Experience verification forms bbs 2011-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the applicant's name clearly in the designated fields for last, first, and middle names.
3. Next, the supervisor must provide their information. Fill in the supervisor's name, business phone number, and address accurately.
4. Indicate whether the experience was gained in a private practice setting by selecting 'Yes' or 'No'.
5. Complete the section regarding the nature of the experience, ensuring that all questions are answered truthfully.
6. Fill out the dates of experience being claimed, specifying both start and end dates in mm/dd/yyyy format.
7. Detail the hours of supervised experience claimed across various categories such as individual psychotherapy and group therapy.
8. Finally, ensure that all information is accurate before signing. The supervisor must sign and date the form to validate it.

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