Welcome applicant! Before you begin, gather a copy of your current mental health license, university transcripts, and evidence of First Aid and CPR training. During the application you will be able to download needed forms and then upload Verification of Direct Adventure Therapy Experience, Verification of Adventure Therapy Training, and a completed CCAT Training Record Sheet.

You can return to this application as many times as you need to as you gather the needed materials.

We require the below document to be downloaded and filled out by your supervisor(s). IT WILL SAVE YOU SOME TIME IF YOU DOWNLOAD AND SEND THIS FORM TO SUPERVISOR(S) BEFORE BEGINNING YOUR APPLICATION. After the document has been filled out, please upload the document when prompted later within the application. You will need to submit more than one copy if you have more than one supervisor. 

You must ensure you have met all the below criteria for hours before submitting this form. If you received supervision from more than one supervisor each supervisor must complete a separate form. Each supervisor should indicate only the dates and hours for which s/he provided supervision. All forms from all supervisors combined should total the minimum hours required.

Completion of 300 direct service hours of adventure therapy specific experience accumulated over a minimum of 90 days.
In addition to the 300 direct service hours, applicants must complete at least 50 supervision hours of adventure therapy provision verified by the supervisor. Supervision must be distributed throughout the direct client hours and can be conducted individually or in a group setting.

Total Hours of required Adventure Therapy Experience: 300 direct service hours + 50 supervised hours = 350 total hours of experience.

THIS IS THE SAME DOCUMENT YOU WERE ASKED TO DOWNLOAD AND SEND TO YOUR SUPERVISOR(S) AT THE BEGININING OF THE APPLICATION. IT IS PROVIDED AGAIN, IN CASE YOU NEED MORE COPIES.

Once the document has been filled out, please upload the document below. You must upload more than one copy if you have more than one supervisor. 

You must ensure you have met all the below criteria for hours before submitting this form. If you received supervision from more than one supervisor each supervisor must complete a separate form. Each supervisor should indicate only the dates and hours for which s/he provided supervision. All forms from all supervisors combined should total the minimum hours required.

• Completion of 300 direct service hours of adventure therapy specific experience accumulated over a minimum of 90 days.
• In addition to the 300 direct service hours, applicants must complete at least 50 supervision hours of adventure therapy provision verified by the supervisor. Supervision must be distributed throughout the direct client hours and can be conducted individually or in a group setting.
• Total Hours of Adventure Therapy Experience: 300 direct service hours + 50 supervised hours = 350 total hours of experience.

Download and Complete the CCAT Training Record Worksheet

Please categorize the training documents you uploaded on this spreadsheet to help us understand the totality of your trainings.

Please Click HERE to download the CCAT Training Record Worksheet. AEE will receive a request to grant you access to this document which will usually be granted within 24 hours. Fill out the worksheet in the order that you uploaded your proof of training documents and then upload the competed worksheet below.

Legacy Application Notice: If you will be using an addendum to explain your Adventure Therapy Training and experience, Please enter the word "Addendum" into the form below.

This acknowledgment and agreement must be read, understood, and signed by Applicant as a condition to Applicant’s certification as an adventure therapist by the Association for Experiential Education (AEE). Applicant acknowledges and agrees as follows:

Adventure therapy requires various skills to facilitate adventure activities, including, but not limited to, games and initiatives, low ropes courses, and high-level challenge and adventure activities (including challenge courses at height, rock climbing, paddling, and other outdoor adventure pursuits). Regardless of the type of adventure therapy activity, the primary facilitator of the activity should have training in the technical skills required to reasonably manage its risks, including the level of emergency medical training appropriate to the setting (front country or wilderness).

A primary facilitator must meet one or more of the technical skill conditions described below to lead adventure activities:

• Certified / Licensed – Hold certifications or licenses appropriate to leading the adventure activity and received from professional training organizations that follow professional and commonly accepted practices for their discipline and are consistent with the laws and regulations for the jurisdiction in which activities are conducted; or
• Professional Training – Have received appropriate adventure activity training from professional organizations that follow commonly accepted practices for their discipline. Examples include organizations accredited by the Association for Experiential Education, American Mountain Guides Association, Association of Challenge Course Technology, and Colleges and Universities; or
• Organizational Oversight - Training received is part of a program with commonly accepted risk management practices, staff training, and appropriate activity protocols.

I, Applicant, will:

• Comply with the terms of this Agreement, and uphold the ethical and legal standards of a mental health professional pertinent to the licenses/certifications I hold;
• Facilitate adventure therapy activities in a manner consistent with my competence and training;
• Reasonably ensure that technically competent instructors act as primary facilitators of the technical aspects of the adventure activities I offer if I am not certified or professionally trained and assessed as competent to facilitate.

I represent that information, statements, and documents which accompany my application for certification or renewal are accurate, including with respect to my experience, education, training, and expertise. I am solely responsible for the accuracy of such information, statements, and documents, and AEE is not responsible or liable for any inaccurate or misleading information.

My application includes copies of my primary, current, and active state license as an independent clinical mental health practitioner. I attest that there are no restrictions or conditions on my ability to practice under my license. To the best of my knowledge, there are no outstanding complaints regarding my services as a mental health professional. Further, should I relocate my principal place of business to another state, I will provide documentation to AEE of the new license before commencing practice in that state;

I agree to notify AEE if I immediately:

• Have any disciplinary action taken against me by an applicable licensing authority;
• Have my license suspended or revoked or a condition placed on my license;
• Am convicted of a crime related to my providing mental health services or a crime that would adversely affect the interests, effectiveness, reputation, or image of AEE;
• Voluntary relinquish my license.

Failure to report any of the four conditions described above may result in the denial or revocation of my AEE Certified Clinical Adventure Therapist (CCAT) credential.

I have read and am familiar with the AEE Certification Credentialing Manual and acknowledge and agree to the requirements of CCAT certification set forth therein.

I acknowledge and agree that certification as a CCAT by AEE is not intended to be, and is not a representation or promise by AEE of my knowledge or competency, in my profession or otherwise, and that such designation confirms only that information and documentation received (which is not independently verified by AEE) reflects that the education and training requirements of AEE have been satisfied. I have not and will not utilize the CCAT designation as my only or primary credential. I understand that on all professional documents, communications, and in all advertising issued by me or pertaining to me, the CCAT credentials must be accompanied by the academic degree and the license in a mental health field that establishes the type of mental health services I am qualified to offer;

I understand that if AEE receives a complaint against me, AEE will request that the complainant bring their concern to the overseeing body of the state license(s) I hold. After a formal resolution of the complaint, AEE reserves the right to take disciplinary action if it believes such is warranted.

I hereby agree to indemnify and hold harmless AEE from and against any and all claims, losses, actions, costs, and expenses, including attorneys’ fees and insurance deductibles, incurred by AEE as a result of or arising out of a) my acts or omissions in my treatment of patients; b) my failure to abide by the code of ethics, standards of practice and legal standards and requirements promulgated by my primary licensing authority; c) any falsification, including by omission or inclusion, of information on my CCAT application or any supporting documents; d) my conduct or actions that are prejudicial to the purpose, interests, effectiveness, reputation, or image of adventure therapy and/or AEE; and e) any other action or omission relating to my CCAT credential or my performance there under.

By signing below, I represent that all information entered on this application form and attached as part of this form is accurate. By signing below, I confirm my understanding of this Acknowledgement Agreement for the use of technical skills associated with adventure activities and agree to abide by its terms and understand that my failure to do so may result in the loss of my CCAT credential, rendering it null and void.