3. Elective Courses (continued)
4.
5.
6.
CCC Practicum Form(s). One form per practicum placement.
Comprehensive Canadian equivalency: Graduates from an international institution (outside of Canada or
the USA) will need to apply for a comprehensive Canadian equivalency through third-party evaluation by a
credential assessment service recognized by the Canadian Information Centre for International Credentials.
Applicants must obtain a post-secondary course-by-course comprehensive report as opposed to a general
assessment report.
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: Must be completed by a graduate-level counsellor, counsellor-educator, or
counselling supervisor. The individual must be someone in a non-compliant relationship with you.
Pathway Two applicants must provide at least one Reference Form from a clinical supervisor who has engaged
in formal supervisory activities according to CCC criteria and can speak to the applicant's competencies.
Resume / CV
Other (please describe):
4. Supporting Documentation: applicants must provide
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.
6. 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).
*Applicant signature:
*Date:
click to sign
signature
click to edit
![]()
