(a)

1. (1) Since Arkansas Code § 17-97-101 et seq., is a generic licensure law and does not involve specialty licensure in the State of Arkansas, a statement of intent must accompany each application for licensure.
2. (2) This document is used by the Arkansas Psychology Board to define and limit the applicant's practice of psychology to those areas in which the applicant has academic training and supervised experience, as per the Ethical Principles of Psychologists and Code of Conduct of the American Psychological Association.

(b) The statement of intent shall reflect the proposed:

1. (1) Application of skills and abilities in the practice of psychology;
2. (2) Populations to be served;
3. (3) Settings in which services will be rendered; and
4. (4) Specific professional limitations.

(c) Independent practice privileges within each area listed on the statement of intent require a minimum of:

1. (1) Completion of a three (3) semester hour (or equivalent quarter hour) didactic course, or equivalent instruction, in the relevant area;
2. (2) Documented evidence of supervised experience in the area;
3. (3) Documentation by a supervisor of that applicant showing entry-level competence in that area; and

4. (4) Supervised practice privileges, which includes:

   1. (A) Completion of a three (3) semester hour didactic course, or equivalent; and
   2. (B) Supervised experience in that area of practice.