SECTION 86:21-11-10. Re-application for voided application for failure to complete supervised experience

(a)   Re-application after application is voided for failure to complete the supervised experience requirement within sixty (60) months as described in Subchapter 310:403-15-2(e)(3) shall include the following documents:

(1)   Application form,

(2)   Official transcripts, mailed from the university,

(3)   Document of recommendation forms,

(4)   Supervision Agreement form,

(5)   Statement of Professional Disclosure form,

(6)   New Application Fee,

(7)   On-Site Supervisor Verification Form, and

(8)   Two (2) classifiable sets of fingerprints.

(b)   Applicant shall re-take two examinations:

(1)   The Practitioner's Examination of Psychological Knowledge or another equivalent examination as determined by the Department; and

(2)   The LBP State Standards Test.

(c)   Internship Documentation Form may carry over to a new application

(d)   All previously submitted and approved Supervised Experience shall be voided with prior application and shall not carry over to a new application.

(e)   Applicant shall obtain approved supervision until the exams are taken and passed and/or the supervision requirement is complete as described in Subchapter 310:403-15-2(e)(2).

[Source: Transferred from 310:403-11-10 by Laws 2013, c. 229, § 3(F), eff 11-1-13 (see Editor’s Note at beginning of this Chapter)]