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  • Tx Supervised Work Experience Documentation Form 2011

Get Tx Supervised Work Experience Documentation Form 2011

SUPERVISED WORK EXPERIENCE DOCUMENTATION FORM Complete a separate form for each job title the CI held, and submit with a copy of the intern s job description to: Texas Department of State Health Services.

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How to fill out the TX Supervised Work Experience Documentation Form online

Completing the TX Supervised Work Experience Documentation Form is essential for documenting your supervised work experience accurately. This guide will provide you with a clear and detailed process to fill out the form online, ensuring that all necessary information is captured correctly.

Follow the steps to fill out the form effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in the editing tool.
  2. Begin by entering your Counselor Intern information. Complete the fields for your name, social security number, and mailing address (including city, state, and ZIP code). Be accurate to ensure your information is correctly reflected.
  3. Fill in your Counselor Intern Registration effective date and expiration date. Ensure these dates are within your supervised work period.
  4. Provide the CTI site information. Enter the headquarters name and CTI number, followed by the site name and telephone number. Include the site address, city, state, and ZIP code.
  5. In the training information section, specify the dates of service, hours per week worked, and job title during this timeframe. Remember to attach a copy of the CTI job description for the job title.
  6. Report the total clock hours in KSA domains during the claimed period, excluding holidays and other non-working days.
  7. Address the qualified credentialed counselor information. Indicate if you provided direct supervision to the intern and disclose any concerns regarding the intern's licensing potential.
  8. Complete the signature fields, including printing your name, LCDC number, and any other credentials. Affix your signature and date of signing.
  9. Have the CTI coordinator attest to the completion of hours by signing and dating the bottom of the form, ensuring they include their LCDC number and other credentials as needed.
  10. After filling out all sections, save the form to secure your changes. You may also download, print, or share the completed form as necessary.

Complete your TX Supervised Work Experience Documentation Form online today to ensure a smooth documentation process.

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The process to obtain an LCDC license in Texas often takes between one to two years. This timeline includes the necessary education, supervised work hours, and completion of licensing exams. To streamline your progress, use the TX Supervised Work Experience Documentation Form to ensure you meet all requirements and track your advancement.

LCDC interns in Texas can expect to earn varying salaries, typically ranging from $30,000 to $50,000 annually depending on their location and experience level. Many interns gain valuable experience while building their professional networks during this phase. Utilizing the TX Supervised Work Experience Documentation Form can help track your progress and contributions, making you more marketable.

An LCDC intern in Texas can be supervised by either a Licensed Chemical Dependency Counselor or a qualified mental health professional. Supervisors must meet specific licensing requirements, ensuring they are well-equipped to provide guidance. Documenting your supervision progress using the TX Supervised Work Experience Documentation Form can enhance your learning experience.

Yes, obtaining a Licensed Chemical Dependency Counselor (LCDC) credential in Texas requires a degree. Typically, candidates must have at least a bachelor's degree in a related field. Always ensure you are completing the necessary forms, including the TX Supervised Work Experience Documentation Form, during your educational journey.

An LPC associate in Texas can be supervised by a Licensed Professional Counselor who has been approved as a supervisor. This supervisor needs to have specific credentials and experience in the field. Keep track of the supervision details with the TX Supervised Work Experience Documentation Form for better organization and compliance.

In Texas, a Licensed Professional Counselor (LPC) supervisor can supervise up to six interns at any given time. This ratio helps maintain quality supervision and support for each intern. Make sure to document your supervision sessions properly using the TX Supervised Work Experience Documentation Form for official records.

Yes, Licensed Chemical Dependency Counselors (LCDC) can operate a private practice in Texas. However, they must adhere to specific state regulations and ensure they maintain appropriate credentials. Utilizing the TX Supervised Work Experience Documentation Form can be crucial for maintaining compliance throughout your practice.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
TX Supervised Work Experience Documentation Form
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