Once you have completed all of the education requirements for one of the approved counseling specialization courses, please complete the form below. Be sure to include all information that is requested. Once a staff member has reviewed your submission, we will send further instructions.
Please provide the e-mail address associated with your ACBC Member Login credentials on our website.
Please provide the year you became a certified member with ACBC.
Which of the following courses did you complete?
From the list below, please select the Certified Training Center from which you received your specialization training and instruction. If you are unsure about which center to select, please contact our office.
Provide the name of the director of the ACBC Certified Training Center where you received your specialization training and instruction. If you are unsure about this, please contact our office.
Please provide the dates of training and instruction.
Provide the titles of the lectures along with the name(s) of the instructors for each lecture. NOTE: The entirety of the core training must be provided by an ACBC certified member and at least 67% taught by a member who is specialized.
List the titles of the required books you have read including the total number of pages you have completed for each book.