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  • Revised 06/12 State Board Of Social Workers, Marriage ...

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L APPLICATION FOR A LICENSE BY EXAMINATION TO PRACTICE MARRIAGE AND FAMILY THERAPY QUALIFICATIONS 1. Application fee- $45.00 and is non-refundable. Check/money order should be made payable to Commonwealth of PA . A processing fee of $20.00 will be charged for any check or money order returned unpaid by your bank, regardless of the reason for nonpayment. If the application process has not been completed within one year from the date it was received, applicants will be required to submit.

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How to fill out the Revised 06/12 State Board of Social Workers, Marriage and Family Therapists application online

This guide provides a comprehensive overview of how to effectively complete the Revised 06/12 application for licensure by examination to practice marriage and family therapy. By following these instructions, you will navigate the required sections with clarity and confidence.

Follow the steps to complete your application with ease.

  1. Click the ‘Get Form’ button to obtain the application and open it in your editor of choice.
  2. Begin filling out your personal information in the application, including your name, address, social security number, and date of birth. Ensure that all details are accurate and up to date.
  3. Complete the education section by providing the name of the accredited institution where you obtained your degree, the type of degree, and your graduation date.
  4. In the clinical experience section, enter the total number of hours of supervised experience you have completed, as well as the details about your supervisor. This includes their qualifications and the settings in which your experience was gained.
  5. Address any prior licenses or certifications you have held, answering the relevant questions about disciplinary actions or criminal charges. Be honest and thorough, providing additional details as necessary.
  6. Include your recommendations from two licensed marriage and family therapists or other health care professionals. Ensure these are properly signed and dated.
  7. Once all sections are filled out, review the application for accuracy. Save any changes made.
  8. Submit any necessary supporting documents, including official transcripts, letters of good standing from other states, and documentation of any name changes, if applicable.
  9. Lastly, save a copy of your completed application for your records. Print it if a physical copy is required for submission.

Begin your application process online today to move forward in your professional journey.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232