Send a written request to the BOC office along with the $25 processing fee or order online through BOC Central™. A letter of verification will be sent to the appropriate state agency. Please click here for more information.

To apply for state licensure, contact the state regulatory board. Please click here for a list of agencies.

State law defines the scope of practice and requirements for the legal practice of athletic training. Scope of practice can vary from state to state. State regulation always takes precedence over certification standards.

The BOC certification is a voluntary certification that is international in scope. More than 36,000 individuals hold the BOC certification.

Currently, 48 states regulate the practice of athletic training through licensure, certification, registration or exemption. Requirements vary from state to state. For specific information on requirements, contact the state regulatory agency in any state where you intend to practice.

The BOC exam is a requirement to obtain regulation in 46 of the 48 states; however, it is important to recognize that passing the BOC exam is only a precursor to athletic training practice. Compliance with state regulatory requirements is mandatory and the only avenue to legal athletic training practice.

Licensure: This is the most restrictive form of professional and occupational regulation. Licensure is often referred to as right-to-practice. Under licensure laws, it is illegal for a person to practice a profession without first meeting state standards.

Certification: Under certification, the state grants title protection (right-to-title) to persons meeting predetermined standards. Those without certification may perform the duties of the occupation, but may not use the title.

Registration: This is the least restrictive form of regulation. It usually takes the form of requiring individuals to file their names, addresses and qualifications with a government agency before practicing the occupation. This may include posting a bond or filing a fee.

Exemption: This identifies a professional who is exempt from licensure requirements of another profession, such as physical therapists and ATs in Hawaii. A specific scope of practice is defined in the exemption statute of the licensing requirement. Individuals do not register with the state per se, but are held to the standards of the scope of practice defined in the statutes.