Fillable Colorado Education Equivalency Review (Center for Credentialing & Education)

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Colorado Education Equivalency Review (Center for Credentialing & Education)

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1
3 TERRACE WAY
GREENSBORO, NORTH CAROLINA 27403-3660 USA
TEL: 336-482-2856 * FAX: 336-482-2852
www.cce-global.org * cce@cce-global.org
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.
For LPC and LPCC
2021 Application
Colorado Education Equivalency Review
This application form is interactive.
Download the form to your computer to ll it out.
Colorado Education
Equivalency
Review
2
The Center for Credentialing & Education, Inc. (CCE), on behalf of the state of Colorado, performs the education
equivalency review for licensed professional counselor candidates with degrees from educational programs not accredited
by the Council for Accreditation of Counseling & Related Educational Programs (CACREP). Any correspondence
outside of the education equivalency review should be directed to the state of Colorado at 303-894-7800.
CCE’s review is based on Colorado Rule 14 [Licensure by Examination (CRS 12-43-603)]. Colorado State Board of
Licensed Professional Counselor Examiners Rules are available online at
https://www.colorado.gov/pacific/dora/Professional_Counselor.
Applications will be held open for one year from the date of initial review. Please note that CCE cannot return or
duplicate an application. Prior to submitting your application to CCE, please make a copy of it for your records.
HOW TO CONTACT CCE
Telephone (toll-free): 888-817-8283
Telephone Hours: 8:30 a.m. to 5 p.m. Eastern time; 7:30 a.m. to 4 p.m.. Central time (Monday–Friday)
E-mail: cce@cce-global.org
Fax: 336-482-2852
Send written correspondence to: CCE • 3 Terrace Way • Greensboro, NC 27403-3660
Reviews are conducted in order of receipt and completed within six weeks. Failure to include all required
items listed on page 3 will result in the need for additional reviews. Each subsequent review takes six
weeks from the date of document receipt.
In order to protect candidates from miscommunication or misinformation, CCE asks applicants to submit in
writing any questions regarding their education review. Questions can be sent via e-mail, postal mail or fax.
CCE responds to all questions in the order they are received.
Applicant Appeal of CCE Review Results
As an applicant for licensure education review, you have the right to appeal the findings on the education
review completed by CCE. Please be aware that all applications for education equivalency review in Colorado
are reviewed by CCE, which is the contracted agent for the Colorado State Board of Licensed Professional
Counselor Examiners, and the credential review is based on the Colorado Code of Law, Section 12-43-601 et.
seq, C.R.S. and Rule 14:4 CCR 737-I Colorado Board of Licensed Professional Counselor Examiners Rules.
These requirements must be met in full.
After the Colorado Board reviews the documents and has made the final decision regarding the appeal, a letter
will be sent from DORA to the applicant. It is the applicant's responsibility to send a copy of the letter received
from the Board to CCE. Note: CCE cannot proceed with the application until the letter is received.
Colorado Education Equivalency Review
3
9. Applicant Attestation:
I have read and understand Colorado Rule 14 [Licensure by Examination (CRS 12-43-603)]. My education program was not
accredited by the Council for Accreditation of Counseling & Related Educational Programs (CACREP) but meets all equivalency
requirements established in Rule 14.
Applicant’s Signature: ________________________________________________ Date: ______________________
Colorado Education Equivlalency
Application
INSTRUCTIONS AND REQUIRED ITEMS
1. Type or clearly print all information. Complete all sections.
2. Sealed, ofcial graduate transcripts are required.
3. Include course descriptions copied from the academic catalog for the year in which the
courses were completed.
4. Include completed Practicum/Internship Verication Form.
5. Complete the Payment Voucher with your credit card information or attach a personal
check, certied check or money order for $150 payable to CCE.
8. Please answer the following questions regarding your counselor training program (CTP). If you answer “No” to any questions,
please attach a letter of explanation which refers to the specic allowance in Colorado Rule 14 enabling equivalency to be established.
YES
NO
The CTP was regionally accredited. Identify accrediting agency:
The CTP was a separate department or program.
The CTP had an identiable full-time faculty with a department head/program head qualied to be a licensed
professional counselor.
The CTP had an identiable student body.
The CTP included examinations and grading procedures.
The CTP included courses in the eight content areas listed on the Coursework Verication Form.
The CTP included a practicum or internship of no fewer than 700 hours in the principles and the practice of
professional counseling. (The Practicum/Internship Verication Form must be completed and the practicum/internship
must appear on your transcript. If it does not, a letter from the department chair or the professor serving as practicum/
internship supervisor or liaison will be required in addition to the form.)
The CTP included 48 semester hours (72 quarter hours) in a counseling master’s program or 96 semester hours (144
quarter hours) in a counseling doctoral program if enrolled prior to August 31, 2014, or 60 semester hours (90 quarter
hours) if enrolled in a master’s program after August 31, 2014.
Graduate Degree
(e.g. M.A., M.S., Ph.D.)
Name of
College/University
Date Degree
Conferred
Major Study
(e.g., counseling, clinical mental
health, addictions counseling)
Number of Credit
Hours Received
(Indicate semester or quarter hours)
7. Education (please document additional related degrees on a separate sheet and include with application materials):
1. Name:
Please list any other names used on transcripts, licenses, etc.:
2. Mailing Address:
3. Home Telephone: Business Telephone:
4. E-mail Address:
5. Gender: ____ Male ____ Female 6. Social Security Number:
REF.#:_____________
AMOUNT: __________
BATCH #: __________
DATE: ____________
FOR OFFICE USE ONLY
Colorado Education Equivalency Review
4
INSTRUCTIONS
1. Please print legibly or type.
2. Include an ofcial sealed transcript(s) for all relevant graduate coursework (do not include undergraduate) or have
transcript(s) sent directly from the registrar’s ofce to CCE. If sent separately from your application, transcripts should
be addressed to: CCE ∙ 3 Terrace Way ∙ Greensboro, NC 27403-3660.
3.
Course descriptions for any courses you wish to have reviewed toward the requirements must be included with this
form. Course descriptions must be photocopied from the catalog for the year in which the courses were taken.
4.
This form must be completed in order for CCE to review your coursework. If CCE determines that the specied course
does not t the indicated category, your transcript will be reviewed for other course possibilities.
REQUIRED COURSEWORK
Only graduate-level courses are accepted. A course may not be used for more than one content area. A minimum of two
semester hours or three quarter hours of coursework is required for each content area. Courses may be combined to fulll
a content area. Per Colorado Rule 14 [Licensure by Examination (CRS 12-43-603)], if you have not completed a course to
satisfy each content area, you may request consideration of other suitable means of meeting this requirement. You should
submit a letter from the department chair attesting that the requirement for education in the content area has been satised
by alternative means and detailing the alternative means.
1. Human Growth and Development
Includes studies that provide a broad understanding of the
nature and needs of individuals at any developmental level,
normal and abnormal human behavior, personality theory,
and learning theory within cultural contexts.
2. Social and Cultural Foundations
Includes studies that provide a broad understanding
of societal changes and trends, human roles, societal
subgroups, social mores and interaction patterns, and
differing lifestyles.
3. Helping Relationships
Includes studies that provide a broad understanding of
philosophic bases of helping processes, counseling theories
and their applications, basic and advanced helping skills,
consultation theories and their applications, client and
helper self-understanding and self-development, and
facilitation of client or consultee change.
4. Groups
Includes studies that provide a broad understanding of
group development, dynamics and counseling theories;
group leadership styles; basic and advanced group
counseling methods and skills; and other group approaches.
Colorado Education Equivlalency
Coursework Verication Form
Applicant’s Name:
Date:
Content Area
Date
Taken
Course
Number
Credit
Hours
Institution Where
Course Was Taken
Colorado Education Equivalency Review
5
Note: For master’s or doctoral degrees awarded prior to September 1, 1992, ONLY, no minimum number of semester
(or quarter) hours is required and only seven of the rst eight areas listed above are required. A 700-hour practicum/
internship is still required, and all other educational requirements still apply.
Applicant’s Name:
Date:
5. Lifestyles and Career Development
Includes studies that provide a broad understanding of
career development theories; occupational and educational
information sources and systems; career and leisure
counseling, guidance and education; lifestyle and career
decision-making; career development program planning
and resources; and effectiveness evaluation.
6. Appraisal
Includes studies that provide a broad understanding
of group and individual educational and psychometric
theories and approaches to appraisal, data and information-
gathering methods, validity and reliability, psychometric
statistics, factors inuencing appraisals, and use of
appraisal results in helping processes.
7. Research and Evaluation
Includes studies that provide a broad understanding
of types of research, basic statistics, research report
development, research implementation, program
evaluation, needs assessment, and ethical and legal
considerations.
8. Professional Orientation
Includes studies that provide a broad understanding of
professional roles and functions, professional goals and
objectives, professional organizations and associations,
professional history and trends, ethical and legal standards,
professional preparation standards, and professional
credentialing.
9. Practicum/internship in the principles and
practice of professional counseling
Content Area
Date
Taken
Course
Number
Credit
Hours
Institution Where
Course Was Taken
Colorado Education Equivalency Review
6
Name (last, rst, middle initial): ___________________________________________________________
In chronological order, document the dates, hours, location and supervision information for each qualifying practicum/
internship experience. No fewer than 700 hours of quality practicum/internship is required.
INSTITUTION/PLACE OF EMPLOYMENT
ADDRESS
DIRECTOR OF PROGRAM
MAJOR SUPERVISOR
TOTAL HOURS
MONTH
FROM
YEAR
MONTH
TO
YEAR
Total number of hours of counseling experience provided by practica/internships:
INSTITUTION/PLACE OF EMPLOYMENT
ADDRESS
DIRECTOR OF PROGRAM
MAJOR SUPERVISOR
TOTAL HOURS
MONTH
FROM
YEAR
MONTH
TO
YEAR
INSTITUTION/PLACE OF EMPLOYMENT
ADDRESS
DIRECTOR OF PROGRAM
MAJOR SUPERVISOR
TOTAL HOURS
MONTH
FROM
YEAR
MONTH
TO
YEAR
NOTE: If you enrolled in your degree program prior to August 31, 2014, and did not complete 700 hours in your practicum/
internship, you may submit evidence of post degree experience that may be accepted at the discretion of the board.
Colorado Education Equivlalency
Practicum/Internship Verication
Colorado Education Equivalency Review
7
Colorado Education Equivalency
Payment Voucher
• All fees must be paid in U.S. dollars.
• All fees are nonrefundable and nontransferable.
• Review results will be sent six weeks after application receipt.
• You will be notied in writing of your status and informed if further information is needed.
• Please make check or money order payable to CCE.
METHOD OF PAYMENT
Telephone: DAY:
EVENING:
Applicant’s Name:
□ Enclosed is a check or money order payable to CCE in the amount of $150.
□ Please charge the credit card listed below in the amount of $150.
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
• Mail: CCE; P.O. Box 63223; Charlotte, NC 28263-3223
• Fax: 336-482-2852
PLEASE NOTE
Colorado Education Equivalency Review
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Completed 30 July 2021

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