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Hone: (916) 574-7830 TTY: (800) 326-2297 www.bbs.ca.gov LICENSED MARRIAGE AND FAMILY THERAPIST IN-STATE EXPERIENCE VERIFICATION OPTION 1 NEW STREAMLINED METHOD This form is to be completed by the applicant s California supervisor and submitted by the applicant with his or her Application for Licensure and Examination. All information on this form is subject to verification. Use this Option 1 form to report hours under the NEW streamlined method Use.

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How to fill out the CA BBS 37A-301 online

Filling out the CA BBS 37A-301 form is an essential step in verifying your experience as a licensed marriage and family therapist in California. This guide will walk you through each section of the form, ensuring you complete it accurately and efficiently.

Follow the steps to fill out the CA BBS 37A-301 form with ease

  1. Click the ‘Get Form’ button to acquire the form and access it for filling out.
  2. Begin by indicating whether the hours reported were earned pre-degree or post-degree by marking the appropriate box.
  3. Enter your personal information, including your last name, first name, middle name, and intern number.
  4. Provide the supervisor's details by filling in their last name, first name, middle name, business phone, email address (optional), license type, license number, state, and date first licensed.
  5. Answer the questions regarding the supervisor's qualifications and the applicant’s experience accurately, providing details as required.
  6. Fill in the applicant’s employer information, detailing the business name, address, and phone number.
  7. Respond to questions regarding the nature of the experience gained, ensuring to check 'Yes' or 'No' accordingly.
  8. Document the dates of experience being claimed, the total weeks, and hours of experience accurately.
  9. Indicate the total direct counseling experience, specifying how many hours were spent diagnosing and treating couples, families, and children.
  10. Complete the non-clinical experience section, specifying how many hours were logged in individual and group supervision.
  11. Finally, ensure the supervisor signs and dates the form, and check for any necessary attachments that might be required, such as W-2 statements or a letter verifying volunteer status.
  12. After completing the form, save your changes or download the document as needed for your records.

Start filling out your CA BBS 37A-301 form online today!

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CA BBS 37A-301
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2023 CA BBS 37A-301
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  • Application For Licensure And Examination (IN-STATE) - BBS
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