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Click ‘Get Form’ to open the Associate Professional Clinical Counselor Weekly Summary of Experience Hours Option 1 in the editor.
Begin by entering your name in the designated fields for 'Last', 'First', and 'Middle' names. This personal identification is crucial for record-keeping.
Fill in your supervisor's name and the name and address of your work setting. Ensure accuracy as this information is essential for verification.
Indicate whether your work setting is a hospital or community mental health setting by selecting 'Yes' or 'No'.
Specify your status when logging hours, such as 'Associate Application Pending', and enter the year and your BBS File No. along with Registered Associate - APC No.
For each category (A, B, B1, B2), log the total hours worked. Remember that A refers to direct counseling hours while B includes non-clinical experiences.
Calculate total hours per week using the formula provided (A + B = C) ensuring it does not exceed 40 hours.
Finally, have your supervisor sign in the designated area to validate the logged hours.
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