N OF PAID CLINICAL EXPERIENCE (PCE) or REQUIRED PROFESSIONAL EXPERIENCE (RPE) INSTRUCTIONS This Form is to be completed at the end of the PCE or RPE. PCE or RPE Fellow should complete Parts I and III. PCE or RPE Supervisor must complete Parts II and III. AUD graduates Jan. 1, 2007 and after must complete Part IV only. Submit this form and documents to the Board office within14 days from the completion of the PCE or RPE. PART I PCE or RPE FELLOW/APPLICANT FOR LICENSURE PER.
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How to fill out the Pce Form online
Filling out the PCE Form is a crucial step in documenting your clinical experience for licensure. This guide will walk you through each section and field of the form, ensuring a clear and effective completion process.
Follow the steps to successfully complete the PCE Form online.
- Click ‘Get Form’ button to obtain the PCE Form and open it in the editor.
- Begin by completing Part I, which includes personal information such as your name, address, date of birth, and social security number. Ensure that all information is accurate and up to date.
- Fill in the clinical employment section, providing details about your employment address, the name of the facility, and the dates of your PCE or RPE.
- Proceed to Part II where your supervisor must provide their information, including name, employment address, and current licensure status in Georgia. The supervisor will also evaluate your abilities in various areas.
- In Part III, both the applicant and supervisor must provide their signatures. Make sure to follow the instructions regarding notarization.
- If applicable, complete Part IV for AUD verification, including additional signature requirements and notarization.
- Once all sections are completed, review the form for accuracy. You can then save changes, download, print, or share the form as needed.
Remember to complete your PCE Form online and submit it to the Board office within 14 days after finishing your clinical experience.
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