License Type Applications

Associate Counselor (LAC)

Professional Counselor (LPC) for existing LAC 

Professional Counselor (LPC)



Forms for LPC Applicants Print Submit
Verification of Supervised Work Experience PRINT PDF SUBMIT ONLINE
Verification of Clinical Supervision PRINT PDF SUBMIT ONLINE
Clinical Supervisor Exemption Request   SUBMIT ONLINE


  • Employers and Supervisors can now utilize the forms above to submit the required verification forms for their supervisees.  Forms may not be submitted directly from a supervisee unless they are in a signed, sealed envelope with an application.
  • For information on acquiring supervised work experience and clinical supervision click here.
  • Cheat Sheet: Counseling Supervision Requirements for Independent Licensure

Approved or Accredited programs

  • To verify if your masters degree is CACREP accredited or previously approved by the Board, click here.

Testing Information


If an applicant believes they meet the requirements of A.R.S. § 41-1080.01, please contact the Board at (602) 542-1882 for more information.