Get Application For Licensure To Practice Psychology In Indiana - In

Filling out the application for licensure to practice psychology in Indiana is a crucial step in your professional journey. This guide provides comprehensive, user-friendly instructions to help you complete the application accurately and efficiently online.

Follow the steps to successfully complete your application online.

1. Click the ‘Get Form’ button to access the application and open it in your preferred online document editor.
2. Begin by entering your personal details in the 'Applicant Information' section. This includes your name, Social Security number, home address, contact information, and place of birth. Ensure all information is accurate and clearly legible.
3. Indicate whether you are applying for licensure by examination or endorsement, and specify if you desire a temporary license.
4. Complete the 'Graduate Education (Doctoral)' section by providing information about your educational history. Include the name of the school, program title, attendance dates, and whether your program was APA approved.
5. Fill in details regarding any predoc internship you completed. Include the name, address, and total hours worked during the internship, and state whether it was APPIC or APA approved.
6. Proceed to the 'Post Doctoral Education' and 'Post Doctoral Internship/Fellowship' sections, providing similar details for any additional training you have received.
7. In the 'Claimed Areas of Competence' section, check the applicable areas of your professional identity based on your doctoral training.
8. List any licenses, certificates, or registrations you hold in any regulated health occupations, including details of the license type, state, status, and issuance date.
9. Answer the questions regarding your examination history and previous applications for licensure in Indiana.
10. Document your past employment experiences in the designated section, including job titles, responsibilities, and duration of employment for the past ten years.
11. Complete the 'Coursework Information' section by listing relevant graduate coursework in required content areas as outlined. Include course numbers, titles, and credit hours.
12. Answer any applicable questions about disciplinary actions or legal issues related to your professional history. Provide explanations where necessary.
13. Affirm the truthfulness of your application by signing and dating the ‘Application Affirmation’ section.
14. Authorize the release of your information by completing the ‘Authorization for Release of Information’ section, ensuring you understand the implications of this authorization.
15. Once all sections are completed, review your application thoroughly for accuracy. Save your changes, then download or print the completed application for submission.

Begin your application for licensure to practice psychology in Indiana online today!