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  • Wi Form 634 2015

Get Wi Form 634 2015

Wisconsin Department of Safety and Professional Services Mail To: P.O. Box 8935 FAX #: Phone #: Madison, WI 53708-8935 (608) 261-7083 (608) 266-2112 1400 E. Washington Avenue Madison, WI 53703 E-Mail:.

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How to fill out the WI Form 634 online

Filling out the WI Form 634 online is an essential step for those seeking to obtain a license to practice psychology in Wisconsin. This comprehensive guide will provide you with clear, step-by-step instructions to successfully complete the form and initiate your application process.

Follow the steps to complete the WI Form 634 online

  1. Click the ‘Get Form’ button to retrieve the application form and open it in your designated online editor.
  2. Begin by filling in your personal information including your last name, first name, middle initial, address, and contact details. Make sure to enter your daytime phone number and email address clearly.
  3. Specify your ethnicity and gender status if you choose to do so, although it is optional.
  4. Indicate if you have been previously licensed in Wisconsin and provide details of your credential number if applicable.
  5. Proceed to the application fee section, checking the appropriate boxes for your application type (Exam, Reciprocal, or Senior Psychologist). Ensure the total fee amount is correctly calculated and attached.
  6. Complete the education section by detailing your doctoral degree information, including the date received, the educational institution, and the major. Mark if the institution is regionally accredited.
  7. In the experience and practice section, describe your current employment, detailing your duties and the name and address of your supervisor.
  8. Answer all questions regarding disciplinary actions, medical conditions, or license status accurately. Attach additional sheets if necessary to provide complete details.
  9. Review the certification of legal status and continue your duty of disclosure, ensuring you understand your obligations as an applicant.
  10. Finally, sign and date the application to affirm the truthfulness of the information provided. Save your completed form and ensure all required documents are attached.
  11. After completion, you can save the changes, download the form, print a copy, or share it with the necessary parties for submission.

Start filling out your WI Form 634 online today to begin your journey towards licensure.

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WI Form 634
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2022 WI Form 634
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  • 2022 WI Form 634
  • 2021 WI Form 634
  • 2017 WI Form 634
  • 2015 WI Form 634
  • 07/24/12 #634 Application For License To Practice Psychology - Dsps Wi
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