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  1. Click ‘Get Form’ to open the bbs form in the editor.
  2. Begin by entering your name in the designated fields for 'Last' and 'First'. This identifies you as the Associate Professional Clinical Counselor.
  3. Fill in your Supervisor's name and the Name of Work Setting. Ensure accuracy as this information is crucial for verification.
  4. Provide the Address of Work Setting, and indicate whether it is a hospital or community mental health setting by selecting 'Yes' or 'No'.
  5. Indicate your status when logging hours by selecting 'Associate Application Pending' and enter the year.
  6. Log your experience hours in each relevant category (A through H) based on your activities during the week. Be thorough to ensure all hours are accounted for.
  7. After completing all sections, ensure you have your Supervisor's signature at the bottom of the form.

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Only application forms require original signatures All other forms, such as weekly logs of supervised experience, Supervision Agreements, and Verification of Experience, can be submitted with digital or sign-and-scan signatures.
6. What is an exempt setting? An exempt setting is a governmental entity, a school, a college, a university, or an institution that is both nonprofit and charitable (designated as a 501(c)(3) by the Internal Revenue Service). 7.
DIRECT: A direct client contact hour is a service that the student provides to the client face-to- face, where the student and the client are both in the same room, for at least most of the hour.
From the date of your application for clinical exam eligibility, the BBS will count backwards six years. Your supervised Associate experience during that six-year timeframe counts toward licensure, even if it was gained under two different registration numbers.
The 90-day rule is a clause in the law that allows applicants for registration as an Associate Marriage and Family Therapist, Associate Professional Clinical Counselor, or Associate Clinical Social Worker (Associate), to count supervised experience gained during the window of time between the degree award date and

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You will need 104 weeks of supervision and 3,000 hours of supervised work experience that meets all requirements as specified in law before applying for licensure.

bbs weekly summary experience hours form