Certification Application Forms
Click on a link below to download each form as a Word document.
CMPC® Standard Practitioner Application Forms
- CMPC Standard Application Form & Record of Mentored Experience Hours Log
- Mentorship Verification Form
Updated 2/18/21: AASP's Certification Council has issued a new COVID-19 guidance statement for candidates working on their initial certification and completing virtual mentored applied hours.
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.
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
- Request to Change CMPC Status to Emeritus Form *Minimum of 10 years certification is required.