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Application Forms

Certification Application Forms

Click on a link below to download each form as a Word document.

CMPC® Standard Application Forms

Find a mentor in the AASP Registry of Approved Mentors.

Updated 4/1/20: AASP's Certification Council has issued a COVID-19 guidance statement in regard to mentored direct contact hours, coursework, and recertification. 

CMPC® Experienced Practitioner Application Forms

CMPC® Recertification Application Forms

*Please note that all CEU documentation must be inserted into the application so that it matches the order of CE activities listed on the CE Activity Log. Failure to do so will result in your application being returned.

Approved Mentors Application Forms

Special Testing Accommodations Request Form

If you have a disability covered by the Americans with Disabilities Act (ADA), please complete this form and the Documentation of Disability-Related Needs Form. The information you provide, and any documentation regarding your disability and special accommodation, will be treated with strict confidentiality and will not be shared with any source, without your express written permission, except for AASP. 

Application to Offer CMPC® Continuing Education Credit

Request to Change Certification Status Form