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Get Nc Lcsw Short-form Application 2014-2025
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How to fill out the NC LCSW Short-Form Application online
Filling out the NC LCSW Short-Form Application online is an essential step for LCSW Associates seeking licensure in North Carolina. This guide provides clear instructions for each section of the form, ensuring you understand how to complete it accurately and efficiently.
Follow the steps to complete your application effortlessly.
- Click the ‘Get Form’ button to obtain the application and open it in an online editor.
- Begin with Part I, where you will affirm that you have completed the required clinical experience and have passed the ASWB Clinical exam. Enter the date of your exam.
- Document your 3000 hours of paid supervised clinical experience, ensuring it spans between 2 to 6 years, along with your minimum of 100 hours of clinical supervision.
- Provide information about your continuing education, indicating the required 40 hours per two-year period, with at least 4 hours focused on ethics. Refer to Part II CE log for details on your continuing education credits.
- Confirm your compliance with the North Carolina General Statute GS § 90B and other ethical guidelines by acknowledging each statement in the affirmation section.
- Fill in your personal details, including your full name, LCSWA license number, home and work addresses, and contact numbers.
- Ensure to get the required signatures: your own, your LCSW supervisor's signature, and the date signed.
- Indicate whether your supervisor recommends you for continued supervised clinical practice or for LCSW licensure by checking the appropriate box.
- Complete Part II by logging your continuing education hours, ensuring to include dates attended and indicating if some training was via distance learning.
- Calculate the total hours of continuing education and provide your printed name, signature, and license number. Ensure all attachments are signed and dated.
- Review all entries for accuracy before submitting. You may choose to save changes, download, print, or share your completed application.
Start your application process online today to ensure a smooth submission.
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