- (a) All applicants for licensure shall pass the clinical level exam distributed by the Association of Social Work Boards (ASWB) and request the examination results to be sent directly to the OPLC.
(b) Applicants wishing to take the clinical level exam shall complete and submit to the OPLC a “Request To Sit For The Association of Social Work Boards Clinical Exam” form requiring the following information and documentation:
- (1) The applicant’s name as it appears on the photo ID to be used at the test site;
- (2) The applicant’s mailing address;
- (3) The applicant’s home or cell phone number;
- (4) The applicant’s e-mail address;
- (5) The applicant’s date of birth;
- (6) Yes or no to the question “I have an approved “Candidate for Licensure: Supervision Agreement” on file with the NH Board of Mental Health Practice;
- (7) Yes or no to the question “Pursuant to Mhp 304.03(d), I have completed at least 18 months of clinical supervision and have included a copy of the “Supervisor’s Confirmation of Clinical Experience Form – Clinical Mental Health Counselors, Marriage and Family Therapists, Licensed Independent Clinical Social Workers, Licensed Social Workers, Social Work Associates, Pastoral Psychotherapist, or School Social Workers” as described in Mhp 302.05(b)(2)a”.;
- (8) If the answer to (8) above is “yes”, the applicant will include a copy of the “Summary of Supervised Clinical Experience Form – Clinical Mental Health Counselors, Licensed Independent Clinical Social Workers, Licensed Social Workers, Social Work Associates, Pastoral Psychotherapist, or School Social Workers” described in Mhp 302.05(b)(1)a.; and
- (9) The applicant’s signature and date of signing.
- (d) Applicants for independent clinical social work licensure shall have worked under board approved supervision for at least 18 months prior to taking the examination.
Source. #10857, eff 6-24-15 (from Mhp 302.15); ss by #13786, eff 12-19-23 (See Revision Note at chapter heading for Mhp 300); ss by #14464, eff 2-17-26, EXPIRES 2-17-36