Get Application For Professional Certification - Azbbhe

This guide provides a detailed overview of the steps needed to complete the APPLICATION FOR PROFESSIONAL CERTIFICATION - Azbbhe online. It will help users navigate each section of the form with clarity and confidence.

Follow the steps to successfully fill out the certification application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Part I. Personal Information: Fill in your legal name, date of birth, and social security number. Select your gender and provide additional names or aliases if applicable. Enter your contact information, including home and business addresses, and phone numbers.
3. Proceed to Part II. Legal Residency: Indicate your citizenship status by selecting the appropriate box and attaching required proof of documentation.
4. Move on to Part III. Background Questionnaire: Respond to each question honestly. If you answer 'YES' to any questions, provide a full explanation in the space provided.
5. In Part IV. Employment History: List your employment since submitting your previous application. Ensure to include details such as job title, employment dates, agency name, and a description of your duties.
6. Continue to Part V. Verification of Supervised Work Experience: Complete the necessary sections, sign where indicated, and ensure your supervisor does the same, including notarization.
7. For Part VI. Clinical Supervision, document your clinical supervision hours and ensure all requirements are met. Complete the exemption request if necessary.
8. In Part VIII. Exam Information: Indicate if you have previously passed the required examination and submit supporting documentation if applicable.
9. Complete Part IX. Federal Data Bank Self-Query: Attach a self-query from the National Practitioner Data Bank dated within the required timeframe.
10. Fill out Part X. Professional Credentials: List all relevant licenses and certifications, ensuring to attach verifications.
11. Final section, Part XI. Certifying Statement: Review all information for accuracy, then sign and date the application before notarization.
12. Once completed, save your changes, download or print the form, and follow up with submission instructions.

Complete your application online today for a smoother certification process.