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STATE OF CALIFORNIA BUSINESS, CONSUMER SERVICES AND HOUSING AGENCYGavin Newsom, GovernorBoard of Behavioral Sciences1625 North Market Blvd., Suite S200, Sacramento, CA 95834 (916) 5747830 www.bbs.ca.govLICENSED.

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How to fill out the Application For Licensure And Examination (IN-STATE) - BBS online

Filling out the Application For Licensure And Examination (IN-STATE) - BBS online can be straightforward with the right guidance. This comprehensive guide will walk you through each step to ensure that your application is completed accurately and efficiently.

Follow the steps to successfully complete your application.

  1. Press the ‘Get Form’ button to access the form and open it in your online editor.
  2. Begin by entering your name in the designated fields, including your last name, first name, and middle name.
  3. Indicate whether the hours reported were earned pre-degree or post-degree by selecting the appropriate option.
  4. Fill out the supervisor information, including name, business phone, email address, license type, and license number.
  5. Provide details regarding your employer, including the employer's name, address, and business phone number.
  6. Respond to the questions regarding your experience. Indicate if the experience was gained in a lawful mental health setting and if it was in a private practice.
  7. Input the dates of your experience being claimed, including the start date and end date.
  8. Specify the total weeks of supervised experience and logged hours. Ensure that you differentiate between direct counseling and non-clinical experiences.
  9. Review all entered information for accuracy. Ensure all fields are completed and correct prior to signing.
  10. Obtain the supervisor's signature and date, ensuring that they initial any changes made to the form.
  11. Finally, save your changes, download a copy of the form, or choose to print and share it as needed.

Complete your Application For Licensure And Examination (IN-STATE) - BBS online today.

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Application For Licensure And Examination (IN-STATE) - BBS
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2023 CA BBS 37A-301
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