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#2560, Documentation of Postgraduate Clinical Experience-Supervisors Affidavit for Social Work Licen

#2560, Documentation of Postgraduate Clinical Experience-Supervisors Affidavit for Social Work Licen-2025

#2560, Documentation of Postgraduate Clinical Experience-Supervisors Affidavit for Social Work Licen Preview on Page 1

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The document outlines the requirements for documenting postgraduate clinical experience for social work licensure in Wisconsin. It specifies that applicants must complete at least 3,000 hours of clinical practice, including 1,000 hours of direct client contact, under a qualified supervisor. The form includes sections for both the applicant and supervisor to provide necessary information and attestations regarding the applicant's clinical experience and competencies.

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Click ‘Get Form’ to open the #2560 document in the editor.
Begin by filling out the 'Applicant' section. Enter your name, application number, and details of your postgraduate clinical experience facility, including the address.
In the 'Attestation of Applicant' section, read through the declarations carefully. Sign and date the form to confirm that all information provided is accurate.
Next, forward the form to your supervisor for completion. They will need to fill out their section, including their name, type of credential held, and supervision dates.
Your supervisor should provide detailed evaluations regarding your clinical experience and competencies in the specified areas. Ensure they complete all required fields before submission.
Once completed by your supervisor, ensure that they submit it directly to the Department using the LicensE Third-Party Upload Portal at license.wi.gov.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (47 Votes)
2017	4.1 Satisfied (30 Votes)

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How to become a licensed clinical social worker in New York?

To be licensed as a licensed clinical social worker (LCSW) in New York State you must: be of good moral character; be at least 21 years of age; have an education that includes a masters degree in social work (M.S.W.) with at least 12 semester hours of clinical coursework acceptable to the Department;

How much do licensed clinical social workers make in NY?

Licensure for LCSWs typically requires two years of supervised experience after earning your masters. Depending on your state, a clinical exam may be required openinnew as well.

What is the difference between LCSW and clinical social worker?

MSW stands for Master of Social Work, which is a higher education graduate degree. What does LCSW stand for? LCSW stands for licensed clinical social worker, which indicates a professional has obtained additional state licensure after earning a masters degree in the field.

How to get your social work license in Wisconsin?

The Wisconsin Statutes provide that the Social Worker Section will grant a Clinical Social Worker License to any applicant who submits an application, pays the required fee, satisfies the education and supervised experience requirements, passes the jurisprudence examination, and passes the clinical level national

What are the levels of social work license in Wisconsin?

Wisconsin offers four levels of social work licensure: certified social worker, advanced practice social worker, independent social worker, and licensed clinical social worker.

How many hours do you need for LCSW supervision in Wisconsin?

Upon completion of education and after receiving certification as an advanced practice social worker or as an independent social worker, engage in at least 3000 hours of supervised clinical social work practice, including at least 1,000 hours of face-to-face client contact and including DSM diagnosis and treatment of

How to get a clinical social work license in NY?

General Requirements be of good moral character; be at least 21 years of age; have an education that includes a masters degree in social work (M.S.W.) with at least 12 semester hours of clinical coursework acceptable to the Department; have at least 3 years of post M.S.W. meet clinical examination requirements; and.

#2560, Documentation of Postgraduate Clinical Experience-Supervisors Affidavit for Social Work Licen-2025

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Got questions?

How to become a licensed clinical social worker in New York?

How much do licensed clinical social workers make in NY?

What is the difference between LCSW and clinical social worker?

How to get your social work license in Wisconsin?

What are the levels of social work license in Wisconsin?

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How many hours do you need for LCSW supervision in Wisconsin?

How to get a clinical social work license in NY?

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#2560, Documentation of Postgraduate Clinical Experience-Supervisors Affidavit for Social Work Licen-2025

Here's how it works

How to use or fill out #2560, Documentation of Postgraduate Clinical Experience-Supervisors Affidavit for Social Work Licen with our platform

See more #2560, Documentation of Postgraduate Clinical Experience-Supervisors Affidavit for Social Work Licen versions

Complete this form in 5 minutes or less

Got questions?

How to become a licensed clinical social worker in New York?

How much do licensed clinical social workers make in NY?

What is the difference between LCSW and clinical social worker?

How to get your social work license in Wisconsin?

What are the levels of social work license in Wisconsin?

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People also ask

How many hours do you need for LCSW supervision in Wisconsin?

How to get a clinical social work license in NY?

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