Get Associate Clinical Social Worker - Bbs Ca

This guide provides step-by-step instructions for effectively completing the ASSOCIATE CLINICAL SOCIAL WORKER application form required by the California Board of Behavioral Sciences. Follow these guidelines to ensure a smooth application process.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the ASSOCIATE CLINICAL SOCIAL WORKER application form and open it in your preferred editor.
2. Fill in the legal name section with your first, middle, and last names. Ensure that you use the correct spelling as it appears on your identification.
3. If applicable, provide any other names you have been known by, including the dates of use.
4. Enter your address of record. Make sure it is complete with the street address, city, state, and ZIP code.
5. Provide your business and residence telephone numbers and an optional email address.
6. Indicate your date of birth using the mm/dd/yyyy format.
7. Disclose your Social Security Number or Individual Taxpayer Identification Number, ensuring it matches the fingerprint forms.
8. Complete the education section by listing the name of the school, college, or university where you earned your qualifying degree.
9. Respond to the background questions truthfully; if you answer 'yes' to any, complete the relevant Background Statement form available on the Board’s website.
10. Attach a recent passport-quality photograph (approximately 2" x 2") taken within 60 days of your application.
11. Submit a $75.00 payment made payable to the Behavioral Sciences Fund along with your application, as this fee is non-refundable.
12. If applicable, complete the Live Scan fingerprinting requirements per the provided instructions, ensuring to submit the required form with your application.
13. After reviewing your completed application for accuracy, sign and date the form.
14. Once finalized, submit your application package to the designated address for the Board of Behavioral Sciences.
15. Remember to save changes and download, print, or share your application as needed for your records.

Complete your ASSOCIATE CLINICAL SOCIAL WORKER application online today!