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Application Forms

IGCCB Certification Packet

Download Packet

ICGC I & II, ICOGS Application Checklist

Download ICGC Application Checklist

Download ICGC II Upgrade Checklist

General Forms

A.1 Application Form

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A.3 Directory Authorization Form

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A.2 Code of Ethics Form

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A.4 Consent to Release Information Form

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Clinical Supervisor Forms

S.1 Clinical Supervisor Information Form

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S.3 Clinical Supervisor Delineation of Responsibilities

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S.2 Clinical Supervisor Evaluation Form

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S.4 Clinical Supervisor Code of Ethics

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BACC Forms

S.5 BACC Information Form

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S.7 BACC Delineation of Responsibilities

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S.6 BACC Evaluation Form

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S.8 BACC Code of Ethics

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Peer Evaluation Forms

C.1 Peer Evaluation Form

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C.2 Peer Evaluation Form

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Recertification Forms

RC.1 Recertification Application

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RC.2 Directory Authorization

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Clergy Application Form

A.1 Application Form

Download Form

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In 1984 the International Gambling Counselor Certification Board (IGCCB) was established to offer voluntary International certifications that assure a body of qualified and competent professionals working in the field of clinical treatment of individuals with at-risk, problematic and disordered gambling and their families/concerned others. Certification standards established by the IGCCB represent the current best practices in the field of disordered gambling and gaming treatment.

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20 Cedar Blvd, Suite 204 Pittsburgh, PA 15228

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