Forms to Become a CCGC-I/CCGC-II

Because application fees are non-refundable, we ask that you review the requirements for the Level I or Level II certifications respectively, and/or contact us to confirm that you meet the minimum requirements before submitting your application.

 

Application Forms

To apply for California Gambling Counselor Certification please download, complete and submit the below forms, along with your application fee, to CCPG.

Completed by applicant:

 

Certification Forms

Once you have fulfilled the requirements of the certification process please download, complete and submit the below forms, along with your certification fee, to CCPG.

Completed by applicant:

  • Tracking Hours Spreadsheet
  • Confirmation of Employment on Company Letterhead
  • (CCGC-I Applicants Only!) Proof of passing score on the International Exam for Gambling Counselors

Completed by applicant’s peers:

Completed by applicant’s clinical supervisor:

Completed by IGCC Board Approved Clinical Consultant (BACC):