Professional Colleague Endorsement Form

Certificate of Endorsement Professional Colleague
If you need assistance completing this form, please click here to complete the Certification Application Feedback/Troubleshooting Form.

You can also contact us at certification@aasect.org.
Applicant's Name:*
Your Name:*
I have known the applicant for number of* years.
By signing this form, I confirm that:
- I have reviewed the AASECT Code of Ethics and attest to the applicant's ability to adhere to this Code of Ethics with the highest level of professionalism.
- I have provided the applicant with a letter of endorsement, highlighting my experience as a professional colleague of the applicant, the nature of our relationship, and my overall impressions of their strengths, competence, and readiness to be certified as a sexuality educator, counselor, therapist, or supervisor, as well as any challenges that may impair competence.
Name*
Date*

MonthDayYear
Date
Signature*

Clear
Title*
Address*
Email*
example@example.com
Phone Number*
Please use the "Preview PDF" button below to download or print a copy of your completed form. Provide that form to the applicationt to include with their AASECT Certification application.
Should be Empty:

Certificate of Endorsement Professional Colleague