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IC&RC LCDC EXAMINATION PRE-REGISTRATION FORM 2026

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  1. Click ‘Get Form’ to open the IC&RC LCDC EXAMINATION PRE-REGISTRATION FORM in the editor.
  2. Begin by filling in your personal information. Enter your last name, first name, and middle initial in the designated fields.
  3. Provide your complete address, including street number, city, state, and zip code. Ensure accuracy for communication purposes.
  4. Fill in your contact details: work phone, home phone, and email address. Remember that an email is required for exam instructions.
  5. Complete the required fields such as Social Security Number, gender, and date of birth. This information is essential for DSHS standards.
  6. Indicate your ethnic origin and education level by selecting from the provided options. This helps in demographic data collection.
  7. Answer questions regarding your practicum experience and education hours. Be specific about where you completed these requirements.
  8. Review the checklist at the end of the form to ensure all necessary documents are included before submission.

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