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Human Services-Board Certied Practitioner Updated July 2020
1
3 TERRACE WAY
GREENSBORO, NC 27403-3660 USA
TEL: 336-482-2856 * FAX: 336-482-2852
cce-global.org * c
redentialinfo@cce-global.org
The CCE Human Services-Board Certied Practitioner (HS-BCP) certication marks are owned by the Center for Credentialing
& Education, Inc. (CCE). CCE
®
is a registered trademark of the Center for Credentialing & Education, Inc.
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.
This application form is interactive.
Download the form to your computer to ll it out.
APPLICATION PACKET
Human Services-Board Certied Practitioner Updated July 2020
2
About the Credential ................................................................ 3
What Is a Human Services-Board Certied Practitioner?
Competency Areas
CCE Ethics Policies and Procedures
Eligibility .................................................................................. 4
Education and Experience
Required Documentation
Examination
Applying for the HS-BCP ............................................................. 5
Maintaining the HS-BCP ............................................................. 6
HS-BCP Application Form ..................................................... 7–9
Verication of Experience Form .............................................. 10
Special Accommodations Request Form ................................ 11
Payment Voucher ...................................................................... 13
TABLE OF CONTENTS
Human Services-Board Certied Practitioner Updated July 2020
3
WHAT IS A HUMAN SERVICES-BOARD CERTIFIED PRACTITIONER?
The Human Services-Board Certied Practitioner (HS-BCP) certication is oered by the Center for Credentialing & Education,
Inc. (CCE). The National Organization for Human Services (NOHS), in consultation with the Council for Standards in Human
Service Education (CSHSE), worked with CCE to develop this certication. The HS-BCP is for qualifying human services
practitioners, including those holding associate, bachelor’s, and advanced degrees.
CCE ETHICS POLICIES AND PROCEDURES
HS-BCP applicants and credential holders are responsible for ensuring that their behavior adheres to the standards
identied in the HS-BCP 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 HS-BCP 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.
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.
ABOUT THE CREDENTIAL
COMPETENCY AREAS
1. Ethics in Helping Relationships
2. Interviewing and Intervention Skills
3. Group Work
4. Case Management
5. Human Development
6. Social and Cultural Issues
7. Social Problems
8. Assessment/Treatment Planning
9. Intervention Models/Theories
10. Human Behavior
11. Social Welfare and Public Policy
12. Research, Program Evaluation, and Supervision
Human Services-Board Certied Practitioner Updated July 2020
4
EDUCATION AND EXPERIENCE
REQUIRED DOCUMENTATION
Transcript: An ocial sealed transcript listing the qualifying degree is required. If you have recently graduated, do not
request a transcript until you know that the registrar has posted your degree.
Applicants with Non-U.S. Degrees: If you earned your degree(s) outside the United States, you will need to have the
degree(s) evaluated by an international transcript evaluation service and submit the results to CCE with your application.
CCE accepts evaluations completed by World Education Services, Inc.; Educational Credential Evaluators, Inc.; and the
American Association of Collegiate Registrars and Admissions Ocers International Education Services.
Verication of Experience Form: Please have this form completed by your supervisor, human resources ocial, or
similar authority in your workplace. This form is required for all education levels. The following applicants are exempt:
• Human services educators with qualifying degrees who are currently employed in human services education
programs. In lieu of the form, please submit a statement on letterhead from the school that attests to your
involvement with the human services education program.
• Graduates of CSHSE-accredited programs listed at cshse.org/accredited.html.
• Certain graduates of preapproved participating programs. (Exempt graduates will receive notication from CCE
and their educational program.)
To qualify for the HS-BCP, you are required to have an associate or higher degree and 350 hours of postgraduate human
services work experience. A qualifying degree must be from a regionally accredited college or university, or a state-
approved community or junior college.
If your degree is in a eld other than human services, counseling, social work, psychology, marriage and family therapy
,
or criminal justice, you must have completed a minimum of 15 semester hours (22 quarter hours) of coursework in three
or more of the 11 content areas listed below, including at least two semester hours (three quarter hours) in ethics in the
helping professions, two semester hours (three quarter hours) in interviewing and intervention skills, and two semester
hours (three quarter hours) in case management. The 11 content areas are:
7. Social Problems
8. Assessment/Treatment Planning
9. Intervention Models/Theories
10. Human Behavior
11. Social Welfare/Public Policy
1. Interviewing and Intervention Skills
2. Group Work
3. Case Management
4. Human Development
5. Ethics in the Helping Professions
6. Social and Cultural Issues
EXAMINATION
All applicants are required to pass the HS-BCP Examination (HS-BCPE) to successfully complete the application process.
Upon CCE’s approval of your application, examination registration information will be emailed to you, and you will be
eligible to register for the HS-BCPE.
Students from participating degree programs can transfer their passing HS-BCPE score to their application.
ELIGIBILITY
Human Services-Board Certied Practitioner Updated July 2020
5
If you have questions regarding the HS-BCP application and credential, contact CCE:
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 YOUR APPLICATION
• Please be sure to include the application fee, unless you are transferring a passing exam score. (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 to CCE.
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
APPLYING FOR THE HS-BCP
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.
Human Services-Board Certied Practitioner Updated July 2020
6
CURRENT HS-BCP CREDENTIAL AND MAINTENANCE FEES
Fees are nonrefundable and nontransferable.
Application fee: $210 (U.S. dollars)
Annual maintenance fee: $40
HS-BCP RECERTIFICATION REQUIREMENTS
The HS-BCP certication is valid for ve years as long as you comply with CCE policies and procedures. As an HS-BCP
certicant, you are required to adhere to ethical standards, pay annual maintenance fees, and recertify after ve years
to maintain the certication. CCE will mail you a recertication form approximately six weeks before the certication
expiration date. In order to maintain the certication, you need to satisfy the following requirements:
1. Complete 60 continuing education hours within the HS-BCP competency areas, including a minimum of six
hours specic to ethics. Each year, a random sample of 10% of all recertifying HS-BCPs is audited. If you
are selected for audit, you will need to submit copies of course attendance certicates and/or other continuing
education documentation.
2. Accept and sign the Ethics Attestation and Applicant Agreement & Release Authorization.
3. Pay the annual maintenance fee. Payment means you agree to continue to adhere to the HS-BCP Code of
Ethics and report any charge or complaint about a criminal, civil, state board, or other professional disciplinary
matter(s) within 60 days of your knowledge of the complaint or charge.
MAINTAINING THE HS-BCP
HS-BCP REINSTATEMENT REQUIREMENTS
If your HS-BCP certication becomes inactive or expires, you will need to submit a reinstatement application along with
the following in order to retain it:
• HS-BCP reinstatement fee (currently $50)
• Payment of any past-due fees
• Documentation of 60 hours of continuing education (if expired)
Human Services-Board Certied Practitioner Updated July 2020
7
10. Examination: A passing score on the Human Services-Board Certied Practitioner Examination (HS-BCPE) is
required. If you took and passed the HS-BCPE through a participating school program within the last ve years,
provide the following information to transfer that passing score to this application.
Test Date: ______________________ School: ____________________________________________________
APPLICATION FORM
PAGE 1
5. Gender: � Male � Female
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
9. How did you hear about the HS-BCP certication?
FOR OFFICE USE
ONLY
REF.#1:____________
BATCH #1: _________
DATE: _____________
AMOUNT:___________
1. First Name, MI:
Last Name:
Previous Name(s):
2. Street Address:
City, State/Province
:
ZIP/Postal Code, Country:
3. Personal Telephone:
Business Telephone:
Fax:
4. Email:
� Check here if you do NOT want your contact information shared with continuing education providers.
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
8. I am interested in volunteering for � marketing eorts � examination development � standards development.
Human Services-Board Certied Practitioner Updated July 2020
8
11. Education/Degree (Enclose ocial sealed transcript.):
Note: If registrar will not provide you with a sealed transcript, please have your ocial sealed transcript sent directly
to CCE; Attn: HS-BCP Reviewer; 3 Terrace Way, Greensboro, NC 27403-3660. Include a brief note on the front of
your application stating that the transcript is being sent separately.
Provide information about your CSHSE degree or highest non-CSHSE degree that meets the educational
requirements detailed on page 4.
Degree Earned
Institution Name and City/State
Date Degree
Conferred
Name of Degree*
* e.g., Human Services, Social Work, etc.
12. 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
Expiration Date
13. Special Accommodations:
� Check this box if you are requesting special examination accommodations. Include the Special Examination
Accommodations Request Form and supporting documentation with your application. Requests that are not
accompanied by the required documentation cannot be approved. CCE’s Assessment Department will contact you
directly regarding special accommodations once you are approved to sit for the HS-BCPE.
The Council for Standards in Human Service Education (CSHSE) accredits human services degree programs. If your
degree program was accredited by CSHSE at the time of your graduation, you do not need to submit a Verication of
Experience Form. You can verify your program’s status at cshse.org/accredited.html.
APPLICATION FORM
PAGE 2
Applicant’s Name: Date:
Human Services-Board Certied Practitioner Updated July 2020
9
14. 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.
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.
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 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 HS-BCP 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 HS-BCP 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.
Signature: Date:
YES NO
YES NO
YES NO
APPLICATION FORM
PAGE 3
Applicant’s Name: Date:
YES NO
YES NO
YES NO
Human Services-Board Certied Practitioner Updated July 2020
10
VERIFICATION OF
EXPERIENCE FORM
Thank you. After you complete this form, please return it to the applicant.
INFORMATION BELOW TO BE COMPLETED BY EXPERIENCE VERIFIER
Please complete all information below.
I verify that the applicant named above worked in a human services position from _________ (mm/yyyy) to ________ (mm/yyyy)
AFTER completing his/her degree and completed ____________ total hours of work as a human services practitioner.
This applicant was/is employed in the position of
(job title) ___________________________________________________________________________________.
Briey identify and describe all work experience related to human services. _______________________________________
____________________________________________________________________________________________________________
______________________________________________________________________________________________
To the person verifying experience: Please provide the following information about yourself.
1. Verier’s name: ___________________________________________________________________________________
2. Agency/institution where you worked with the applicant: __________________________________________________
_________________________________________________________________________________________________
3. Your title at agency/institution where you worked with the applicant: _________________________________________
4. Your current telephone number (required): ______________________________________________________________
_____________________________________________________ ___________________________
Verier’s Signature Date
Applicant’s Name: Date:
PLEASE FILL OUT ELECTRONICALLY OR PRINT CLEARLY
NOTE: Please see experience verication exemptions on page 4.
I am applying to the Center for Credentialing & Education (CCE) for the Human Services-Board Certied Practitioner
(HS-BCP) certication. I am required to provide documentation of 350 hours of postdegree work as a human services
practitioner. Please complete the information below and return the form to me. My application cannot be processed
without this form.
My degree was conferred _________________ (mm/dd/yyyy).
_____________________________________________________ ___________________
Applicant’s Signature Date (mm/dd/yyyy)
Human Services-Board Certied Practitioner Updated July 2020
11
CCE’s Assessment Department will contact you directly regarding special accommodations once you are approved to sit
for the HS-BCP Examination.
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. Specify the special accommodations and/or arrangements you will need to complete the
HS-BCP Examination. Documentation may not be more than ve years old.
The information I have provided is accurate. I agree to provide any additional information requested by CCE.
Applicant’s Signature: __________________________________________________ Date: ______________________
Candidates for Whom English Is a Second Language
I request extended time for the HS-BCP Examination because English is not my native language.
Applicant’s Signature: __________________________________________________ Date: ______________________
SPECIAL ACCOMMODATIONS
REQUEST FORM
Applicant’s Name: Date:
Human Services-Board Certied Practitioner Updated July 2020
12
This page was intentionally left blank.
Human Services-Board Certied Practitioner Updated July 2020
13
CURRENT APPLICATION FEES
Total Fee: $210 (includes the application fee and the examination fee)
• All fees must be paid in U.S. dollars and are nonrefundable and nontransferable.
• Once your payment has been processed, CCE will review your application within approximately
10 business days.
• You will be notied of your status by email and informed if further information is needed.
• The fee is waived if you are transferring a passing score on the HS-BCPE taken through a participating
school program.
• CCE holds applications open for three years. During that time, you will have the opportunity to rectify any
deciencies concerning your application.
APPLICATION CHECKLIST
Before submitting your completed application packet, make sure that you have included the following:
□ Application Form
□ Verication of Experience Form (unless exempt)
□ Transcript
□ Application fee and Payment Voucher
METHOD OF PAYMENT
Telephone: Day:
Applicant’s Name:
Evening:
□ Please transfer HS-BCPE score. No payment required.
□ Enclosed is a check or money order payable to CCE in the amount of $210 (U.S. dollars).
□ Please charge the credit card listed below in the amount of $210 (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:
PAYMENT VOUCHER
Applicant’s Name: 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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HSBCP App HSBCP App (Center for Credentialing & Education)

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Completed 30 August 2021

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