PTCB Advocate Educator Program Application and Pass Rate Data License Agreement

* Please note: Each Advocate Educator represents either a single educational institution, or a single campus if part of a large institution. Duplicate Educator Advocate applications will not be accepted.

** This application must be completed and signed by an authorized representative of the identified applicant institution.

  • Institution Information

  • Primary Contact Information

  • Alternate Contact Information

  • Program Information