Application for New License

Once you have completed requirements you may apply for your license. When you complete the correspondence courses that instructor will send you “Certificates of Completion.” When you complete the Coaching Workshop your course instructor Dr. Lana Ford will send you a “Certificate of Completion” Please attach these documents to your application form.

Please print and complete the new license application.

Download New Application form here

Payment for New License

You may mail your application and send $60.00 USD for two years to
P.O. Box 163, Ridgecrest, NC 28770
You may use your credit or debit card and email your application to or fax it to 888-728-0011. Pay $65.00 by credit or debit card using the pay pal button below.

If you have questions concerning your license write to or call 1-800-710-1539 X 3.