{"id":2299,"date":"2017-11-10T07:56:34","date_gmt":"2017-11-10T07:56:34","guid":{"rendered":"http:\/\/courses.calpg.org\/?page_id=2299"},"modified":"2023-09-21T11:41:40","modified_gmt":"2023-09-21T18:41:40","slug":"ccgc-forms","status":"publish","type":"page","link":"https:\/\/calpg.online\/ccgc-forms\/","title":{"rendered":"Forms to Become a CCGC-I\/CCGC-II"},"content":{"rendered":"<p>Because<em>\u00a0application fees are non-refundable<\/em>, we ask that you review the requirements for the\u00a0<a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2023\/09\/CCGC-I-Overview-Cost-Schedule.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Level I<\/a>\u00a0or\u00a0<a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2023\/09\/CCGC-II-Overview-Cost-Schedule.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Level II<\/a>\u00a0certifications respectively, and\/or <a href=\"https:\/\/calpg.online\/contact\/\" target=\"_blank\" rel=\"noopener noreferrer\">contact us<\/a> to confirm that you meet the minimum requirements\u00a0<strong>before<\/strong>\u00a0submitting your application.<\/p>\n<h3>Application Forms<\/h3>\n<p>To apply for California Gambling Counselor Certification please download, complete and submit the below forms, along with your application fee, to\u00a0<a href=\"http:\/\/www.calpg.org\/contact-us\/\">CCPG<\/a>.<\/p>\n<p><em>Completed by applicant:<\/em><\/p>\n<ul>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/Application-A.1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Application (A.1)<\/a><\/li>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/Code-of-Ethical-Conduct_Applicant-A-2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Code of Ethical Conduct (A.2)<\/a><\/li>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/CCGC-Directory-Authorization-A.3.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">CCGC Directory Authorization (A.3)<\/a><\/li>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/CCPG-Website-Authorization-F.1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">CCPG Website Authorization (F.1)<\/a><\/li>\n<li><strong>(CCGC-II Applicants Only!)<\/strong><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/CCGC-II.Problem-Gambling-Education-Spreadsheet.xls\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0Problem Gambling Education Spreadsheet<\/a><\/li>\n<\/ul>\n<h3>Certification Forms<\/h3>\n<p>Once you have fulfilled the requirements of the certification process please download, complete and submit the below forms, along with your certification fee, to\u00a0<a href=\"https:\/\/calpg.online\/contact\">CCPG<\/a>.<\/p>\n<p><em>Completed by applicant:<\/em><\/p>\n<ul>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/Tracking-Hours-Spreadsheet.v2.xls\" target=\"_blank\" rel=\"noopener noreferrer\">Tracking Hours Spreadsheet<\/a><\/li>\n<li>Confirmation of Employment on Company Letterhead (For certified counselors working under a licensed professional\u2019s license only)<\/li>\n<\/ul>\n<p><em>Completed by applicant\u2019s peers:<\/em><\/p>\n<ul>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/Co-Workers-Eval-Statement-C.1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Co-Workers Eval Statement (C.1)<\/a><\/li>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/Co-Workers-Eval-Statement-C.2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Co-Workers Eval Statement (C.2)<\/a><\/li>\n<\/ul>\n<p><em>Completed by applicant\u2019s clinical supervisor:<\/em><\/p>\n<ul>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/Clinical-Supervisor-Eval-Statement-S.1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Clinical Supervisor Eval Statement (S.1)<\/a><\/li>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/Clinical-Supervisor-Delineation-of-Responsibilities-S.2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Clinical Supervisor Delineation of Responsibilities (S.2)<\/a><\/li>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/Clinical-Supervisor-Professional-Code-and-Ethical-Standards-S.3.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Clinical Supervisor Professional Code and Ethical Standards (S.3)<\/a><\/li>\n<\/ul>\n<p><em>Completed by IGCC Board Approved Clinical Consultant (BACC):<\/em><\/p>\n<ul>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/CBACC-Eval-Statement-S.4.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">BACC Supervisor Eval Statement (S.4)<\/a><\/li>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/CBACC-Delineation-of-Responsibilities_Clinical-S.5.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">BACC Supervisor Delineation of Responsibilities (S.5)<\/a><\/li>\n<li><a href=\"https:\/\/calpg.online\/wp-content\/uploads\/2019\/08\/CBACC-Professional-Code-and-Ethical-Standards_Clincial-S.6.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">BACC Supervisor Professional Code and Ethical Standards (S.6)<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Because\u00a0application fees are non-refundable, we ask that you review the requirements for the\u00a0Level I\u00a0or\u00a0Level II\u00a0certifications respectively, and\/or contact us to confirm that you meet the minimum requirements\u00a0before\u00a0submitting 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\u00a0CCPG. Completed by applicant: &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/calpg.online\/ccgc-forms\/\"> <span class=\"screen-reader-text\">Forms to Become a CCGC-I\/CCGC-II<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","footnotes":""},"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"custom-size":false,"adjust-size":false,"course-thumb":false},"uagb_author_info":{"display_name":"CALPG","author_link":"https:\/\/calpg.online\/author\/calpg\/"},"uagb_comment_info":0,"uagb_excerpt":"Because\u00a0application fees are non-refundable, we ask that you review the requirements for the\u00a0Level I\u00a0or\u00a0Level II\u00a0certifications respectively, and\/or contact us to confirm that you meet the minimum requirements\u00a0before\u00a0submitting 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\u00a0CCPG. Completed by applicant:&hellip;","_links":{"self":[{"href":"https:\/\/calpg.online\/wp-json\/wp\/v2\/pages\/2299"}],"collection":[{"href":"https:\/\/calpg.online\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/calpg.online\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/calpg.online\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/calpg.online\/wp-json\/wp\/v2\/comments?post=2299"}],"version-history":[{"count":12,"href":"https:\/\/calpg.online\/wp-json\/wp\/v2\/pages\/2299\/revisions"}],"predecessor-version":[{"id":30773,"href":"https:\/\/calpg.online\/wp-json\/wp\/v2\/pages\/2299\/revisions\/30773"}],"wp:attachment":[{"href":"https:\/\/calpg.online\/wp-json\/wp\/v2\/media?parent=2299"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}