Get Nc Verification Of Professional Counseling Experience 2014-2025

This guide provides a comprehensive overview for users looking to complete the NC Verification of Professional Counseling Experience form online. The process is designed to facilitate the verification of professional experience for LPCS applicants and those applying by endorsement.

Follow the steps to accurately complete the verification form for professional counseling experience.

1. Press the ‘Get Form’ button to access the NC Verification of Professional Counseling Experience form and open it in the editor.
2. Begin by clearly indicating the type of applicant by selecting the appropriate option—either LPC or LPCS, and fill in the corresponding LPC number.
3. Enter your name and LPC number in the designated fields, ensuring accuracy as this information is crucial for identification.
4. Provide the name of the person verifying the professional counseling experience along with their title, agency, license type, and license number.
5. Complete the mailing address, business phone, email address, and mobile phone of the verifying professional. Ensure these details are current to avoid any communication issues.
6. For the Professional Counseling Experience section, list the name of the agency where the professional experience occurred along with its address.
7. Indicate whether you have personal knowledge of the experience by selecting 'Yes' or 'No'.
8. Record the dates of professional counseling experience, specifying the start and end dates in month/day/year format.
9. Document the total number of hours of direct client contact, specifying whether the experience was full-time or part-time.
10. Sign and date the verification form, ensuring your signature is on the designated line and dated accurately.
11. Once completed, place the verification form in a sealed envelope and sign across the flap before mailing it to the NCBLPC Board Office.

Complete your NC Verification Of Professional Counseling Experience form online today to streamline your application process!