Section 514-4-6 - Temporary Conditional Licensure1. Application The application shall include:
A. Proof of the education required by Section 2 of this chapter;B. A plan for supervision by an approved supervisor at an agency that provides mental health services. The plan must meet the requirements for supervised experience contained in Section 4 of this chapter and must be submitted on a form provided by the board;C. A proposed disclosure statement that meets the requirements of Chapter 8-B, Section 2(1) of the board's rules;D. The fee for conditional licensure prescribed by Chapter 10, Section 5(13) of the rules of the Office of Licensing and Registration, entitled "Establishment of License Fees;"E. 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;F. License verifications from all jurisdictions in which the applicant was ever licensed as a mental health professional; andG. Such other information as the board may require.2. Administrative Responsibilities and Practice Limitations A. The temporary conditional licensee must apply for and successfully pass the Marital and Family Therapy Examination during the term of the license. If the temporary conditional licensee fails the examination, the licensee is prohibited from using any clinical experience gained during the term of the license to qualify for full licensure;B. The temporary conditional licensee must be employed under clinical supervision at an agency that provides mental health services.C. A temporary conditional licensee shall use the designation "temporary conditional" in all documentation, correspondence and informational materials;D. Both the temporary 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.E. A temporary 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 6(2)(F) of this chapter and a substitute supervision plan submitted on a form supplied by the board.F. The supervisor shall submit a termination/evaluation report to the board upon a change of supervisor.3. License Term The temporary conditional license is issued for a term not to exceed 6 months and may not be renewed.
4. Transition to Conditional License The temporary conditional licensee shall be issued a conditional license without further application or fee upon submitting proof of a passing score on the Marital and Family Therapy Examination obtained within the term of the temporary conditional license as described in Section 6(2)(A). The temporary conditional license shall thereupon terminate. Supervised experience commenced under the temporary conditional license must continue without interruption under the conditional license.