Get Mft Experience Verification 37a-301a. Mft Experience Verification 37a-301a

The MFT Experience Verification 37A-301a form is essential for applicants seeking licensure as marriage and family therapists in California. Filling out this form accurately is critical for verifying your experience and ensuring a smooth licensing process.

Follow the steps to complete the MFT Experience Verification form online.

1. Press the ‘Get Form’ button to access the MFT Experience Verification 37A-301a form and open it in your preferred online editor.
2. Begin by filling in your personal details in the 'Applicant Name' section, including your last name, first name, and middle name. Also, provide your Associate or Intern number.
3. In the 'Supervisor Information' section, input your supervisor’s last name, first name, and middle name. Include their business phone number and optional email address, as well as their license type, license number, and state.
4. Address the questions regarding your supervisor's qualifications and certifications, such as whether they were certified in Psychiatry or met qualifications to treat couples and families.
5. Next, provide your employer's information, including the name, business phone, and address. Ensure that the setting where your experience was gained is accurately described.
6. In the 'Experience Information' section, specify the dates of experience being claimed by entering the start and end dates in the provided format.
7. Indicate the total weeks of supervised experience you are claiming, and log the hours in the respective sections for direct counseling experience and non-clinical experience.
8. Finally, ensure that all information is accurate, sign the form in the designated area, and enter the date of signing. Make sure to have your supervisor initial any changes made.
9. Save your changes, and proceed to download, print, or share the completed form as needed.

Complete your MFT Experience Verification 37A-301a online today to advance your licensure application.