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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the 'General Information' section, including your name, address, and social security number.
Complete the 'Racial-Ethnic Categories' section by selecting the appropriate option that reflects your background.
In the 'Certification Status' section, indicate any Michigan certificates you currently hold and provide relevant dates and institutions.
Fill out the 'Academic History' section with details about your educational background since obtaining your Preliminary School Psychologist Certificate.
Document your field experience as a school psychologist, including supervisor details and total hours worked.
Review all sections for accuracy before signing and dating the application at the bottom of the form.
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