12 AAC 60.010. Application forms: supporting evidence

(a) An application for initial licensure by examination as a psychologist must be submitted on a form provided by the department with

(1) a check or money order in the amount specified in 12 AAC 02.330;

(2) official transcripts from all undergraduate and graduate schools attended by the applicant;

(3) repealed 5/18/85;

(4) a complete vita from the date of high school graduation to the time of application, including dates and places of residency;

(5) repealed 5/18/85;

(6) five letters of reference, one of which must be from the applicant's doctoral committee membership, preferably the chairperson; two from licensed psychologists, members of the American Psychological Association, or diplomates of the American Board of Professional Psychology; and two from other persons not related to the applicant; and

(7) repealed 12/8/2005.

(b) An application for initial licensure by examination as a psychological associate must be submitted on a form provided by the department with

(1) a check or money order in the amount specified in 12 AAC 02.330;

(2) official transcripts from all undergraduate and graduate schools attended by the applicant;

(3) a complete vita from the date of high school graduation to the time of application, including dates and places of residency;

(4) proof of a practicum from an accredited school with an approved program in the area in which licensure is requested; and

(5) repealed 3/27/98;

(6) the recommendations required by AS 08.86.162 (4).

(c) Before the board will issue a psychological associate license by examination, the applicant shall submit proof of completion of the supervised experience required under AS 08.86.160 (a)(3), as defined in 12 AAC 60.070(c) .

(d) Before the board will issue a psychology license by examination, the applicant shall submit proof of completion of the supervised experience required in AS 08.86.130 (a)(3), as described in 12 AAC 60.070(b) .

History: Eff. 12/24/78, Register 68; am 1/14/82, Register 81; am 5/18/85, Register 94; am 3/17/91, Register 117; am 3/27/98, Register 145; am 12/8/2005, Register 176

Authority: AS 08.86.070

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