Current through Vol. 42, No. 1, September 16, 2024
(a)
General.
(1) The purpose of this
section is to insure that all applicants meet those requirements specified in
Section 1925.6 of the Act.
(2)
Unless otherwise indicated, an applicant must submit all required information
and documentation of credentials on official Department forms.
(3) The Department will not consider an
application as officially submitted until receipt of the Application,
application fee, official graduate transcripts, three (3) Document of
Recommendation Forms, Internship/Practicum Documentation Form, and completed
criminal background check. The fee must accompany the Application
Form.
(4) The Department must
receive all required application materials at least 60 days prior to the date
the applicant wishes to take the examination.
(b)
Application materials.The
purpose of this section is to list the materials required in the application
process. All forms must be completed in full by the applicant, as per the
instructions on the following individual forms:
(1) Application form.
(2) Official graduate transcript.
(3) Documents of recommendation.
(4) Internship/practicum documentation
form.
(5) Two (2) classifiable sets
of fingerprints.
(6)
Fees.
(c)
Application forms
(1)
Application form - identifying information; graduate education and course work;
possession of other credentials; professional ethics and conduct.
(2) Internship/Practicum Documentation form -
identifying information; time, place, location of practicum
(3) Document of Recommendation - identifying
information; ratings of ethical and professional characteristics; circumstances
and time period submitter has know applicant
(4) Supervision Agreement - supervisor and
supervisee agree to terms set forth for the accrual of supervised experience; a
reproduction of the regulation regarding supervised experience
(5) Evaluation of Supervised Experience
document - identifying information; time, place and duration of supervised
experience; number of hours of direct client contact with different
populations; supervisor's rating of professional activity; supervisor's comment
section, and record of supervised experience.
(6) On-Site Supervisor Verification form -
identifying information; name of applicant; place of employment; on-site
supervisor information; a reproduction of the regulation regarding supervision
accrued in a private setting.
(7)
Two (2) classifiable sets of fingerprints.
(d)
Negative references.The
Advisory Board may ask any applicant for licensure as an LMFT, whose file
contains negative references of substance, to come before the Advisory Board
for an interview before the licensure designation process may
proceed.
Transferred from
310:400-7-2
by Laws 2013, c. 229, § 3(F), eff 11-1-13 (see Editor's Note at beginning
of this Chapter)
