Psychology, Board of

Psychology, Board of

Chapter 4: Application Procedures

Effective Date: 05/13/2021 to 01/30/2023

Rule Type: Superceded Rules & Regulations

Reference Number: 068.0001.4.05132021

CHAPTER 4

APPLICATION PROCEDURES

Section 1. Psychologist License Application Requirements.

(a) Regular. Applicants for a regular license that do not meet the requirements for a license by endorsement shall submit the following:

(i) A completed application form as provided by the Board;

(ii) Official transcripts from each college or university attended sent directly to the Board by the respective college or university;

(iii) Official verification of EPPP exam scores sent directly to the Board from the exam administrator;

(iv) Supervised Pre-Doctoral Experience Verification form as provided by the Board documenting the nature of the supervised experiences and sent directly to the Board by the doctoral program training director;

(v) Supervised Pre-doctoral Internship Experience verification form as provided by the Board documenting the nature of the supervised experiences and sent directly to the Board by the internship supervisor or institution or site;

(vi) Supervised Post-Doctoral Work Experience Verification form as provided by the Board documenting the nature of the supervised experiences and sent directly to the Board by the supervisor, if required;

(vii) License and certification verification from all other states where the applicant has been or is currently licensed or certified in any profession sent directly to the Board by the appropriate regulatory body;

(viii) All appropriate fees; and

(ix) Proof of Lawful Presence in the United States.

(b) Temporary. A temporary license is non-renewable and limited to two (2) per applicant. Every applicant for temporary licensure shall submit:

(i) A completed application form as provided by the Board;

(ii) License verification from a state where the applicant is currently licensed, sent directly to the Board by the appropriate regulatory body;

(iii) All appropriate fees; and (iv) Proof of Lawful Presence in the United States. (c) Endorsement. Applicants for a license by endorsement shall submit: (i) A completed application form as provided by the Board; (ii) License and certification verification from all other states where the applicant has been or is currently licensed or certified in any profession sent directly to the Board by the appropriate regulatory body; (iii) All appropriate fees; and (iv) Proof of Lawful Presence in the United States.

Section 2. Certificate.

(a) Psychological Practitioner. Every applicant for certification must submit: (i) A completed application form as provided by the Board; (ii) Official transcripts from each college or university attended sent directly to the Board by the respective college or university; (iii) Official verification of EPPP exam scores sent directly to the Board from the exam administrator; (iv) Supervised Practicum or Internship Verification form as provided by the Board documenting the nature of the supervised experiences and sent directly to the Board by the practicum or internship supervisor or institution or site; (v) If applicable, Supervised Post-Degree Work Experience form as provided by the Board and sent directly to the Board by the supervisor; (vi) License and certification verification from all other states where the applicant has been or is currently licensed or certified in any profession sent directly to the Board by the appropriate regulatory body; (vii) All appropriate fees; and (viii) Proof of Lawful Presence in the United States. (b) Specialist in School Psychology. Every applicant for certification must submit: (i) A completed application form as provided by the Board;

(ii) All appropriate fees;

(iii) Official transcripts from each college or university attended sent directly to the Board by the respective college or university;

(iv) Supervised Internship Experience verification form as provided by the Board documenting the nature of the supervised experiences and providing the names and addresses of supervisors sent directly to the Board by the internship supervisor or institution or site;

(v) Official verification of NSPE exam scores sent directly to the Board from the exam administrator;

(vi) Official verification of certification as a school psychologist to practice in the public schools by the Professional Teachers Standards Board sent directly to the Board by the Department board;

(vii) License and certification verification from all other states where the applicant has been or is currently licensed or certified in any profession sent directly to the Board by the appropriate regulatory body; and

(viii) Proof of Lawful Presence in the United States.

Section 3. Issuance of Licenses and Certificates. The Board shall issue a wall document to each successful applicant bearing the full name of the holder, discipline designation, license or certification number, date of issuance, expiration date, and appropriate seal. Upon request and payment of duplicate fee, a second wall document may be issued.