Get Casomb Application

This guide provides you with clear, step-by-step instructions on how to complete the Casomb Application online. By following these instructions, you can ensure that your application is filled out correctly and submitted without issues.

Follow the steps to fill out the Casomb Application correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your personal information, including your last name, first name, middle initial, physical address, mailing address, telephone number, social security number, email, and gender. Ensure that all fields are completed accurately.
3. Indicate if you have ever been known by any other names and list those if applicable. Additionally, provide details about any languages you speak fluently.
4. In the education section, list the highest level of education you have completed, including the institution's name, course of study, degree obtained, and the date completed.
5. Complete the licensure section by listing any mental health certifications, licenses, or registrations that are relevant to the certification criteria.
6. Answer the personal data questions honestly and provide supporting documentation if any responses are 'Yes'. Remember that this does not automatically disqualify you from the application.
7. In the experience section, document your professional experience providing direct treatment services to sex offenders, ensuring to include the details of your employment, job title, setting, duties, client population, and total hours of experience.
8. Proceed to the training section where you must list core topic training and educational experiences that establish your qualifications, indicating the training hours you have completed.
9. Fill in the supervision requirements, ensuring to include details on who will provide the necessary supervision and how it will be conducted.
10. Sign the applican's attestation by typing your name, certifying that all information is true and complete, and include the date.
11. Once all sections are completed, review the entire application for accuracy, save a copy, and then send it electronically to the CASOMB Certification Unit by clicking the appropriate button at the end of the application.

Complete your Casomb Application online today and take the first step towards certification.