Nebraska Department of Health and Human Services
Skip Navigation
Behavioral Health Children and Family Services Developmental Disabilities Medicaid and Long Term Care Public Health Veterans' Homes

Gamblers Assistance Program
Provider Information
Compulsive Gambling Helpline: 1-800-522-4700 - 24-Hours / 7 Days a Week

Subscribe Subscribe to this page

New Applications for Certified Compulsive Gambling Counselor (CCGC) status are due by September 15, 2010.

Reminder: Applications for the renewal of certification for all current CCGCs are due by September 1, 2010.

Certified Compulsive Gambling Counselor (CCGC) Criteria, Applications, Instructions & Forms

For the following sections below, you may download the ZIP file with ALL the forms or to save individual files, please right click on the item and choose Save Target As to save to your computer's directory.  These documents are in MS Office 2003 format.

CCGC Continuing Education (CEUs) Criteria & Applications:

MS Word Document CCGC Criteria for Approval of CEUs
MS Word Document CCGC Approval of CEUs Application
MS Word Document CCGC Sponsor/Facilitator CEU Approval Application
WinZip File ONE Zipped File Containing ALL THREE (3) Items - CCGC CEU Criteria & Applications!

Title 201 CCGC Application Forms & Instructions: 

MS Word Document Citizen Attestation Form
MS Word Document CCGC Application Booklet
MS Word Document CCGC Application
MS Word Document Documentation of Practicum Performance
MS Word Document Practicum Experience Sheet
MS Word Document Supervisor Verification & Evaluation Form
WinZip FileONE Zipped File Containing ALL SIX (6) Items - CCGC Application Forms & Instructions!

PCCGC & CCGC Application for Renewal: 

MS Word Document P-CCGC Renewal Application Instructions
MS Word Document P-CCGC Renewal Application
WinZip FileONE Zipped File Containing Renewal Application & Instructions!


CCGC Fee Schedule & Order Form:

MS Word Document CCGC Fee Schedule 
MS Word Document P-CCGC Document Order Form 
WinZip FileONE Zipped File Containing CCGC Fee Schedule & Order Form!

Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.

WinZip Download Win Zip can be downloaded from Win Zip.Com