PLEASE READ ALL THE INSTRUCTIONS BEFORE PROCEEDING
- To download the complete Applicant Package
click here. For individual forms please see links below.
Read the enclosed application thoroughly.
Complete Application Form - Read and sign the Professional Code and Ethical Standards form
- Read and sign the Consent to Release of Information form
- Request that your qualified supervisor read and complete the Supervisor’s Evaluation forms and have your supervisor mail forms directly to the Certification Board for review.
- Request that a colleague complete the Colleague Evaluation forms and have them mail completed forms directly to the Certification Board for review.
- Complete the Self Evaluation forms
PLEASE MAIL THE FOLLOWING INFORMATION:
a) Application Form
b) Personal Code and Ethical Standards Form
c) Consent to Release of Information Form
d) Self Evaluation Forms
e) Approved Education Hours
f) Initial Application fee of $100 payable to the: Canadian Problem Gambling Certification Board
Note: Please allow up to 6-8 weeks processing time for approval of your application. The certification board reserves the right to require applicants to pass a written test.
Once you receive written notice of approval for certification, you will be required to pay a final fee of $200. Once your certification fee is processed, you will receive your Canadian Problem Gambling Counsellor designation and certificate.
All Canadian Problem Gambling Counsellors must re-certify every two (2) years to maintain their designation. See recertification requirements.
Please return this application with all the required documentation and your cheque in the amount of $100 to:
Canadian Problem Gambling Certification Board
PO Box 37055 Bella Vista Plaza PO
Windsor, Ontario, N9H 2N8, Canada
Toll Free: 1-877-421-1181, Fax: 519-739-0315