the required written disclosures to CCE.
14. 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 the
Ethics Attestation, 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 certication through CCE depends upon my fulllment of all required criteria and compliance with CCE
policies, which include the BCC Code of Ethics and the CCE certication mark and trademark use policy. I understand
that certication does not create membership in CCE. I understand that CCE certication is personal to me and may not be
transferred to another individual or group.
I understand that professional biographical and certication data is considered to be public information and will be made
available in response to public inquiries. I agree that data related to my participation in BCC certication may be used for
research and statistical purposes.
I recognize that any certication 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.
 YES  NO
11
Board Certied Coach
Updated July 2020
This form should be completed by a professional colleague, coaching professional, or supervisor who is familiar with your
work performance and coaching competency. The same individual may complete both the Verication of Experience
form and the Professional Endorsement form on your behalf.
I am applying to the Center for Credentialing & Education (CCE) for the Board Certied Coach (BCC) certication. I am
required to provide documentation of my experience as a coach. Please complete the information below and return the
form to me. CCE cannot process my application without this form.
____________________________________________________ ______________________________
Applicant’s Signature Date (mm/dd/yyyy)
INFORMATION BELOW TO BE COMPLETED BY EXPERIENCE VERIFIER
Please complete all information below.
I verify that the applicant named above provided coaching from ______________
(mm/yyyy) to _____________ (mm/yyyy),
after completing his/her highest level of education.
I verify that during the above-mentioned time period, the applicant completed _______ total hours of experience as a
coach. This applicant was/is employed in the position of (job title) ___________________________________________.
Briey identify and describe the applicant’s experience as it relates to coaching.
_________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
To the person verifying experience: Please provide the following information about yourself.
1
. Verier’s Name: _______________________________________________________________________________
2. Verier’s Agency/Institution: _____________________________________________________________________
______________________________________________________________________________________________
3. Verier’s Title at Agency/Institution: ________________________________________________________________
4. Verier’s Telephone Number (required): _____________________________________________________________
__________________________________________________ ____________________________
Verier’s Signature Date (mm/dd/yyyy)
Include this form with your application packet.
VERIFICATION OF EXPERIENCE
Applicant’s Name: Date:
Thank you. After you complete this form, please return it to the applicant.
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
12
Board Certied Coach
Updated July 2020
INFORMATION BELOW TO BE COMPLETED BY THE ENDORSER
This form should be completed by a professional colleague, coaching professional, or supervisor who is familiar with your
work performance and coaching competency. The same individual may complete both the Verication of Experience
form and the Professional Endorsement form on your behalf.
ENDORSER’S INFORMATION
PROFESSIONAL ENDORSEMENT
Applicant’s Name: Date:
Include this form with your application packet.
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Endorser’s Signature Date (mm/dd/yyyy)
1. Endorser’s Full Name:
2. Endorser’s Profession:
3. Endorser’s Business Address:
4. City/State/ZIP Code:
5. Endorser’s Daytime Telephone: Ext.
6. Endorser Holds a Coaching Credential (Endorser is not required to hold a coaching credential.)
□
Yes
□
No
If yes, indicate name of credential:
7. Endorser acknowledges that the applicant is competent in coaching, including fundamental coaching skills, ethical
and professional practice, screening and orientation skills, assessment skills, and the ability to work with individuals
and/or businesses and organizations, and endorses the applicant for the BCC certication.
Thank you. After you complete this form, please return it to the applicant.
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
13
Board Certied Coach
Updated July 2020
Include this form with your application packet.
I verify that the applicant named above provided at least 30 hours of executive/corporate/business/leadership coaching
from ____________(mm/yyyy) to _____________ (mm/yyyy), after completing his/her highest level of education.
1. Verier’s Full Name:
2. Verier’s Profession:
3. Verier’s Business Address:
4. City/State/ZIP Code:
5. Verier’s Daytime Telephone: Ext.
VERIFIER’S INFORMATION
In addition to the general eligibility requirements, applicants must have the following:
• A minimum of 30 additional hours of experience in executive/corporate/business/leadership coaching
• One additional professional endorsement attesting to the applicant’s experience in executive/corporate/business/
leadership coaching
This form should be completed by a coaching professional, supervisor, or professional colleague who is familiar with your
work performance and skills in executive/corporate/business/leadership coaching. The same individual may complete
both the Designation Experience form and Designation Endorsement form on your behalf.
DESIGNATION EXPERIENCE
EXECUTIVE/CORPORATE/BUSINESS/
LEADERSHIP COACHING
Applicant’s Name: Date:
OPTIONAL
INFORMATION BELOW TO BE COMPLETED BY THE EXPERIENCE VERIFIER
Thank you. After you complete this form, please return it to the applicant.
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Verier's Signature Date (mm/dd/yyyy)
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
14
Board Certied Coach
Updated July 2020
ENDORSER’S INFORMATION
Applicants can add an executive/corporate/business/leadership coaching designation. In addition to the general eligibility
requirements, applicants must have the following:
• A minimum of 30 additional hours of experience in executive/corporate/business/leadership coaching
• One additional professional endorsement attesting to the applicant’s experience in executive/corporate/business/
leadership coaching
This form should be completed by a coaching professional, supervisor, or professional colleague who is familiar with your
work performance and skills in executive/corporate/business/leadership coaching. The same individual may complete
both the Designation Experience form and Designation Endorsement form on your behalf.
1. Endorser’s Full Name:
2. Endorser’s Profession:
3. Endorser’s Business Address:
4. City/State/ZIP Code:
5. Endorser’s Daytime Telephone: Ext.
6. Endorser Holds a Coaching Credential (Endorser is not required to hold a coaching credential.) □ Yes □ No
If yes, indicate name of credential:
7. Endorser acknowledges that the applicant is competent in coaching, including fundamental coaching skills, ethical and
professional practice, screening and orientation skills, assessment skills, and the ability to work with individuals and/
or businesses and organizations, and endorses the applicant for the BCC certication, as well as the executive/corporate/
business/leadership coaching designation.
DESIGNATION ENDORSEMENT
EXECUTIVE/CORPORATE/BUSINESS/
LEADERSHIP COACHING
Applicant’s Name: Date:
OPTIONAL
Include this form with your application packet.
INFORMATION BELOW TO BE COMPLETED BY THE ENDORSER
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Endorser’s Signature Date (mm/dd/yyyy)
Thank you. After you complete this form, please return it to the applicant.
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
15
Board Certied Coach
Updated July 2020
I verify that the applicant named above provided at least 30 hours of career coaching from _________ (mm/yyyy) to
__________ (mm/yyyy), after completing his/her highest level of education.
1. Verier’s Full Name:
2. Verier’s Profession:
3. Verier’s Business Address:
4. City/State/ZIP Code:
5. Verier’s Daytime Telephone: Ext.
VERIFIER’S INFORMATION
In addition to the general eligibility requirements, applicants must have the following:
• A minimum of 30 additional hours of experience in career coaching
• One additional professional endorsement attesting to the applicant’s experience in career coaching
This form should be completed by a coaching professional, supervisor, or professional colleague who is familiar with your
work performance and skills in career coaching. The same individual may complete both the Designation Experience
form and Designation Endorsement form on your behalf.
DESIGNATION EXPERIENCE
CAREER COACHING
Applicant’s Name: Date:
OPTIONAL
Include this form with your application packet.
INFORMATION BELOW TO BE COMPLETED BY THE EXPERIENCE VERIFIER
Thank you. After you complete this form, please return it to the applicant.
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Verier's Signature Date (mm/dd/yyyy)
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
16
Board Certied Coach
Updated July 2020
ENDORSER’S INFORMATION
Applicants can add a career coaching designation. In addition to the general eligibility requirements, applicants must have
the following:
• A minimum of 30 additional hours of experience in career coaching
• One additional professional endorsement attesting to the applicant’s experience in career coaching
This form should be completed by a coaching professional, supervisor, or professional colleague who is familiar with your
work performance and skills in career coaching. The same individual may complete both the Designation Experience
form and Designation Endorsement form on your behalf.
1. Endorser’s Full Name:
2. Endorser’s Profession:
3. Endorser’s Business Address:
4. City/State/ZIP Code:
5. Endorser’s Daytime Telephone: Ext.
6. Endorser Holds a Coaching Credential (Endorser is not required to hold a coaching credential.) □ Yes □ No
If yes, indicate name of credential:
7. Endorser acknowledges that the applicant is competent in coaching, including fundamental coaching skills, ethical and
professional practice, screening and orientation skills, assessment skills, and the ability to work with individuals and/
or businesses and organizations, and endorses the applicant for the BCC certication, as well as the career coaching
designation.
DESIGNATION ENDORSEMENT
CAREER COACHING
Applicant’s Name: Date:
OPTIONAL
Include this form with your application packet.
INFORMATION BELOW TO BE COMPLETED BY THE ENDORSER
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Endorser’s Signature Date (mm/dd/yyyy)
Thank you. After you complete this form, please return it to the applicant.
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
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17
Board Certied Coach
Updated July 2020
In addition to the general eligibility requirements, applicants must have the following:
• A minimum of 30 additional hours of experience in health/wellness coaching
• One additional professional endorsement attesting to the applicant’s experience in health/wellness coaching
This form should be completed by a coaching professional, supervisor, or professional colleague who is familiar with your
work performance and skills in health/wellness coaching. The same individual may complete both the Designation
Experience form and Designation Endorsement form on your behalf.
VERIFIER’S INFORMATION
I verify that the applicant named above provided at least 30 hours of health/wellness coaching from _________(mm/yyyy)
to __________ (mm/yyyy), after completing his/her highest level of education.
1. Verier’s Full Name:
2. Verier’s Profession:
3. Verier’s Business Address:
4. City/State/ZIP Code:
5. Verier’s Daytime Telephone: Ext.
DESIGNATION EXPERIENCE
HEALTH/WELLNESS COACHING
Applicant’s Name: Date:
OPTIONAL
Include this form with your application packet.
INFORMATION BELOW TO BE COMPLETED BY THE EXPERIENCE VERIFIER
Thank you. After you complete this form, please return it to the applicant.
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Verier's Signature Date (mm/dd/yyyy)
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
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signature
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signature
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18
Board Certied Coach
Updated July 2020
ENDORSER’S INFORMATION
Applicants can add a health/wellness coaching designation. In addition to the general eligibility requirements, applicants
must have the following:
• A minimum of 30 additional hours of experience in health/wellness coaching
• One additional professional endorsement attesting to the applicant’s experience in health/wellness coaching
This form should be completed by a coaching professional, supervisor, or professional colleague who is familiar with your
work performance and skills in health/wellness coaching. The same individual may complete both the Designation
Experience form and Designation Endorsement form on your behalf.
1. Endorser’s Full Name:
2. Endorser’s Profession:
3. Endorser’s Business Address:
4. City/State/ZIP Code:
5. Endorser’s Daytime Telephone: Ext.
6. Endorser Holds a Coaching Credential (Endorser is not required to hold a coaching credential.) □ Yes □ No
If yes, indicate name of credential:
7. Endorser acknowledges that the applicant is competent in coaching, including fundamental coaching skills, ethical and
professional practice, screening and orientation skills, assessment skills, and the ability to work with individuals and/or
businesses and organizations, and endorses the applicant for the BCC certication, as well as the health/wellness
coaching designation.
DESIGNATION ENDORSEMENT
HEALTH/WELLNESS COACHING
Applicant’s Name: Date:
OPTIONAL
Include this form with your application packet.
INFORMATION BELOW TO BE COMPLETED BY THE ENDORSER
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Endorser’s Signature Date (mm/dd/yyyy)
Thank you. After you complete this form, please return it to the applicant.
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
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19
Board Certied Coach
Updated July 2020
In addition to the general eligibility requirements, applicants must have the following:
• A minimum of 30 additional hours of experience in personal/life coaching
• One additional professional endorsement attesting to the applicant’s experience in personal/life coaching
This form should be completed by a coaching professional, supervisor, or professional colleague who is familiar with
your work performance and skills in personal/life coaching. The same individual may complete both the Designation
Experience form and Designation Endorsement form on your behalf.
I verify that the applicant named above provided at least 30 hours of personal/life coaching from _________(mm/yyyy)
to __________ (mm/yyyy), after completing his/her highest level of education.
1. Verier’s Full Name:
2. Verier’s Profession:
3. Verier’s Business Address:
4. City/State/ZIP Code:
5. Verier’s Daytime Telephone: Ext.
VERIFIER’S INFORMATION
DESIGNATION EXPERIENCE
PERSONAL/LIFE COACHING
Applicant’s Name: Date:
OPTIONAL
Include this form with your application packet.
INFORMATION BELOW TO BE COMPLETED BY THE EXPERIENCE VERIFIER
Thank you. After you complete this form, please return it to the applicant.
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Verier's Signature Date (mm/dd/yyyy)
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
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signature
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20
Board Certied Coach
Updated July 2020
Applicants can add a personal/life coaching designation. In addition to the general eligibility requirements, applicants
must have the following:
• A minimum of 30 additional hours of experience in personal/life coaching
• One additional professional endorsement attesting to the applicant’s experience in personal/life coaching
This form should be completed by a coaching professional, supervisor, or professional colleague who is familiar with
your work performance and skills in personal/life coaching. The same individual may complete both the Designation
Experience form and Designation Endorsement form on your behalf.
ENDORSER’S INFORMATION
1 Endorser’s Full Name:
2. Endorser’s Profession:
3. Endorser’s Business Address:
4. City/State/ZIP Code:
5. Endorser’s Daytime Telephone: Ext.
6. Endorser Holds a Coaching Credential (Endorser is not required to hold a coaching credential.) □ Yes □ No
If yes, indicate name of credential:
7. Endorser acknowledges that the applicant is competent in coaching, including fundamental coaching skills, ethical and
professional practice, screening and orientation skills, assessment skills, and the ability to work with individuals and/or
businesses and organizations, and endorses the applicant for the BCC certication, as well as the personal/life
coaching designation.
DESIGNATION ENDORSEMENT
PERSONAL/LIFE COACHING
Applicant’s Name: Date:
OPTIONAL
Include this form with your application packet.
INFORMATION BELOW TO BE COMPLETED BY THE ENDORSER
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Endorser’s Signature Date (mm/dd/yyyy)
Thank you. After you complete this form, please return it to the applicant.
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
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signature
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21
Board Certied Coach
Updated July 2020
CANDIDATES WITH DISABILITIES
NOTE: There is no extra charge for these arrangements.
Identify briey the nature of your disability. Attach documentation from a qualied professional. Diagnosis must be
included in the documentation, as well as arrangements you will need to complete the BCC Examination. Documentation
may not be more than ve years old.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
CANDIDATES FOR WHOM ENGLISH IS A SECOND LANGUAGE
I request extended time for the BCC Examination because English is not my native language.
____________________________________________________ ______________________________
Applicant’s Signature Date (mm/dd/yyyy)
CANDIDATES FOR INTERNATIONAL TESTING
NOTE: Accommodations will be made for international candidates to test outside of the United States. CCE will send
additional information regarding available international testing sites upon completion of the application
review process.
☐ Please check here if you request to take the BCC Examination outside of the United States. Please
indicate the city and country in which you want to test: __________________________________________
Upon review of my application, I request more information on international examination arrangements.
CCE will review this request after you have been approved to take the BCC Examination. Following that approval, CCE’s
Assessment Department will contact you regarding the special accommodation arrangements.
I certify that this information is correct.
____________________________________________________ ______________________________
Applicant’s Signature Date (mm/dd/yyyy)
SPECIAL ACCOMMODATIONS
REQUEST
Applicant’s Name: Date:
____________________________________________________ ______________________________
Applicant’s Signature Date (mm/dd/yyyy)
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22
Board Certied Coach
Updated July 2020
CURRENT APPLICATION AND EXAMINATION FEES
Standard Fee: $279
For National Certied Counselors (NCCs): $229
Specialty designations require an additional $30 fee per specialty.
• All fees must be paid in U.S. dollars and are nonrefundable.
• Once your payment has been processed, CCE will review your application within approximately 10 business days.
• You will be notied of your status and informed if further information is needed.
• CCE holds applications open for three years. During that time, you will have the opportunity to rectify any deciencies
concerning your application.
☐
Completed application forms
☐ Ocial sealed transcript (enclosed)
☐ Ocial sealed transcript will be mailed by
registrars oce
☐ Verication of Experience Form
☐ Professional Endorsement Form
☐ Designation Experience Form (optional)
DOCUMENT CHECKLIST
☐ Designation Endorsement Form (optional)
☐ Special Accommodations Request (optional)
☐ Copy of coach training certicate of completion
☐ Copy of national/regional coaching certication (if applicable)
☐ Copy of NCC or professional counseling license (if applicable)
☐ Payment voucher
PAYMENT VOUCHER
METHOD OF PAYMENT
Telephone: Day:
Evening:
Applicant’s Name:
□ Enclosed is a check or money order payable to CCE in the amount of $________ (U.S. dollars).
□ Please charge the credit card listed below in the amount of $________ (U.S. dollars).
Cardholder Signature: _______________________________________________ Date (mm/dd/yyyy): ____________
Account
Number:
Card Security Code (from back of card):
Name on Card:
Card Type:
VISA
MasterCard
American Express
Expiration
Date:
Submit your application and payment
• By mail: CCE; P.O. Box 63223; Charlotte, NC 28263-3223
• By fax: 336-482-2852
If you are mailing your application, be sure to make copies of all your application materials before submitting the
originals. CCE cannot return any forms or documents to you or to a third party.
Check this box and email your application to credentialinfo@cce-global.org. Please note that we cannot take
payment via email. We will reach out to you via email with instructions after you email your application.
If you wish to submit this application via email, DO NOT complete the credit card information on this page.
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BC Capp Application (Center for Credentialing & Education)

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Completed 26 May 2021

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