24 Miss. Code. R. 3-10.2 - CCSS (Full Certification) Application Packet

A. To apply for full certification as a CCSS, an individual should submit an application packet (initial or upgrade) which, at a minimum, contains the following:

1. CCSS Application Form;

2. CCSS Verification of Employment Form;

3. CCSS Verification of Work Experience Form; and,

4. Web-based Training Record - A CCSS applicant must include a signed copy of his/her web-based training learner transcript in the CCSS application packet.

a. The learner transcript, containing the CCSS applicant's original signature, must be signed in blue ink, attesting to the fact that the entire web-based training component was completed by the applicant. The learner transcript must be submitted in the appropriate format, as prescribed by the Division.

b. The submitted learner transcript must contain the course names and corresponding dates of completion for each course in the web-based training component, as well as the total number of course hours completed.

c. This documentation must be submitted whether the web-based training was completed through DMH or through an outside venue. Submission of this information is the applicant's responsibility.

B. If the CCSS applicant is submitting an initial (not upgrade) application, the following additional CCSS application component(s) are also required:

1. Official Transcript - (If upgrading from PCCSS, no additional transcript is required.); and,

2. Application Fee - $30.00 fee (submitted in a manner prescribed by the Mississippi Department of Mental Health). (If upgrading from PCCSS, no application fee is required.) Only individuals applying directly for CCSS pay the application fee. This is a ONE TIME fee; applicants should not pay the application fee twice.

C. Application Forms are located online at the agency (DMH) website, as an addendum to this document. Individuals needing a print copy should contact the Division.

Notes

24 Miss. Code. R. 3-10.2

Section 41-4-7 of the Mississippi Code of 1972, Annotated

Amended 5/1/2017