If you are a human and are seeing this field, please leave it blank. VERIFICATION OF GRADUATION FROM A CACREP (MARRIAGE, COUPLE, AND FAMILY COUNSELING PROGRAM) OR COAMFTE FAMILY THERAPY PROGRAM FORM Applicant's Name I have applied to the National Credentialing Academy and am required to provide verification of my graduation from a CACREP or COAMFTE accredited marriage, couple, and family counseling/therapy program. Please complete the information requested below and mail the form directly to NCA at the address below. My application cannot be processed until this form is received. Date 1. Is the applicant a graduate of a CACREP marriage, couple, and family counseling program / therapy program or COAMFTE accredited marriage and family counseling / therapy program? YESNO Date of Issuance of Degree FORM WAS COMPLETED BY: (School Registrar or Division) NOTE: Applicant may submit photocopies of their degree and transcripts in lieu of this form.