Section 4-2 - Certificate (a) Psychological Practitioner. Every applicant for certification must submit: - (i) A completed application form as provided by the Board;
- (ii) Official transcripts from each college or university attended sent directly to the Board by the respective college or university;
- (iii) Official verification of EPPP exam scores sent directly to the Board from the exam administrator;
- (iv) Supervised Practicum or Internship Verification form as provided by the Board documenting the nature of the supervised experiences and sent directly to the Board by the practicum or internship supervisor or institution or site;
- (v) If applicable, Supervised Post-Degree Work Experience form as provided by the Board and sent directly to the Board by the supervisor;
- (vi) Three (3) completed Professional Experience Reference forms as provided by the Board sent directly to the Board by the reference;
- (vii) Request for Verification of Licensure or Certification form as provided by the Board from all other states where applicant has been or is currently licensed or certified in any profession sent directly to the Board by the appropriate regulatory body; and
- (viii) All appropriate fees.
(b) Specialist in School Psychology. Every applicant for certification must submit: - (i) A completed application form as provided by the Board;
- (ii) All appropriate fees;
- (iii) Three (3) completed Professional Experience Reference forms as provided by the Board to be sent directly to the Board by each respective source;
- (iv) Official transcripts from each college or university attended sent directly to the Board by the respective college or university;
- (v) Supervised Internship Experience verification form as provided by the Board documenting the nature of the supervised experiences and providing the names and addresses of supervisors sent directly to the Board by the internship supervisor or institution or site;
- (vi) Official verification of NSPE exam scores sent directly to the Board from the exam administrator.
- (vii) Official verification of certification as a school psychologist to practice in the public schools by the Professional Teachers Standards Board sent directly to the Board by the Department board.
- (viii) License and Certification verification form as provided by the Board from all other states where applicant has been or is currently licensed or certified in any profession sent directly to the Board by the appropriate regulatory body.