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1. Click the ‘Get Form’ button to access the document and open it in the designated online editor.
2. Begin by entering your legal name. You will need to provide your last name, first name, and middle name, ensuring accurate spelling.
3. Next, specify your public address including city, state, and zip code. This address will be used for public inquiries.
4. Provide your public phone number and email address to ensure the Board can contact you regarding your application.
5. Indicate your date of birth in the format mm/dd/yyyy to verify your identity.
6. Complete the educational background section by entering the degree upon which this application is based along with the granting institution's name.
7. For applicants with a non-APA accredited degree, proceed to fill out Section B, detailing core course requirements and applied psychology course requirements.
8. If necessary, complete the supervisor qualifications section, providing details of your supervised experiences, including the supervisor's name and license information.
9. Review all completed sections for accuracy before submitting the form. Ensure that all supporting documentation is included if required.
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