Revised January 2019 CPS Application Page 2
Missouri
Credentialing Board
(573) 616-2300 www.missouricb.com 428 E. Capitol, 2
nd
Floor
email: help@missouricb.com Jefferson City, MO 65101
Application Instructions:
1. Requirements to receive this credential are subject to change without notice. Please make sure you are
submitting the most recent application packet. If you are unsure, contact the MCB office.
2. The application must be typed or neatly printed.
3. Please keep a copy of all materials submitted for your records.
4. FEES: The total CPS Fee is $75.00. You may pay by check, money order, or provide credit card
information on page 4 of this application packet. If you paid the $75.00 when you applied for the
CPS training program, then no money is due with the application. Applications will not be
reviewed until payment is received.
5. Please be aware that should your application be reviewed and additional information is requested to
complete the application, you will have 90 days to provide the requested information. Failure to do so
will result in your application expiring without being approved.
6. All fees are non-refundable. If your application is denied or expires, fees will not be refunded.
7. If your application is denied, you may contact the MCB office staff for instructions on how to appeal the
denial of your application.
8. All materials submitted to the MCB office become property of the MCB.
9. The applicant must currently reside and/or work/volunteer in the State of Missouri at least 51% of the
time. The only exception to this is applicants living and working in a state that is not a member of the
International Certification and Reciprocity Consortium.
10. If at any time during the credentialing process, a question arises about an applicant’s moral character,
reputation for honesty, integrity, or professionalism, the Board may either deny the application at that
time or place the application on hold until an investigation has been completed and a decision made
regarding the question brought up.
11. Please remember that it is your responsibility to keep the MCB office informed of any personal
informational changes such as address and phone number changes. If you fail to notify us of changes,
you will be responsible for any material that is mailed to the wrong address and will have to pay a fee to
have the material sent again.
12. Please mail your application to the MCB. Please do not fax or e-mail your application.