Fall Renewal – Missouri Credentialing Board

Fall 2024 Renewal Form

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Date
MM slash DD slash YYYY
Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Your Home Phone Number:
Please list a number where we may contact you.
Your Work Phone Number:
Please list a number where we may contact you.
Your Cell Phone Number:*
Please list a number where we may contact you.
Your Email Address:*
Your email address listed above will be used by MCB staff to correspond with you if there is a problem with your renewal materials when they are reviewed. Check your SPAM folder for email from MCB Staff.
Place of Employment:*
Address of Employer:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Within the last renewal period have you been charged, found guilty, or entered a pleas of nolo contendere, in a criminal prosecution under the laws of any state or the United States for any offense, whether or not sentence was imposed or executed?*
- Yes
- No
If yes, please upload a written explanation.
Please Upload a written explanation if you have been charged, found guilty, or entered a pleas of nolo contendere, in a criminal prosecution under the laws of any state or the United states for any offense, whether or not sentence was imposed or executed.
Accepted file types: pdf, doc, xls, xlsx, docx, pptx, jpeg, jpg, Max. file size: 100 MB.
Demographic Information
Gender*
- Female
- Male
- Decline to state
Ethnicity:*
- American Indian/Native Alaskan/Native American
- Asian
- Black/African American
- Hispanic/Latino
- Multi-Racial/Ethnic
- Native Hawaiian/Pacific Islander
- White
- Decline to state
Salary:*
- $0-$14,999
- $15,000-$24,999
- $25,000-$34,999
- $35,000-$44,999
- $45,000-$54,999
- $55,000-Over
- Decline to state
Military Service:*
- Never served in the military
- Active duty for training in the Reserves or National Guard
- On Active duty in the past, but not now for the Reserves or National Guard
- Now on active duty
- On active duty in the past, but not now
- Veteran
Primary Language:*
- English
- Spanish
- Chinese
- Tagalog
- Vietnamese
- Arabic
- French
- Korean
- Russian
- German
Secondary Language:*
- Not Applicable
- English
- Spanish
- Chinese
- Tagalog
- Vietnamese
- Arabic
- French
- Korean
- Russian
- German
Highest Level of Education Completed:*
- Associates Arts/Science Degree
- Bachelor Arts/Science Degree
- Masters
- Doctorate
- High School Diploma or HiSET
- Some College Credit
- No High School Diploma or HiSET
- Vocational Certificate
Renewals
Renewal materials must be submitted on or before October 31, 2024
Please mark all credentials you are renewing at this time:*
- I do not wish to renew any of my credentials at this time.
- BIP
- CADC
- CRADC
- CRAADC
- CCDP
- CCDP-D
- CCJP
- CGDC
- CPS
- CRPR
- CRPS
- FSP
- MAADC II
- MARS
- MPS
- MRSS
- SQI
- SQI-R
- SQP
- SQP-R
- CHW-C
- CRPR-L
- HRS
- YPS
- PPF
Write the credential number for the BIP you are renewing at this time.*
Write the credential number for the FSP you are renewing at this time.*
Write the credential number for the CCDP you are renewing at this time.*
Write the credential number for the CCDP-D you are renewing at this time.*
Write the credential number for the CCJP you are renewing at this time.*
Write the credential number for the CGDC you are renewing at this time.*
Write the credential number for the CPS you are renewing at this time.*
Write the credential number for the CADC you are renewing at this time.*
Write the credential number for the CRPR you are renewing at this time.*
Write the credential number for the CRPS you are renewing at this time.*
Write the credential number for the CRAADC you are renewing at this time.*
Write the credential number for the MARS you are renewing at this time.*
Write the credential number for the MPS you are renewing at this time.*
Write the credential number for the MAADC II you are renewing at this time.*
Write the credential number for the MRSS you are renewing at this time.*
Write the credential number for the CRADC you are renewing at this time.*
Write the credential number for the SQI you are renewing at this time.*
Write the credential number for the SQI-R you are renewing at this time.*
Write the credential number for the SQP you are renewing at this time.*
Write the credential number for the SQP-R you are renewing at this time.*
Write the credential number for the CHW-C you are renewing at this time.*
Write the credential number for the CRPR-L you are renewing at this time.*
Write the credential number for the YPS you are renewing at this time.*
Write the credential number for the HRS you are renewing at this time.*
Write the credential number for the PPF you are renewing at this time.*
Please mark all credentials you would like to make inactive.*
- I do not wish to make any of my credentials inactive.
- BIP
- CCDP
- CCDP-D
- CCJP
- CGDC
- CPS
- CRADC
- CRPS
- CRAADC
- FSP
- MARS
- MAADC II
- MPS
- MRSS
- CADC
- SQI
- SQI-R
- SQP
- SQP-R
- CHW-C
- CRPR-L
- HRS
- YPS
- PPF
Write the credential number for the BIP you wish to make inactive.*
Write the credential number for the FSP you wish to make inactive.*
Write the credential number for the CCDP you wish to make inactive.*
Write the credential number for the CCDP-D you wish to make inactive.*
Write the credential number for the CCJP you wish to make inactive.*
Write the credential number for the CGDC you wish to make inactive.*
Write the credential number for the CPS you wish to make inactive.*
Write the credential number for the CRADC you wish to make inactive.*
Write the credential number for the CRPS you wish to make inactive.*
Write the credential number for the CRAADC you wish to make inactive.*
Write the credential number for the MARS you you wish to make inactive.*
Write the credential number for the MPS you wish to make inactive.*
Write the credential number for the MAADC II you wish to make inactive.*
Write the credential number for the MRSS you wish to make inactive.*
Write the credential number for the CADC you wish to make inactive.*
Write the credential number for the SQI you wish to make inactive.*
Write the credential number for the SQI-R you wish to make inactive.*
Write the credential number for the SQP you wish to make inactive.*
Write the credential number for the SQP-R you wish to make inactive.*
Write the credential number for the CHW-C you wish to make inactive.*
Write the credential number for the CRPR-L you wish to make inactive.*
Write the credential number for the YPS you wish to make inactive.*
Write the credential number for the HRS you wish to make inactive.*
Write the credential number for the PPF you wish to make inactive.*
List Other Professional Counseling Credentials You Hold*
Renewal Application—Attestation Statement
To complete the renewal you must sign and upload page 12 of the renewal packet here.
Upload your Renewal Application—Attestation Statement here.*
Page 13 of the Renewal Packet.
Drop files here or

Accepted file types: gif, png, pdf, doc, xls, xlsx, docx, pptx, ppt, bmp, jpeg, jpg, Max. file size: 5 MB, Max. files: 2.
Signature Page for Code of Conduct and Authorization and Release
To complete the renewal you must upload a signed copy of page 14 of the renewal packet here.
Upload Signature Page for Code of Conduct and Authorization and Release Here*
Page 14 of the Renewal Packet.
Drop files here or

Accepted file types: gif, png, pdf, doc, xls, xlsx, docx, pptx, ppt, bmp, jpeg, jpg, Max. file size: 5 MB, Max. files: 2.
Upload Your Forms
All renewals MUST submit a copy of their Ethics Training; however only send in all training certificates if your name was part of the October 31, 2024, Renewal Audit. You can check the MCB website to see if your name was randomly selected for the audit. In addition Please upload pages 11, 12 of the renewal document.
Upload your forms and training certificates here.*
No credential will be renewed until all documents are submitted.All renewals MUST submit a copy of their Ethics Training; however only send in all training certificates if your name was part of the October 2024, Renewal Audit. You can check the MCB website to see if your name was randomly selected for the audit.
Drop files here or

Accepted file types: gif, png, pdf, doc, xls, xlsx, docx, pptx, ppt, bmp, jpeg, jpg, Max. file size: 10 MB, Max. files: 20.
For MAADC II Renewals Only
Please upload pages 16 of the renewal document.
Upload page 16 of the Renewal Document*
Mentoring and Clinical Supervison Agreement Adapted from Stiehl, R. and Bessey, B. (1994) THIS FORM MUST BE SIGNED BY A MCB QUALIFIED SUPERVISOR MCB Qualified Supervisor includes an individual who holds a CRADC, CRAADC, CCJP, CCDP, CCDP-D, RADC, RADC-P, SQP/SQP-r, LPC, LCSW, LMFT or Licensed Psychologist and has completed the MCB Clinical Supervision Training. This cannot be an immediate family member. (This form covers both the Mentoring and Clinical Supervision Agreement and Professional Development Contract).
Drop files here or

Accepted file types: gif, png, pdf, doc, xls, xlsx, docx, pptx, ppt, bmp, jpeg, jpg, Max. file size: 5 MB, Max. files: 1.
Renewal Fees
Renewal materials submitted on or before October 31, 2024
MCB Credential Renewal*

Not Applicable.

One MCB Credential (including the CADC, CRADC, CRAADC, CCJP, CCDP or the CCDP-D) - $209.00

Two MCB Credentials (Including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP, MPS, YPS, HRS, PPF or MARS) - $236.50

Three MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP, MPS, YPS, HRS, PPF or MARS) -$264.00

Four MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP, MPS YPS, HRS, PPF or MARS) - $291.50

Five MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP, MPS YPS, HRS, PPF or MARS) - $319.00

Six MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP, MPS, YPS, HRS, PPF or MARS) - $346.50
MARS Credential Renewal*

Not Applicable.

MARS $33 (if only renewing MARS and no other credential)
Inactive MCB Credential:*

Not Applicable.

One Inactive MCB Credential (including the CADC, CRADC, CRAADC, CCJP, CCDP or the CCDP-D). -$104.50

Two Inactive MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP, MPS, YPS, HRS, PPF or MARS) - $118.25

Three Inactive MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP MPS, YPS, HRS, PPF or MARS) -$132.00

Four Inactive MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP MPS, YPS, HRS, PPF or MARS) - $145.75

Five Inactive MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP MPS, YPS, HRS, PPF or MARS) - $159.50

Six Inactive MCB Credentials (including the CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, SQP, SQP-R, SQI, SQI-R, SR, CGDC, CRPS, BIP MPS, YPS, HRS, PPF or MARS)- $173.25
CRPS Renewals*

Not Applicable.

CRPS Renewal Fee - $110.00

CRPS plus one of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS - $137.50

CRPS plus two of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS $165.00

CRPS plus three of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS - $192.50

CRPS plus four of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS - $220.00

CRPS plus five of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS - $247.50

CRPS plus six of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS - $275.00
CRPS Inactive Fees*

Not Applicable.

Inactive CRPS Renewal Fee - $55.00

Inactive CRPS plus one of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS - $68.75

Inactive CRPS plus two of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) $82.50

Inactive CRPS plus three of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $96.25

Inactive CRPS plus four of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $110.00

Inactive CRPS plus five of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $123.75

Inactive CRPS plus six of the following MAADC II, SATOP (SQP, SQP-R, SQI, SQI-R, SR), BIP, MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $137.50
MAADC II Renewals*

Not Applicable.

MAADC II -$104.50 (if only renewing MAADC II and no other credential)

MAADC II plus one of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $132.00

MAADC II plus two of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $159.50

MAADC II plus three of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $187.00

MAADC II plus four of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $214.50

MAADC II plus five of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $242.00

MAADC II plus six of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, MRSS, CPS, FSP, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $269.50
MAADC II Inactive Fees*

Not Applicable.

MAADC II -$52.25 (if only renewing MAADC II and no other credential)

MAADC II plus one of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $66.00

MAADC II plus two of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $79.75

MAADC II plus three of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $93.50

MAADC II plus four of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $107.25

MAADC II plus five of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $121.00

MAADC II plus six of the following CRPR, CRPR-L, SATOP (SQP, SQP-R, SQI, SQI-R, SR) BIP, CPS, FSP, MRSS, CPS, CHW-C, CGDC, MPS, YPS, HRS, PPF or MARS) – $134.75
BIP Renewals*

Not Applicable.

BIP Renewal Fee - $77.00

BIP plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR) MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $104.50

BIP plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR) MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $132.00

BIP plus three of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR) MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $159.50

BIP plus four of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR) MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $187.00
BIP Inactive Fees*

Not Applicable.

Inactive BIP ONLY - $38.50

Inactive BIP plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR) MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $52.25

Inactive BIP plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR) MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $66.00

Inactive BIP plus three of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR) MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $79.75

Inactive BIP plus four of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR) MRSS, CPS, FSP, CHW-C, CRPR, CRPR-L, CGDC, MPS, YPS, HRS, PPF or MARS) - $93.50
CRPR & CRPR-L Renewals*
If you are renewing a CRPR or CRPR-L, there is no additional fee for renewing the CPS or the MRSS

Not Applicable.

CRPR or CRPR-L Renewal Fee - $77.00

CRPR or CRPR-L plus one of the following CHW-C, CPS, FSP, MRSS, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $104.50

CRPR or CRPR-L plus two of the following CHW-C, CPS, FSP, MRSS, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $132.00

CRPR or CRPR-L plus three of the following CHW-C, CPS, FSP, MRSS, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $159.50

CRPR or CRPR-L plus four of the following CHW-C, CPS, FSP, MRSS, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $187.00
CRPR & CRPR-L Inactive Fees*

Not Applicable.

Inactive CRPR or CRPR-L ONLY - $38.50

Inactive CRPR or CRPR-L plus one of the following CHW-C, CPS, FSP, MRSS, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $52.25

Inactive CRPR or CRPR-L plus two of the following CHW-C, CPS, FSP, MRSS, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $66.00

Inactive CRPR or CRPR-L plus three of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $79.75

Inactive CRPR or CRPR-L plus four of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $93.50
MRSS Renewals*

Not Applicable.

MRSS Renewal Fee - $77.00

MRSS plus one of the following CPS, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $104.50

MRSS plus two of the following CPS, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $132.00

MRSS plus three of the following CPS, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $159.50

MRSS plus four of the following CPS, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $187.00
MRSS Inactive Fees*

Not Applicable.

Inactive Status for MRSS ONLY- $38.50

Inactive MRSS plus one of the following CPS, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $52.25

Inactive MRSS plus two of the following CPS, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $66.00

Inactive MRSS plus three of the following CPS, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $79.75

Inactive MRSS plus four of the following CPS, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $93.50
CPS Renewals*

Not Applicable.

CPS Renewal Fee - $77.00

CPS plus one of the following CHW-C, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $104.50

CPS plus two of the following CHW-C, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $132.00

CPS plus three of the following CHW-C, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $159.50
CPS Inactive Fees*

Not Applicable.

Inactive Status for CPS ONLY- $38.50

Inactive CPS plus one of the following CHW-C, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $52.25

Inactive CPS plus two of the following CHW-C, FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $66.00
CHW-C Renewals*

Not Applicable.

CHW-C Renewal Fee - $77.00

CHW-C plus one of the following FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $104.50

CHW-C plus two of the following FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $132.00

CHW-C plus three of the following FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $159.50
CHW-C Inactive Fees*

Not Applicable.

Inactive Status for CHW-C ONLY- $38.50

Inactive CHW-C plus one of the following FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $52.25

Inactive CHW-C plus two of the following FSP, SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $66.00
FSP Renewals*

Not Applicable.

FSP Renewal Fee - $77.00

FSP plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $104.50

FSP plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $132.00

FSP plus three of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $159.50
FSP Inactive Fees*

Not Applicable.

Inactive Status for FSP ONLY- $38.50

Inactive FSP plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $52.25

Inactive FSP plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, YPS, HRS, PPF or MARS) - $66.00
YPS Renewals*

Not Applicable.

YPS Renewal Fee - $77.00

YPS plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, HRS, PPF or MARS) - $104.50

YPS plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, HRS, PPF or MARS) - $132.00

YPS plus three of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, HRS, PPF or MARS) - $159.50
YPS Inactive Fees*

Not Applicable.

Inactive Status for YPS ONLY- $38.50

Inactive YPS plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, HRS, PPF or MARS) - $52.25

Inactive YPS plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, HRS, PPF or MARS) - $66.00
HRS Renewals*

Not Applicable.

HRS Renewal Fee - $77.00

HRS plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, PPF or MARS) - $104.50

HRS plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, PPF or MARS) - $132.00

HRS plus three of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, PPF or MARS) - $159.50
HRS Inactive Fees*

Not Applicable.

Inactive Status for HRS ONLY- $38.50

Inactive HRS plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, PPF or MARS) - $52.25

Inactive HRS plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS, PPF or MARS) - $66.00
PPF Renewals*

Not Applicable.

PPF Renewal Fee - $77.00

PPF plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS or MARS) - $104.50

PPF plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS or MARS) - $132.00

PPF plus three of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS or MARS) - $159.50
PPF Inactive Fees*

Not Applicable.

Inactive Status for PPF ONLY- $38.50

Inactive PPF plus one of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS or MARS) - $52.25

Inactive PPF plus two of the following SATOP (SQP, SQP-R, SQI, SQI-R, SR), CGDC, MPS or MARS) - $66.00
SATOP (SQP, SQP-R, SQI, SQI-R, SR) Renewals*

Not Applicable.

SATOP (SQP, SQP-R, SQI, SQI-R, SR) Renewal Fee - $55.00

SATOP (SQP, SQP-R, SQI, SQI-R, SR) plus one of the following CGDC, MPS or MARS) - $82.50

SATOP (SQP, SQP-R, SQI, SQI-R, SR) plus two of the following CGDC, MPS or MARS - $110.00
SATOP (SQP, SQP-R, SQI, SQI-R, SR) Inactive Fees*

Not Applicable.

Inactive Status for SATOP (SQP, SQP-R, SQI, SQI-R, SR) - $27.50

Inactive SATOP (SQP, SQP-R, SQI, SQI-R, SR) plus one of the following CGDC, MPS or MARS - $41.25

Inactive SATOP (SQP, SQP-R, SQI, SQI-R, SR) plus two of the following CGDC, MPS or MARS - $55.00
CGDC Renewals*

Not Applicable.

CGDC ONLY Renewal Fee - $55.00

CGDC plus the following MPS or MARS - $82.50
CGDC Inactive Fees*

Not Applicable.

Inactive Status for CGDC - $27.50

Inactive CGDC plus the following MPS or MARS - $41.25
MARS Renewals*

Not applicable.

MARS ONLY Renewal Fee - $33.00

MARS plus the following MPS- $60.50
MARS Inactive Fees*

Not Applicable.

Inactive Status for MARS - $16.50

Inactive MARS plus the following MPsS - $30.25
MPS Renewals*

Not applicable.

MPS ONLY Renewal Fee - $27.50
MPS Inactive Fees*

Not Applicable.

Inactive Status for MPS - $13.75
Payment
CADC, CRADC, CRAADC, CCJP, CCDP, CCDP-D Late Fee is an additional $82.50
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
MAADC II Late fee is an additional $82.50
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
CRPS Late fee is an additional $82.50
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
CRPR or CRPR-L Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
CPS Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
MRSS Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
FSP Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
YPS Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
HRS Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
PPF Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
CHW-C Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
BIP Late Fee is an additional $44.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
SQP, SQP-R, SQI, SQI-R and SR Late Fee is an additional $22.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
CGDC Late Fee is an additional $22.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
MARS Late Fee is an additional $22.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
MARS Late Fee is an additional $22.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
MPS Late Fee is an additional $22.00
Renewal materials postmarked from November 1st to November 30, 2024 will be charged a late fee.
Price:
Total
$0.00
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Fall 2024 Renewal Form

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