Professional Counselor Examiners Committee 2025

1. Click ‘Get Form’ to open the Professional Counselor Examiners Committee document in the editor.
2. Begin by clearly printing your name in the designated fields for the applicant, including last name, first name, and middle initial. Ensure accuracy as this information is crucial for identification.
3. Fill out your address completely, including street or P.O. Box, city, state, and ZIP code. This ensures that all correspondence reaches you without delay.
4. Provide supervisor information by entering their name and any applicable business details. Include the type of business and its address to establish a clear professional context.
5. Attach your current resume or curriculum vitae as required. If licensed outside New Jersey, contact the issuing board for verification of licensure.
6. Complete the sections regarding supervisor licensure by checking all applicable licenses and providing necessary details about each license held.
7. Answer questions regarding supervision logistics, including client contact locations and proposed hours of supervision. Be specific to meet regulatory requirements.
8. Detail your personal learning objectives and describe the client services you will provide. Use additional pages if necessary to ensure clarity.
9. Finally, review all entries for accuracy before signing and dating the form at the bottom. This step is essential for certification purposes.

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