Please select the option that best describes how students’ scores will be used.
Exit exam (supplemental method to determine students’ readiness for program advancement)
Study preparation tool for the NCE
Evaluation of students’ knowledge and skills (not required to pass)
Other (please explain) ___________________________________________________________________________
Program Coordinator: Primary Contact
Please enter the contact information for the primary contact for CPCE communications.
Name: ___________________________________________________________ Title: _________________________________________
School: _________________________________________________ Dept: _________________________________________________
Department Chair: ________________________________________________________________________________________________
Address 1: __________________________________________________ Address 2: __________________________________________
City: _______________________________________________________ State: ________ Zip Code: ____________________________
Telephone: _________________________ Fax: _________________________ Email: ________________________________________
Proctor(s) Contact Information
Please enter contact information for the proctor that will be responsible for overseeing each administration of the CPCE.
Please note “Test Date Number” refers to the accompanying administration listed above (1, 2, and/or 3).
Name: ___________________________________________ Email: _______________________________ Test Date Number(s): _________________
Name: ___________________________________________ Email: _______________________________ Test Date Number(s): _________________
Name: ___________________________________________ Email: _______________________________ Test Date Number(s): _________________
The following signatures are required:
________________________________________________ Date__________
Program Coordinator
________________________________________________ Date__________
Department Chair
CPCE-APB Order Form:
Electronic Testing On-Campus
Testing Dates and Score Usage
Please enter up to three dates (if you are only testing on one day, you may leave ending date blank) or testing windows in
which you intend to administer the CPCE. Testing windows must not exceed two weeks and must be a minimum of 30 days
apart.
CCE must receive this order form at least 30 days prior to your examination date or additional fees may apply. CPCE-
APB exams are $75/examinee per administration.
Counselor Preparation Comprehensive
Examination
Testing Date(s)/Testing Window:
Beginning Date (Month/Day/Year) Ending Date (Month/Day/Year)
1. _______________________ 1. _____________________
2. _______________________ 2. _____________________
3. _______________________ 3. _____________________
Please submit all completed forms to:
Laura Hall, Assessment Services Program Coordinator
Center for Credentialing & Education, Inc. (CCE)
3 Terrace Way, Greensboro, NC 27403
Proctor ___________________________ Date__________
Proctor ___________________________ Date__________
Proctor ___________________________ Date__________
An afliate of the National Board for
Certied Counselors, INC. (NBCC)
Email: hall@cce-global.org
Fax: 336-217-0222.
Phone: 336-217-4111
click to sign
signature
click to edit
click to sign
signature
click to edit