Get Mi Supervisors Verification Of Social Work Experience For Masters Worker License 2021-2025

Filling out the MI Supervisors Verification Of Social Work Experience form online is an essential step for individuals seeking to obtain a master’s social worker license. This guide provides clear instructions to help you navigate the process with confidence.

Follow the steps to complete the form accurately

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the applicant's legal name in the designated field. Ensure you provide your first, middle, and last name clearly.
3. Enter your 10-digit MI permanent ID or license number. This number is critical for identifying your application within the licensing system.
4. Provide the name of your place of employment. This should be the organization where you gained your social work experience.
5. Select the social work function applicable to your experience by checking either 'Clinical' or 'Macro.' This indicates the area of social work in which you have experience.
6. Fill in the address of your place of employment, including city, state, and zip code. Make sure each field is completed.
7. Input the supervisor’s name, including their first, middle, and last name. This person should be a Michigan licensed master's social worker.
8. Enter the registration, license, or credential number of the supervisor, along with their level of licensure or certification at the time of supervision.
9. Record the date the supervisor's license was issued, as well as the issuing jurisdiction or organization.
10. In the certification and signature section, ensure the supervisor reviews their endorsement requirement. They need to confirm if they have served in this role for more than or less than 10 years and provide the required statements.
11. The supervisor must certify the total hours of social work experience completed by the applicant, along with the start and end dates of this experience.
12. Finally, the supervisor should sign and provide their title along with the date of completion. Review all entries for accuracy before finalizing.
13. Once completed, you can save changes, download, print, or share the form as necessary.

Start filing your document online today to streamline your licensing process.