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How to use or fill out MFT In-State Experience Verification Option 1 - Board of ...
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name in the 'APPLICANT NAME' section, ensuring you include your last, first, and middle names.
- Fill out the 'SUPERVISOR INFORMATION' section with your supervisor's details, including their name, business phone, license type, and license number.
- Indicate whether the hours reported were earned pre-degree or post-degree by marking the appropriate box.
- In the 'EXPERIENCE INFORMATION' section, provide the dates of experience being claimed and specify how many weeks of supervised experience are being claimed.
- Complete the hours of experience section by detailing total direct counseling experience and non-clinical experience as required.
- Ensure all information is accurate before signing. Have your supervisor initial any changes made to the form.
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