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| License
Applications |
Professional Counselor Licensure
Application, #08-4403, Revised 11/02/11. Application for
licensure by examination or credentials.
This form may be completed online with Adobe Acrobat 6.0 or
higher, then printed, signed and mailed. |
| Application
for Board Approved Professional Counselor Supervisor, #08-4430,
Revised 08/29/11. Must be approved and certified by the board as
an Approved Counselor Supervisor prior to supervising
Professional counselors obtaining postmaster experience. |
Continuing
Education Provider's Approval Form,
#08-4345, Revised 09/28/10. |
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| Renewal Applications |
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Biennial Professional Counselor License Renewal, #08-4281, Revised 08/29/11 |
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| Miscellaneous
Forms |
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Change of Name Form,
#08-1431
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| Change of Address Form,
#08-4291
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| Request for License Verification Form,
#08-4222
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| Request Duplicate License Form,
#08-0014
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| Credit Card Payment Form,
#08-4438
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Applications
may be viewed and
printed with Adobe
Acrobat Reader
6.0 or higher.
If you do not have
Adobe Acrobat Reader
6.0 or higher,
please click on
the Adobe logo
and download the
free software now.
If you are unable
to view or download
an application,
please contact
us by telephone
or e-mail. Providing
your complete mailing
address will enable
us to mail you
the application.
Other
application forms
may be mailed to
you or picked up
at a division office.
Completed applications
must be signed
and submitted to
the division with
the appropriate
fees.
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