Psychology, Board of

Psychology, Board of

Chapter 4: Application Procedures

Effective Date: 02/10/2010 to 08/01/2012

Rule Type: Superceded Rules & Regulations

Reference Number: 068.0001.4.02102010

CHAPTER 4

APPLICATION PROCEDURES

Section 1. Psychologist License Application Requirements.

(a) Regular. Every applicant for a license 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 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) Three (3) completed Professional Experience Reference forms as provided by the Board and sent directly to the Board by the reference;

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

(ix) All appropriate fees.

(b) Provisional. Every applicant for a provisional psychologist license 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) 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 doctoral program training director;

(iv) Supervised 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;

(v) Three (3) completed Professional Experience Reference forms as provided by the Board sent directly to the Board by the reference;

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

(vii) All appropriate fees.

(c) Temporary. A temporary license is available to an applicant who is licensed or certified by a similar regulatory board of another state or territory of the United States or of a foreign country or province whose standards are equivalent to or higher than the requirements for licensure as a psychologist in Wyoming. A temporary licensee may offer services as a psychologist in this state for not more than thirty (30) working days in any one (1) calendar year without holding a license issued under W.S. 33-27-117. The temporary licensee shall report the nature and extent of his or her practice in this state to the board if it exceeds twenty (20) working days in any one (1) calendar year.

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) Three (3) completed Professional Experience Reference forms as provided by the Board sent directly to the Board by the reference;

(vii) Request for Verification of Licensure or Certification form as provided by the Board from all other states where applicant has been or is currently licensed or certified in any profession sent directly to the Board by the appropriate regulatory body; and

(viii) All appropriate fees.

(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) Three (3) completed Professional Experience Reference forms as provided by the Board to be sent directly to the Board by each respective source;

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

(v) 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;

(vi) Official verification of NSPE exam scores sent directly to the Board from the exam administrator.

(vii) 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.

(viii) License and Certification verification form as provided by the Board from all other states where applicant has been or is currently licensed or certified in any profession sent directly to the Board by the appropriate regulatory body.

(c) All applications for a certificate will be reviewed by the Board Application Review Committee.

Section 3. When Eligibility is Unclear. When the Application Review Committee is unable to ascertain from the documents submitted that the applicant meets the above criteria, it will request from the applicant whatever additional documentation or information is necessary to enable the Committee to make that decision. The (Committee) may also request the applicant to appear before it to clarify issues relating to his/her qualifications.

Section 4. 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 serial number, date of issuance, expiration date, and appropriate seal. Upon request, a second wall document will be issued if the individual has a need to display the document in more than one (1) place of business.

Section 5. Notification of Applicants and Right of Appeal.

(a) If an applicant is aggrieved by an Application Review Committee decision, a request for hearing may be filed with the Board and should clearly specify the basis of the applicant's grievance. A request for hearing must be received by the Board no later than thirty (30) days after the notification of denial of licensure or certification was mailed to the applicant.

(b) A contested case hearing pursuant to Chapter 11 of these rules will be scheduled.