BCPCC Renewal Application

Thank you for your interest in maintaining a BCPPC credential through the renewal process. Please complete all information that is requested. Incomplete applications with missing information will increase processing time. Please fill in all sections, even if you are attaching supportive documentation. Applicants who receive a core credential through the BCPPC and elect to participate in the AACC’s comprehensive Christian Care Network understand that certain contact information (only business related and not personal), along with other pertinent demographic information (gender, age, ethnicity, years of experience, credentials, areas of specialization, etc.), may be listed in resource directories in order to assist those seeking help in making appropriate and/or desired choices for care. Please allow 2-3 weeks for processing.

Step 1 of 3

I. Demographic Information

Please complete the following so we can ensure our records are current.
Name(Required)
Home Address(Required)
Business Address(Required)
Gender(Required)