Information Needed to Complete Application

First time applicants:

Course Information

    • Location of Course (City, State or Online)
    • Course Completion Date

Employer information to document experience:

    • Name of Employer(s)
    • Full Address of Employer(s)
    • Accurate Employment Start and End Dates
    • Full-Time or Part-Time
    • Supervisor Name(s)
    • Supervisor phone number(s)

Professional License Information:

    • Type
    • Number
    • State
    • Date of Issue
    • Date of Expiration

Recertification by any option:

From the drop down menu choose the option that you will be using for recertification.

Training

  • Course Information
    • Location of Course (City, State or Online)
    • Course Completion Date

Examination

Continuing Education

    • A Continuing Education Verification Form will be sent via email for completion or you can download the form from the link provided
    • The verification form must be sent back to NAWCO to complete the recertification application process

Name of Employer

Professional License Information:

    • Type
    • Number
    • State
    • Date of Issue
    • Date of Expiration

Recertification Credential Information

    • Number
    • Date of Issue
    • Date of Expiration

Reinstatement of Lapsed Credential:

Complete all information needed for first time applicants – including Work Verification

Select a pathway for reinstatement