Get Application For Licensure As A Clinical Social ... - State Of Delaware

This guide provides a professional and supportive approach to filling out the Application for Licensure as a Clinical Social Worker in Delaware. It aims to assist users with step-by-step instructions for completing the form online, ensuring clarity and usability for individuals with varying levels of experience.

Follow the steps to complete your licensure application effectively.

1. Press the ‘Get Form’ button to access the application form and open it for editing.
2. Fill in your full name in the Applicant Name field. Ensure that your name matches the identification that you will provide.
3. Indicate whether you have contacted the Board of Clinical Social Work Examiners about potential supervisory contacts. Select 'Yes' or 'No' appropriately.
4. If you answered 'Yes' in the previous step, provide the date of your contact and the name of the person with whom you spoke.
5. Next, indicate if you have contacted Delaware State University’s Department of Social Work. Again, choose 'Yes' or 'No' and fill in any required additional fields if applicable.
6. Select whether you have searched for Licensed Clinical Social Workers in Delaware through the Division’s website. If 'Yes', enter the date accessed and any notable results.
7. Report if you have contacted local social service agencies. For each agency, provide the name, date of contact, and the person you spoke with.
8. Indicate whether you have contacted the Delaware Chapter of the National Association of Social Workers. Provide the date of contact and details of the conversation if applicable.
9. Indicate whether you have contacted the Association of Social Work Boards. Provide the relevant details similar to the previous steps.
10. If you have reviewed the telephone directory for Licensed Clinical Social Workers, provide the relevant contact details for each entry.
11. In the section for additional attempts, provide all pertinent contact attempts not covered in previous questions, including names, dates, and outcomes.
12. Complete the affidavit section by certifying the truthfulness of your information. Sign and date the form. Ensure you have the necessary notary signature.
13. After filling out all required sections, save your changes to the form. You can download, print, or share your completed application as necessary.

Complete your Application for Licensure online today and take a step towards your professional career.