A. Application Packet Upon reading the requirements for professional, credentialing in Chapter 3, Section 3, pp. 10-11 and making a decision to upgrade to Certified Mental Retardation Therapist (CMRT), an individual shall submit to the Division an upgrade application packet containing the forms/materials listed below. These forms verify the certification requirements listed in Chapter 3, Section 3, pp. 10-11.
(1) Application: A completed, notarized Upgrade Application Form;(2) Employment: A completed Upgrade Verification of Employment Form from the applicant's current place of employment meeting the employment requirement listed in Chapter 3, Section 3, B., (1), p. 10;(3) Education: An Official Transcript(s) meeting the educational requirements listed in Chapter 3, Section 3, B., (2), pp.10-11. If the educational requirement for CMRT is met by the Official Transcript already on file with the individual's initial application for PCMRT, then no further documentation is necessary.
(4) Experience: A completed Upgrade Verification of Experience Form(s) meeting the experience requirements listed in Chapter 3, Section 3, B., (3), p. 11. However, if any of the experience requirement for CMRT is met by the Verification of Experience Form(s) already submitted with the individual's initial application for PCMRT, then only the balance necessary to meet CMRT experience requirements should be submitted.
(5) Ongoing Inservice/Training: A completed Upgrade Verification of Inservice/Training Form(s) verifying required inservice/training obtained during the Provisional Certification Period as indicated in Chapter 3, Section 2, E., (2), pp. 9-10; and,(6) MR-CTP: While successful completion of the MR-CTP is required for a provisional certificant to upgrade, there is no reporting requirement for the upgrade applicant. See Chapter 4, Section 1, 1, p.23 for more information on documenting participation in the MR-CTP.(7) Application Fee: A nonrefundable $75.00 check or money order made payable to the Mississippi Department of Mental Health. See Chapter 6, Section 1, A., p. 36 for more information on the Application Fee.