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Certification Renewal




1 TO RENEW YOUR CERTIFICATION OFFLINE, download the application, print it out and complete, then mail it back to us at the address below along with the $50.00 renewal fee. Please type or print clearly and complete in full. Illegible, incorrectly or partially completed applications will be delayed until the problems are corrected. Please make payment out to CBIS if paying by check or money order.

The Board of Examiners for
The National Association of Christian Counselors
6031 Hwy 6 N #165-206, Houston, TX 77084

2 TO RENEW YOUR CERTIFICATION ONLINE, simply fill out the renewal form below. Upon submitting your form you will be taken to PayPal where you can pay your $50.00 renewal fee. If you have any questions or need assistance, please Contact Us.

Online Certification Renewal Form

Full Name *
Email Address *
Address *
Primary Phone *
Work Phone
Date of Birth *
Today's Date
NACC Certification Number *
Certification Issue Date *
Certification Expiration Date *
Name of Instructor

Are you currently employed by a church or ecclesiastical body? * YESNO
Please provide the following additional information:

Name of Church Where Employed
Church Address

Have you been a defendant in a malpractice suit and either entered into a settlement agreement or paid court awarded damages? * YESNO
Please Explain:

Have you been arrested or charged for the commission of any felony or any crime involving moral turpitude? * YESNO
Please Explain:

Have you been convicted of any felony or of a crime involving moral turpitude? * YESNO
Please Explain:

Have you been the subject of disciplinary action or had your membership revoked by a professional organization governing the practice of counseling, either secular or religious? * YESNO
Please Explain:


**Before hitting the Submit button please review your information to make sure everything is correct before proceeding to make your payment. Payment will be processed securely by PayPal. You do not need a PayPal account to make your payment - only a debit or credit card.