• Cover letter
• Application (revised October 20. 2011) - Word
• Application (revised October 20, 2011) - Adobe PDF

Please ensure your completed application is submitted to the following address:

Prevention Specialist Certification Board of Washington

PO Box 7172

Spokane WA  99207

Should you need blank forms, please see the following:

• Verification of Quantitative Prevention Experience Form
• Verification of Qualitative Supervised Experiential Learning Form
Prevention Education Prerequisites Form

Potential applicants requested a listing of previously approved trainings/classes/courses that have been accepted.  Please see the sample list of the acceptable events.

Please also note, in lieu of a certificate, the applicant may submit a completed Affidavit of Attendance.  This affidavit is intended to be used on a limited basis and for special circumstances, such as in the case in which the conference/training sponsor did not provide a Certificate of Completion.  The Eligibility Committee will review the completed Affidavit of Attendance forms to determine whether these hours will be accepted.

For more information, please see the following webpages:

Important Due Dates
CPP Exam:  Test Prep
CPP Exam Accommodations