Pathway 3 Plan Verification Packet - iblce 2026

1. Click ‘Get Form’ to open the Pathway 3 Plan Verification Packet in the editor.
2. Begin by filling out your personal information in the 'Pathway 3 Plan Verification Application Form' section. Ensure that you print neatly and include your last name, first name, address, and contact details.
3. Indicate the expected exam year and confirm if your profession is listed. Circle 'Yes' or 'No' as applicable.
4. Provide details for your Chief Mentor, including their name, email address, phone number, and IBLCE ID number.
5. Complete the signed statement section by ensuring both you and your Chief Mentor sign and date the form.
6. List all additional mentors serving on your Pathway 3 Plan along with their contact information.
7. Document your clinical practice hours using the 'Report of Pathway 3 Clinical Practice Hours' section. Ensure mentors verify these hours.
8. Finally, complete the 'Pathway 3 Plan Verification Payment Form' to submit payment for processing.

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