Get Ccb Registry Application - Connecticut Certification - Ctcertboard

Filling out the CCB Registry Application is an essential step for anyone seeking certification in behavioral health fields in Connecticut. This guide provides a clear, step-by-step approach to ensure that your application is completed accurately and efficiently, meeting all necessary requirements.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the CCB Registry Application form and open it in your chosen editor.
2. Carefully fill in your title and full name. Include your email address and cell phone number for communication purposes.
3. Enter your social security number, date of birth, home address, and phone numbers in the designated fields.
4. Indicate your workforce diversity information if you wish to participate. This section is optional but aids in overall reporting.
5. Complete the professional experience section, detailing any behavioral health experience you have had in the past 20 years.
6. Provide the necessary educational background, ensuring to include details from high school, college, and any graduate education.
7. Read and initial the CCB Code of Ethical Conduct, which outlines the professional standards expected of certified individuals.
8. Ensure to attach a recent 2x2 color photograph, as specified in the submission requirements.
9. Before submission, notarize your application. This is a crucial step to validate your application.
10. Review your entire application for completeness. Save your changes, and then download or print a copy for your records before sending it to the CCB office.

Complete your CCB Registry Application online today to ensure your application is processed efficiently.