Get Nc Lcsw Short-form Application 2024-2025
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How to fill out the NC LCSW Short-Form Application online
The NC LCSW Short-Form Application is a crucial step for associate licensees seeking to obtain their Licensed Clinical Social Worker license in North Carolina. This guide will provide clear, step-by-step instructions to help you successfully complete the application form online.
Follow the steps to complete your application with ease.
- Click ‘Get Form’ button to access the application. This will allow you to obtain the form and review its sections in one streamlined location.
- Begin with Part I: Affirmation and Signature. You need to affirm that you have completed the necessary 3,000 hours of paid supervised clinical experience over a period of no less than 2 years or more than 6 years. Document your start date of supervised clinical practice in the designated space.
- Indicate the number of clinical supervision hours completed. You should separate the hours into categories: individual and group supervision, ensuring to attach the final six-month review form.
- Provide the date on which you passed the ASWB clinical level exam. Make sure this date is accurately recorded.
- Document your continuing education hours, ensuring you meet the requirement of at least 40 hours within a two-year licensing period, including at least 4 hours focusing on ethics in social work practice.
- Affirm that your information is accurate by signing and dating the form at the indicated sections. Ensure your LCSW supervisor also signs off their recommendation for continued supervised clinical practice or for licensure.
- Complete Part II: Continuing Education Log. List all training attended, indicating the date, course title, and whether the course was completed via distance learning or covered ethics. Total your hours at the end of this section.
- Finally, complete the Public Notice Statement, certifying that you understand the requirements for employee misclassification, checking the appropriate box, and adding your printed name, signature, and date.
- Once all sections are filled out, review your application for accuracy. Save your changes, and then you can download, print, or share the form as needed.
Complete your NC LCSW Short-Form Application online today to advance your career.
You can gain clinical hours for your LCSW by working in settings like hospitals, community organizations, or private practices. Internships and volunteer opportunities also provide valuable experiences while building your hours. Networking with licensed social workers can open doors to various supervision opportunities. Leverage the resources found in the NC LCSW Short-Form Application to identify potential sites.
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