Get Tx Supervised Experience Documentation Upgrade Form 2019-2026

The TX Supervised Experience Documentation Upgrade Form is critical for individuals seeking to upgrade their temporary licensure to full licensure as a professional counselor in Texas. This guide will walk you through the process of filling out the form online step-by-step.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the TX Supervised Experience Documentation Upgrade Form and open it in the designated editor.
2. Begin by confirming your intention for the upgrade by marking the corresponding box for 'Yes' or 'No' regarding your application for full licensure. Ensure all information is accurate.
3. Provide your intern's name in the sections labeled for last, first, and middle names. Under the intern’s social security number, enter the complete number format as required.
4. Fill in your intern license number and date of birth accordingly. Respond to all yes/no questions prompting disclosure of any legal or professional history by selecting 'Yes' or 'No'. If you answer 'Yes' to any questions, attach an explanatory statement along with certified court documents.
5. Move to Section A and enter the information of your board-approved supervisor accurately including their name, license number, date issued, email, expiration date, and phone number.
6. In Section B, include the total number of indirect and direct counseling hours, as well as the total supervised experience hours. Ensure that the responses align with Texas regulations regarding supervision.
7. Complete Section C by confirming whether your supervisor recommends you for licensure without reservations. If there are any reservations, summarize the conditions and attach required documentation.
8. Finally, ensure that all sections are filled, review for accuracy, and provide signatures for both the intern and the supervisor. Save the changes, and choose to download, print, or share the completed form as necessary.

Complete and submit your TX Supervised Experience Documentation Upgrade Form online today to achieve your full licensure.