Board of Behavioral Sciences - Application for Licensure LMFT Board of Behavioral Sciences - Applica 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the 'APPLICANT NAME' section, including your last name, first name, middle name, and associate number.
3. In the 'SUPERVISOR INFORMATION' section, provide your supervisor's details such as their last name, first name, business phone number, license type, email address (optional), and license number.
4. Indicate whether the hours reported were earned pre-degree or post-degree by marking the appropriate box.
5. Fill out the 'APPLICANT’S EMPLOYER INFORMATION' section with your employer's name and address. Ensure all fields are completed accurately.
6. Answer the questions regarding your experience settings by selecting 'Yes' or 'No' for each query provided in the form.
7. Complete the 'EXPERIENCE INFORMATION' section by providing dates of experience claimed and total weeks of supervised experience.
8. Finally, ensure that all information is correct before signing. Have your supervisor sign and date the form where indicated.

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