BCBC Application

Thank you for your interest in pursuing one of the credentials through the Board of Christian Professional and Pastoral Counselors. Please complete all required sections. Incomplete applications with missing information may increase processing time. Please allow 4-6 weeks for processing.

Step 1 of 5

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I. Demographic Information

Name(Required)

First Middle Last

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Practice/Organization/University/Church, etc., where you work and/or provide counseling/caregiving services(Required)

Name of ministry where you work and/or provide counseling/caregiving services(Required)

Ministry Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Phone(Required)

Email(Required)

Fax

Secondary / Emergency Phone

Cell Phone

Phone

Gender(Required)

Male

Female

Age(Required)

II. Christian Counseling and Caregiving Education / Training

Basic Requirements

Identify and practice as a lay Christian counselor — small group facilitators, church-based lay counselors, hospice workers, registered nurses, bachelor-level social workers, substance abuse counselors, group home workers, and others engaged in significant counseling or caregiving ministry.
Be able to document at least one year of experience in counseling-related activities or lay caregiving and maintain an active relationship with someone who provides oversight and accountability.
Complete a minimum of 90 contact hours of education or training in counseling and/or caregiving related to the integration of biblical principles and counseling skills with theory, knowledge, and practice.
Maintain at least 20 Continuing Education (CE) contact hours every two years related to the incorporation of biblical principles and counseling skills with theory, knowledge, and practice.

I have completed the required level of minimum 90 contact hours of education/training in counseling and/or caregiving that incorporates biblical principles with theory, skills, knowledge and practice:(Required)

Yes

Please describe and upload all of the education / training you have received(Required)

Drop files here or

Max. file size: 750 MB.

III. Experience

Please be aware that the IBCC does not authorize you to use this credential for any type of business. This credential is specifically for ministry within the local church or faith-based organization(Required)

Please be aware that the IBCC does not authorize you to use this credential for any type of business. This credential is specifically for ministry within the local church or faith-based organization

Please provide documents of your experience (minimum of 1 year)(Required)

Drop files here or

Max. file size: 750 MB.

Ministry(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor Name(Required)

First Last

Supervisor Phone(Required)

Supervisor Email(Required)

Type of Counseling(Required)

VI. Spiritual Orientation and Practice

Please define/describe your thoughts and beliefs on the following questions.

Who is Jesus Christ?(Required)

How does a person become a Christian?(Required)

Describe your beliefs about the Bible.(Required)

Describe your beliefs about the Holy Spirit.(Required)

Briefly describe your personal testimony, spiritual journey, and current walk with Christ.(Required)

What role do you believe the local church has in the counseling/caregiving process?(Required)

Describe your counseling/caregiving setting/practice and how you incorporate spiritual practices and disciplines in your counseling/caregiving activities (e.g., prayer, the use of Scripture/biblical principles, fasting, meditation, worship, solitude, etc.)?(Required)

Do you charge a fee for your services?(Required)

Yes

N/A

Please be aware that the IBCC does not authorize you to use this credential for any type of business. This credential is specifically for ministry within the local church or faith-based organization.

What is your fee range?(Required)

V. Attestation

I have read the Board of Christian Professional and Pastoral Counseling (BCPPC) Attestation Document (addressing my Christian testimony, the AACC Doctrinal Statement, ethical integrity, legal history, and the 2023 AACC Christian Counseling Code of Ethics) and am in 100% compliance with all requirements and statements of fact outlined in this document:(Required)

Yes

I have read, discussed as needed, and fully understand the BCPPC Agreement Document and I do hereby agree with all consent and authorization statements that are described therein:(Required)

Yes

I understand that any Board of Pastoral and Professional Counseling credential is a voluntary National Credential and does not offer any state or national licenses.(Required)

Yes

I understand that in order to renew and maintain my BCPCC credential, I must complete a minimum of twenty (20) contact hours of approved Continuing Education every two years and that these hours must incorporate biblical principles and counseling skills with theory, knowledge and practice. I further acknowledge I have read and understand the BCPPC Continuing Education Guidelines:(Required)

Yes

VI: Criminal History

Attestation of Criminal History(Required)

I attest that I have not been convicted of, nor do I have any pending charges for, any criminal offenses that would compromise my ability to ethically and effectively provide life coaching services.

I affirm that:(Required)

I have never been convicted of a felony or any crime involving fraud, violence, sexual misconduct, abuse, or any other offense that would call into question my ability to work with clients in a trustworthy and ethical manner.

I affirm that:(Required)

I do not have any pending legal actions, investigations, or disciplinary proceedings that would impact my ability to serve as a biblical or pastoral counselor.

I affirm that:(Required)

If I am charged with or convicted of any such offense in the future, I will notify the International Board of Christian Care immediately.

I affirm that:(Required)

I understand that the International Board of Christian Care reserves the right to conduct background checks and that any false or misleading information provided in this attestation may result in the denial or revocation of my life coaching credential.

VII: Preferred Name with Credentials

I affirm and attest that my name and the credentials given on the line below are printed exactly as I desire for them to appear on my BCPPC Credential Certificate and further reflect a true and accurate portrayal of my valid professional education, training, licensure, and certification. I understand that academic degrees must represent earned degrees from a regionally accredited institution of higher learning and will be listed first (usually only one from any particular discipline), followed by any state-regulated licenses and other certifications that have already been earned/received. I further attest that I have not included the credential I am applying for, have not used any degree that is honorary or in process, and have limited the letters after my name to no more than three sets of letters as required.(Required)

I affirm and attest that my name and the credentials given on the line below are printed EXACTLY as I desire

Name and Credential Appearance(Required)

VIII: Application Fee

By paying this fee, the IBCC does not commit to providing a credential to you. This is the fee to process your application. This is not the fee for your credential, when we determine that you meet the requirements for the credential you have applied, we will send you a link to pay your credential fee. After payment, we will confer the credential on you. Please note that we may require more information; this email will come from ibcc.applications@aacc.net. Please respond promptly.

Application Fee(Required)

Price:

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

I affirm and attest by my signature below that I have answered all questions in this Application truthfully and have done so to the best of my knowledge and with full disclosure. I further authorize the AACC and/or the IBCC to verify this information and understand that in the process of verification, these facts might become known to third parties. I expressively waive any claim to confidentiality of the material enclosed in this Application except where otherwise noted.(Required)

Yes

Applicant Signature(Required)

Date(Required)

MM slash DD slash YYYY

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