SECTION 86:16-7-2. Application procedures  


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  • (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.
[Source: 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)]