Section 514-4-5 - Conditional Licensure1. Application The application shall include:
A. Proof of the education required by Section 2 of this chapter;B. Proof of a passing score on the Marital and Family Therapy Examination, or a request to take the examination;C. A plan for supervision by an approved supervisor . The plan must meet the requirements for supervised experience contained in Section 4 of this chapter and shall be submitted on a form provided by the board;D. A proposed disclosure statement that meets the requirements of Chapter 8-B, Section 2(1) of the board's rules;E. The fee prescribed by Chapter 10, Section 5(13) of the rules of the Office of Licensing and Registration, entitled "Establishment of License Fees;"F. Three letters of reference on a form provided by the board to be completed by professionals in the counseling field. The letters must be dated within one year prior to the date of the application;G. License verifications from all jurisdictions in which the applicant was ever licensed as a mental health professional; andH. Such other information as the board may require.2. Administrative Responsibilities and Practice Limitations A. Both the conditional licensee and the supervisor shall maintain ongoing records of supervision and shall produce the records for inspection and copying upon request of the board.B. A conditional licensee may not change supervisors without prior written approval from the board. The licensee must submit a written request explaining the reason for the proposed change. The request must be accompanied by the termination/evaluation report described in Section 5(2)(C) of this chapter and a substitute supervision plan submitted on a form supplied by the board.C. The supervisor shall submit a termination/evaluation report to the board: (1) Upon a change of supervisor;(2) Upon termination of the supervisory relationship prior to completion of the supervised experience set forth in Section 4 of this chapter; and(3) Upon completion of the supervised experience set forth in Section 4 of this chapter.D. A conditional licensee may not practice except under supervision as set forth in this section. A conditional licensee shall use the designation "conditional" in all documentation, correspondence and informational materials.3. License Term The conditional license is issued for a 2-year period. The license may be renewed for up to two additional 2-year periods (exclusive of any periods of inactive status) as necessary for the licensee to complete the supervised experience required by Section 4 of this chapter. The license will not be further renewed unless the licensee demonstrates to the satisfaction of the board that extenuating circumstances of genuine hardship prevented the licensee from completing the supervised experience within the 6-year period described in this subsection.
4. Waiver of Conditional Licensure The board may waive conditional licensure in whole or in part and may recognize supervised clinical experience lawfully obtained following attainment of the qualifying degree that is substantially equivalent to the supervised experience required by Section 4 of this chapter.