Biblical Counseling TrainingBiblical Counseling Training Biblical Counselor Certification BCCI Application for Certification Please enable JavaScript in your browser to complete this form.Title *DrPastorMrMrsMissName *FirstLastEmail *Street Address *City, State, Zip Code *Date of Birth *Website (if you have one)Please provide the following information regarding the church or organization through which you plan to do biblical counseling:Name of Church or Organization *Website of Church or Organization *Name of Ministry Director or Contact Person *Director or Contact Person's Email *Church or Organization Street Address *City, State, Zip Code *Please answer the following questions then sign and date the bottom: (Check one) I am a member in good standing with another biblical counseling organization. *YesNoI understand that I may not represent myself to be a Certified Biblical Counselor until I have completed the BCCI certification process. *YesNoI have read, understand, fully agree with, and have signed the BCCI Statement of Faith. *YesNoI have read, understand, fully agree with, and have signed the BCCI Statement of Practice and Core Values. *YesNoI have read, understand, fully agree with, and have signed the BCCI Affirmation & Denials. *YesNoHave you ever been convicted of a felony? *YesNoIf yes, please explain.I understand that a background check is required for certification with BCCI. I also understand that background checks will be conducted of all BCCI Certified Biblical Counselors every three (3) years. *YesNoI understand that I will be required to successfully pass the online Child Safety Training required. *YesNoTell us why you want to become a Biblical Counselor. *Digital Signature: By checking the box below, I affirm that the above answers are correct. *YesSubmit