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STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULATION BOARD FOR PROFESSIONAL COUNSELORS MARITAL FAMILY THERAPISTS AND CLINICAL PASTORAL THERAPISTS 665 Mainstream Drive NASHVILLE TENNESSEE 37243 www. Tennessee. gov 800 778-4123 ext. 25138 or 615 532-3202 ext. 25138 APPLICATION FOR LICENSE AS A LICENSED PASTORAL THERAPIST Exam Endorsement INSTRUCTIONS Complete this application have it notarized and mail it to the above address. Type or print legibly. Enclose a...
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Start by carefully reading the instructions provided with the form. Make sure you understand the purpose of the application and the information required.
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Gather all the necessary documents and information before starting to fill out the form. This may include personal identification, educational background, work experience, references, and any other relevant details.
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Begin by providing your personal information in the designated sections. This may include your full name, contact details, date of birth, and social security number.
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Follow the instructions and complete each section of the form accurately. Pay attention to any specific formatting, numbering, or labeling requirements mentioned.
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Provide detailed information about your professional background in the field of clinical pastoral care. This may include your education, training, certifications, and any relevant work experience.
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Clearly articulate your knowledge, skills, and qualifications that make you suitable for the position of a clinical pastoral therapist. Be specific and provide examples where applicable.
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Submit the filled-out application along with any required fees or supporting documents by the specified deadline or method.

Who needs g6029292application clinical pastoral formrapists?

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Individuals who are seeking to apply for a position as a clinical pastoral therapist.
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Licensing boards or regulatory authorities responsible for regulating the practice of clinical pastoral therapy.

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