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Get Tx Supervised Work Experience Documentation Form 2011
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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.
- Click ‘Get Form’ button to obtain the form and open it in the editing tool.
- 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.
- Fill in your Counselor Intern Registration effective date and expiration date. Ensure these dates are within your supervised work period.
- 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.
- 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.
- Report the total clock hours in KSA domains during the claimed period, excluding holidays and other non-working days.
- 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.
- Complete the signature fields, including printing your name, LCDC number, and any other credentials. Affix your signature and date of signing.
- 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.
- 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.
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