Rules & Regulations of the State of Tennessee
Title 0450 - Counselors and Marital/Family Therapists
Chapter 0450-03 - General Rules Governing Clinical Pastoral Therapists
Section 0450-03-.05 - PROCEDURES FOR LICENSURE
Universal Citation: TN Comp Rules and Regs 0450-03-.05
Current through April 3, 2024
To become licensed as a clinical pastoral therapist in Tennessee a person must comply with the following procedures and requirements.
(1) Clinical Pastoral Therapist by Examination.
(a) An application
packet shall be requested from the Board Administrative Office. When submitted,
the appropriate fees, as provided in Rule 0450-03-.06, shall be
included.
(b) An applicant shall
respond truthfully and completely to every question or request for information
contained in the form, and submit it along with all documentation and fees
required by the form and this rule to the Board's Administrative Office. It is
the intent of this Rule that all steps necessary to accomplish the filing of
the required documentation be completed prior to filing an application and that
all documentation be filed simultaneously.
(c) Applications for licensure will be
accepted throughout the year and files which are completed on or before the
30th day prior to the meeting will ordinarily be
processed at the next Board meeting scheduled for the purpose of reviewing
files. Supporting documents requested in these instructions must be received in
the Board's Office within 60 days of receipt of the application or the file
will be closed.
(d) An applicant
shall submit verification of having completed a supervised practicum and/or
internship pursuant to T.C.A. §
63-22-203.
(e) An applicant shall submit with his
application a head and shoulders photograph taken within the preceding 12
months.
(f) It is the applicant's
responsibility to request a graduate transcript from his degree granting
institution, pursuant to T.C.A. §
63-22-203, be submitted directly
from the school to the Board's Administrative Office. The institution granting
the degree must be accredited, pursuant to T.C.A. §
63-22-201(9), at
the time the degree was granted. The transcript must show that the degree has
been conferred and carry the official seal of the institution and reference the
name under which the applicant has applied for licensure. The transcript must
show at least 120 graduate semester hours, pursuant to T.C.A. §
63-22-203(3)(A).
The educational requirements contained in this Rule must be completed prior to
the date of application for licensure.
(g) An applicant shall complete and submit
the worksheet form for reporting course work as a part of the
application.
(h) An applicant shall
submit evidence of good moral character. Such evidence shall include at least
two original letters written within the preceding 12 months from professionals
attesting to the applicant's personal character and professional ethics. The
letters must be submitted on the signator's letterhead.
(i) An applicant shall submit evidence of a
practicum consisting of at least one (1) unit of full-time clinical pastoral
education in a program accredited by the Association for Clinical Pastoral
Education.
(j) An applicant shall
submit evidence of an internship consisting of at least two (2) years of
clinical pastoral therapy training in an approved training program.
(k) An applicant shall submit evidence of a
minimum of one thousand four hundred (1,400) hours of pastoral therapy with
individuals, couples, families and/or group, while receiving a minimum of two
hundred seventy (270) hours of supervision of such therapy with an approved
supervisor.
(l) An applicant shall
direct the examination service to submit directly to the Board's Administrative
Office evidence that he passed the examination, pursuant to Rule 0450-
03-.08.
(m) An applicant, who has
met all other requirements upon being deemed eligible by the Board, shall be
required to pass the oral examination, pursuant to Rule 0450-03-.08.
(n) An applicant shall disclose the
circumstances surrounding any of the following:
1. Conviction of any criminal law violation
of any country, state, or municipality, except minor traffic
violations.
2. The denial of
certification application by any other state or the discipline of certification
in any state.
3. Loss or
restriction of certification or professional licensure.
4. Any civil suit judgment or civil
settlement in which the applicant was a party defendant including, without
limitation, actions involving malpractice, breach of contract, antitrust
activity, or any other civil action remedy recognized under any country's or
state's statutory, common, or case law.
(o) An applicant shall cause to be submitted
to the Board's administrative office directly from the vendor identified in the
Board's licensure application materials, the result of a criminal background
check.
(p) When necessary, all
documents required to be submitted shall be translated into English and such
translation certified along with the original document as to authenticity by
the issuing source.
(q) Personal
resumes are not acceptable and will not be reviewed.
(r) Application review and licensure
decisions shall be governed by Rule 0450-03-.07.
(2) Clinical Pastoral Therapist by Endorsement if Certified as a Clinical Member of AAPC.
(a) An application packet shall be requested
from the Board's Administrative Officer. When submitted, the appropriate fees,
as provided in Rule 0530-3-.06, shall be included.
(b) An applicant shall respond truthfully and
completely to every question or request for information contained in the form,
and submit it along with all documentation and fees required by the form and
this rule to the Board's Administrative Office. It is the intent of this rule
that all steps necessary to accomplish the filing of the required documentation
be completed prior to filing an application and that all documentation be filed
simultaneously.
(c) Applications
for licensure will be accepted throughout the year and files which are
completed on or before the 30th day prior to the
meeting will ordinarily be processed at the next Board meeting scheduled for
the purpose of reviewing files. Supporting documents requested in these
instructions must be received in the Board's Office within 60 days of receipt
of the application or the file will be closed.
(d) An applicant shall submit with his
application a head and shoulders photograph taken within the preceding 12
months.
(e) An applicant shall
cause the AAPC to send documentation that he is certified as a clinical member
of the AAPC and that his membership is in good standing.
(f) An applicant shall submit documentation
that he has been engaged in the full-time practice of clinical pastoral therapy
for at least five (5) years subsequent to that certification. Such
documentation shall include two (2) affidavits signed by certified mental
health professionals and notarized, attesting to the applicant's period of
service in full-time practice of pastoral therapy.
(g) An applicant shall submit evidence of
good moral character. Such evidence shall include at least two original letters
written within the preceding 12 months from professionals attesting to the
applicant's personal character and professional ethics. The letters must be
submitted on the signator's letterhead.
(h) An applicant, who has met all other
requirements upon being deemed eligible by the Board, shall be required to pass
the written and oral examination, pursuant to Rule 0450-03-.08.
(i) An applicant shall disclose the
circumstances surrounding any of the following:
1. Conviction of any criminal law violation
of any country, state, or municipality, except minor traffic
violations.
2. The denial of
certification application by any other state or the discipline of certification
in any state.
3. Loss or
restriction of certification.
4.
Any civil suit judgment or civil settlement in which the applicant was a party
defendant including, without limitation, actions involving malpractice, breach
of contract, antitrust activity, or any other civil action remedy recognized
under any country's or state's statutory, common, or case law.
(j) An applicant shall cause to be
submitted to the Board's administrative office directly from the vendor
identified in the Board's licensure application materials, the result of a
criminal background check.
(k) When
necessary, all documents required to be submitted shall be translated into
English and such translation certified along with the original document as to
authenticity by the issuing source.
(l) Personal resumes are not acceptable and
will not be reviewed.
(m)
Application review and licensure decisions shall be governed by Rule
0450-03-.07.
(3) Clinical Pastoral Therapist by Endorsement if Fellow or Diplomate of AAPC.
(a) An application packet shall be requested
from the Board's Administrative Officer. When submitted, the appropriate fees,
as required by Rule 0450-03-.06, shall be included.
(b) An applicant shall respond truthfully and
completely to every question or request for information contained in the form,
and submit it along with all documentation and fees required by the form and
this rule to the Board's Administrative Office. It is the intent of this Rule
that all steps necessary to accomplish the filing of the required documentation
be completed prior to filing an application and that all documentation be filed
simultaneously.
(c) Applications
for licensure will be accepted throughout the year and files which are
completed on or before the 30th day prior to the
meeting will ordinarily be processed at the next Board meeting scheduled for
the purpose of reviewing files. Supporting documents requested in these
instructions must be received in the Board's Office within 60 days of receipt
of the application or the file will be closed.
(d) An applicant shall submit with his
application a head and shoulders photograph taken within the preceding 12
months.
(e) It is the applicant's
responsibility to request the American Association of Pastoral Counselors to
send documentation that he is a fellow or diplomate in the association and that
his membership is in good standing.
(f) An applicant shall submit evidence of
good moral character. Such evidence shall include at least two original letters
written within the preceding 12 months from professionals attesting to the
applicant's personal character and professional ethics. The letters must be
submitted on the signator's letterhead.
(g) An applicant, who has met all other
requirements upon being deemed eligible by the Board, shall be required to pass
the written and oral examination, pursuant to Rule 0450-03-.08.
(h) An applicant shall disclose the
circumstances surrounding any of the following:
1. Conviction of any criminal law violation
of any country, state, or municipality, except minor traffic
violations.
2. The denial of
certification application by any other state or the discipline of certification
in any state.
3. Loss or
restriction of certification.
4.
Any civil suit judgment or civil settlement in which the applicant was a party
defendant including, without limitation, actions involving malpractice, breach
of contract, antitrust activity, or any other civil action remedy recognized
under any country's or state's statutory, common, or case law.
(i) An applicant shall cause to be
submitted to the Board's administrative office directly from the vendor
identified in the Board's licensure application materials, the result of a
criminal background check.
(j) When
necessary, all documents required to be submitted shall be translated into
English and such translation certified along with the original document as to
authenticity by the issuing source.
(k) Personal resumes are not acceptable and
will not be reviewed.
(l)
Application review and licensure decisions shall be governed by Rule
0450-03-.07.
(4) Clinical Pastoral Therapist by certain professional experience or by certification in certain other professions
(a)
An application packet shall be requested from the Board's Administrative
Officer.
(b) An applicant shall
respond truthfully and completely to every question or request for information
contained in the form and submit it along with all documentation and fees
required by the form and this rule to the Board's Administrative Office. It is
the intent of this rule that all steps necessary to accomplish the filing of
the required documentation be completed prior to filing an application and that
all documentation be filed simultaneously.
(c) Applications for licensure will be
accepted throughout the year and files which are completed on or before the
30th day prior to the meeting will ordinarily be
processed at the next Board meeting scheduled for the purpose of reviewing
files. Supporting documents requested in these instructions must be received in
the Board's Office within 60 days of receipt of the application or the file
will be closed.
(d) An applicant
shall submit with his application a head and shoulders photograph taken within
the preceding 12 months.
(e) An
applicant shall submit documentation of at least one (1) of the following:
1. Completion of educational requirements and
supervised counseling experience as required in subparagraph 0450-03-.04(3)
(b).
(i) It is the applicant's responsibility
to request a graduate transcript from his degree granting institution, pursuant
to T.C.A. §
63-22-203, be submitted directly
from the school to the Board's Administrative Office. The institution granting
the degree must be accredited, pursuant to T.C.A. §
63-22-201(10), at
the time the degree was granted. The transcript must show that the degree has
been conferred and carry the official seal of the institution and reference the
name under which the applicant has applied for licensure. The transcript must
show at least one hundred twenty (120) graduate semester hours, pursuant to
T.C.A. §
63-22-203(3)(A).
The educational requirements contained in this rule must be completed prior to
the date of application for licensure.
(ii) An applicant shall complete and submit
the worksheet form for reporting course work.
(iii) An applicant shall submit evidence of a
practicum consisting of at least one (1) unit of full-time clinical pastoral
education in a program accredited by the Association for Clinical Pastoral
Education.
(iv) An applicant shall
submit evidence of an internship consisting of at least two (2) years of
clinical pastoral therapy training in an approved training program.
(v) An applicant shall submit evidence of a
minimum of one thousand four hundred (1,400) hours of pastoral therapy with
individuals, couples, families and/or groups while receiving a minimum of two
hundred seventy (270) hours of supervision of such therapy with an approved
supervisor.
2. Active
status as a fellow or diplomate of AAPC and actively engaged in the practice of
pastoral psychotherapy for at least five (5) years prior to January 1, 2003 as
required in subparagraph 0450-03-.04(3) (c) - Such documentation shall include
two (2) affidavits signed by licensed or certified mental health professionals,
attesting to the applicant's practice of pastoral psychotherapy.
3. Completion of educational requirements,
licensure requirements, and clinical pastoral therapy experience as required in
subparagraph 0450-03-.04(3) (d).
(i)
Documentation of a graduate theological degree.
(ii) An applicant shall submit a copy of his
original Tennessee certificate or license as a psychologist designated as a
health service provider, a professional counselor designated as a mental health
service provider, a marital and family therapist, a clinical social worker, or
an alcohol and drug abuse counselor, or an applicant must submit a copy of his
renewal certificate.
(iii) An
applicant must submit documentation that he has been actively engaged in the
practice of clinical pastoral therapy for at least five (5) years prior to
January 1, 2003. Such documentation shall include two (2) affidavits signed by
certified mental health professionals, attesting to the applicant's period of
service as a clinical pastoral therapist or pastoral counselor.
(f) An applicant shall
submit evidence of good moral character. Such evidence shall include at least
two original letters within the preceding 12 months from professionals
attesting to the applicant's personal character and professional ethics. The
letters must be submitted on the signator's letterhead.
(g) An applicant shall disclose the
circumstances surrounding any of the following:
1. Conviction of any criminal law violation
of any country, state, or municipality, except minor traffic
violations.
2. The denial of
certification application by any other state or the discipline of certification
in any state.
3. Loss or
restriction of certification and/or licensure.
4. Any civil suit judgment or civil
settlement in which the applicant was a party defendant including, without
limitation, actions involving malpractice, breach of contract, antitrust
activity, or any other civil action remedy recognized under any country's or
state's statutory, common, or case law.
(h) An applicant shall cause to be submitted
to the Board's administrative office directly from the vendor identified in the
Board's licensure application materials, the result of a criminal background
check.
(i) When necessary, all
documents required to be submitted shall be translated into English and such
translation certified along with the original document as to authenticity by
the issuing source.
(j) Personal
resumes are not acceptable and will not be reviewed.
(k) Application review and licensure
decisions shall be governed by Rule 0450-03-.07.
Authority: T.C.A. §§ 4-5-202, 4-5-204, 63-22-102, 63-22-110, 63-22-201, 63-22-202, 63-22-203, 63-22205, and 63-22-206.
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