Get For Board Use Only Date Fee $550

This guide will provide you with clear instructions on how to complete the FOR BOARD USE ONLY DATE FEE $550 form online. Filling out this form is an essential step in the process of licensure as a psychologist in Minnesota. By following these steps, you can ensure that your application is submitted correctly.

Follow the steps to complete your application for licensure online.

1. Click the ‘Get Form’ button to access the FOR BOARD USE ONLY DATE FEE $550 form online.
2. Fill in the DATE section at the top of the form with the current date. This information is crucial for processing your application.
3. Enter the FEE section with the amount of $550. Ensure this matches the required application fee to avoid delays.
4. In the APPLICATION FOR LICENSURE section, provide your LEGAL NAME in the designated fields, including last, first, and middle names.
5. Specify the degree on which your licensure is based in SECTION A, and include the date the degree was granted.
6. Complete the areas for the EPPP if applicable, stating the state where the examination was taken and the date it was passed, or indicate if the EPPP has not been taken.
7. In the AREAS OF COMPETENCE section, describe your specific psychological services or techniques and the populations you are competent to serve.
8. Proceed to SECTION B and answer all questions truthfully regarding your licensure, disciplinary actions, or criminal history.
9. Complete SECTION C by identifying your field(s) of practice and ensuring that you have listed at least one.
10. Provide details about your endorsements, listing at least two individuals who can verify your qualifications for licensure.
11. For each post-degree employment listed, detail the place of employment, period of employment, primary supervisor, and nature of employment.
12. Finalize by signing the application, ensuring to have your signature notarized as required.
13. After completing the form, save your changes, and download a copy for your records. You may also choose to print or share the completed application as necessary.

Begin your application process by completing the FOR BOARD USE ONLY DATE FEE $550 form online today.