NOTE: BOARD APPLICATIONS HAVE MOVED AWAY FROM THESE MATERIALS WHICH WILL BE ARCHIVED SOON. AS OF 7/26/23 PLEASE REFER TO THE “CERTIFICATIONS” TAB TO FIND CURRENT MATERIALS FOR CERTIFICATION APPLICATION.
DOWNLOADS for Certified Prevention Specialist (PS-C) Application:
The MAINE PREVENTION CERTIFICATION MANUAL provides overall instructions. When filling out your application, you do not need to document ALL your relevant experience and education – you just need to document THE MINIMUM NUMBER OF HOURS REQUIRED.
The packet below contains all the initial application forms filled out by the applicant alone:
• PS-C Application Fillable Forms (Narrative text boxes have limits)
The three forms below are initiated by the applicant, then sent to the supervisor(s) for completion, and finally returned to the applicant for submission:
• PS-C Experience Documentation Fillable Form
• PS-C Supervision Documentation Fillable Form
• PS-C Undocumented Education Fillable Form
The form below is initiated by applicant and sent to the reference for submittal to MPCB:
• PS-C Reference Fillable Form
The packet below contains all the re-certification forms and is filled out by applicant alone:
• PS-C RECERTIFICATION Fillable Application Forms
**It is the responsibility of the applicant to notify the Maine Prevention Certification Board of any contact information changes such as name, address, email address, and phone number during the two years of certification.
DOWNLOADS for Provisional Prevention Specialist (PPS) Application:
The items below contain what you need to apply for PPS certification.
• MAINE PREVENTION CERTIFICATION MANUAL
• PPS Application Fillable Forms
**It is the responsibility of the applicant to notify the Maine Prevention Certification Board of any contact information changes such as name, address, email address, and phone number during the two years of certification.
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